A comparative study of adjacent segment degeneration following discectomy and instrumented fusion in lumbar Spine
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Adjacent segment degeneration following lumbar spine fusion and lumbar discectomy remains a widely known problem, but due to insufficient knowledge regarding the factors that contribute to its occurrence it is difficult to diagnose considering the fact that it has variable presentation in terms of the symptoms it produces, the time frame for its occurance and radiological changes. Our study shows that both in single level discectomy and post instrumented fusion and is marginally more in post single level discectomy without fusion. In both groups cephalic segment is more affected as compared to the caudad segment. There is a significant relationship between radiological degeneration and the clinical adjacent segment degeneration. It has been seen that there is a significant relation between degeneration and chronic smokers both radiologically and clinically. Since there is only marginally difference, we hold on to our hypothesis that the role of natural degeneration is more compared to the role of instrumented fusion causing adjacent segment degeneration. Thus we have to rule out natural and post surgical causes of adjacent segment degeneration leading to different clinical complaints of the patient and manage it accordingly.
Authors and Affiliations
Dr. TS Channappa, Dr. Aditya Narula
Keywords
Related Articles
- EP ID EP488035
- DOI 10.22271/ortho.2018.v4.i4f.60
- Views 108
- Downloads 0
Outcome analysis of fenestration discectomy for lumbar disc prolapse
Background: Various retrospective and some prospective review of fenestration disc Surgeries are available. The results of these series vary greatly with good results ranging from 46-97% and re operation rate of 9%. The...
Title of the manuscript: study of complications associated with plate fixation of middle one third clavicle shaft fracture
1.1 Background: Both non-operative and surgical methods have been described for the management of this injury. Good outcome with high union rates and low complication rates has been reported with various surgical modalit...
Efficacy of epidural steroid injection in lumbar disc disease
Purpose: Lumbar epidural steroid injection is a reasonable non-surgical option available in lumbar disc disease. We have a number of