Dynamic Rod Constructs as the Preventive Strategy against Adjacent Segment Disease in Degenerative Lumbar Spinal Disorders: A Retrospective Comparative Cohort Study

Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
View: 109

This Paper With 10 Page And PDF Format Ready To Download

  • Certificate
  • من نویسنده این مقاله هستم

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این Paper:

شناسه ملی سند علمی:

JR_TABO-11-6_005

تاریخ نمایه سازی: 27 خرداد 1402

Abstract:

Objectives: Adjacent segment degeneration (ASDe) and adjacent segment disease (ASDi) are potential long-term complications after lumbar fusion with rigid instrumentation. Dynamic fixation techniques (Topping-off) adjacent to the fused segments have been developed to curtail the risk of ASDe and ASDi. The current study sought to investigate whether the addition of dynamic rod constructs (DRC) in patients with preoperative degeneration in the adjacent disc was effective in reducing the risk of ASDi. Methods: A retrospective analysis was performed on clinical data of ۲۰۷ patients with degenerative lumbar disorders (DLD) from January ۲۰۱۲ to January ۲۰۱۹, who underwent posterior transpedicular lumbar fusion (without Topping-off, NoT/O), and posterior dynamic instrumentation with DRC. Clinical and radiological outcomes were evaluated using Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), and lumbar radiographs one, three, and ۱۲ months postoperatively and annually. ASDe was defined as disc height collapse > ۲۰% and disc wedging > ۵. Patients with confirmed ASDe and aggravation of ODI > ۲۰ or VAS score > ۵ at final follow-up were diagnosed as ASDi. The Kaplan-Meier hazard method was used to estimate the cumulative probability of ASDi within ۶۳ months of surgery. Results: Over three years of follow-up, ۶۵ patients in the NoT/O (۵۹.۶%) and ۵۲ cases (۵۳.۱%) in the DRC groups met the diagnostic criteria for ASDe. Furthermore, ۲۷ (۲۴.۸%) patients in the NoT/O group showed ASDi during the follow-up, compared to ۱۴ (۱۴.۳%) cases in the DRC group (P=۰.۰۵۹). Revision surgery was performed on ۱۹ individuals in the NoT/O and ۸ cases in the DRC groups (P=۰.۰۴۸). The Cox regression model identified a significantly decreased risk of ASDi if DRC was used (Hazard ratio: ۰.۲۹; ۹۵% CI: ۰.۱۳-۰.۶). Conclusion: Dynamic fixation adjacent to the fused segment is an effective strategy for preventing ASDi in carefully selected individuals with preoperative degenerative changes at the adjacent level. Level of evidence: II

Keywords:

Authors

Sajjad Saghebdoust

Department of Neurosurgery, Razavi Hospital, Mashhad, Iran

Reza Zare

Department of Neurosurgery, Razavi Hospital, Mashhad, Iran

Bipin Chaurasia

Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal

Mohammad Moein Vakilzadeh

Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Omid Yousefi

Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Mohammad Reza Boustani

Department of Neurosurgery, Golestan Hospital, Tehran, Iran

مراجع و منابع این Paper:

لیست زیر مراجع و منابع استفاده شده در این Paper را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود Paper لینک شده اند :
  • Sears WR, Solterbeck AC, Kos JA. Risk of adjacent segmentdisease ...
  • Eur Spine J.۲۰۲۱; ۳۰(۱):۱۸۱-۱۹۰. doi: ۱۰.۱۰۰۷/s۰۰۵۸۶-۰۲۰-۲. Lingutla K, Pollock R, ...
  • doi: ۱۰.۱۳۰۲/۰۳۰۱-۶۲۰X.۹۷B۱۰.۳۵۷۲۴ ...
  • Chou P-H, Lin H-H, An HS, Liu K-Y, Su W-R, ...
  • Biomed Res Int. ۲۰۱۷; ۲۰۱۷:۴۳۸۵۶۲۰. doi:۱۰.۱۱۵۵/۲۰۱۷/۴۳۸۵۶۲۰ ...
  • Cheh G, Bridwell KH, Lenke LG, et al. Adjacent segmentdisease ...
  • Dobran M, Nasi D, Esposito DP, Gladi M, Scerrati M, ...
  • Fuster S, Martínez-Anda JJ, Castillo-Rivera SA, VargasReverón C, Tornero E. ...
  • Wang T, Ding W. Risk factors for adjacent segmentdegeneration after ...
  • Park P, Garton HJ, Gala VC, Hoff JT, McGillicuddy JE. ...
  • Chen B-L, Wei F-X, Ueyama K, Xie D-H, Sannohe A, ...
  • Adjacent segment degeneration after single-segment PLIF:the risk factor for degeneration ...
  • Okuda S, Oda T, Miyauchi A, et al. Lamina horizontalizationand ...
  • Khoueir P, Kim KA, Wang MY. Classification of posteriordynamic stabilization ...
  • Baioni A, Di Silvestre M, Greggi T, Vommaro F, Lolli ...
  • Maserati MB, Tormenti MJ, Panczykowski DM, Bonfield CM,Gerszten PC. The ...
  • Neurosurg Focus.۲۰۱۰; ۲۸(۶):E۲. doi:۱۰.۳۱۷۱/۲۰۱۰.۳.FOCUS۱۰۵۵ ...
  • Putzier M, Hoff E, Tohtz S, Gross C, Perka C, ...
  • Lee C-H, Jahng T-A, Hyun S-J, et al. Dynamic stabilizationusing ...
  • Wang H, Chow SC. Sample size calculation for comparingproportions. Wiley ...
  • Pfirrmann CW, Metzdorf A, Zanetti M, Hodler J, Boos N ...
  • Magnetic resonance classification of lumbar intervertebraldisc degeneration. Spine (Phila Pa ...
  • Liang J, Dong Y, Zhao H. Risk factors for predictingsymptomatic ...
  • doi:۱۰.۱۳۷۱/journal.pone.۰۱۶۴۵۷۳۲۲. Alentado VJ, Lubelski D, Healy AT, et al. Predisposingcharacteristics ...
  • Bydon M, Xu R, Santiago-Dieppa D, et al. Adjacent-segmentdisease in ...
  • Norvell DC, Dettori JR, Skelly AC, Riew KD, Chapman JR,Anderson ...
  • Induction of early degeneration of the adjacent segment afterposterior lumbar ...
  • Helgeson MD, Bevevino AJ, Hilibrand AS. Update on theevidence for ...
  • Spine J.۲۰۱۳; ۱۳(۳):۳۴۲-۵۱. doi:۱۰.۱۰۱۶/j.spinee.۲۰۱۲.۱۲.۰۰۹ ...
  • Spallone A. A less-invasive technique for harvestingautologous iliac crest grafts ...
  • Sasso R, Garrido B. Journal of spinal disorders & techniques. ...
  • Zhu Z, Liu C, Wang K, et al. Topping-off technique ...
  • Kashkoush A, Agarwal N, Paschel E, Goldschmidt E, GersztenPC. Evaluation ...
  • Cureus.۲۰۱۶; ۸(۶):e۶۳۷. doi: ۱۰.۷۷۵۹/cureus.۶۳۷ ...
  • Beastall J, Karadimas E, Siddiqui M, et al. The Dynesys ...
  • Cabello J, Cavanilles-Walker J, Iborra M, Ubierna M, Covaro A,Roca ...
  • Herren C, Sobottke R, Pishnamaz M, et al. The use ...
  • Chen X-L, Guan L, Liu Y-Z, Yang J-C, Wang W-L, ...
  • Interspinous dynamic stabilization adjacent to fusion versusdouble-segment fusion for treatment ...
  • Wang W, Sun X, Zhang T, Sun S, Kong C, ...
  • Roitberg B, Zileli M, Sharif S, Anania C, Fornari M, ...
  • Mobility-Preserving Surgery for Lumbar Spinal Stenosis:WFNS Spine Committee Recommendations. World ...
  • نمایش کامل مراجع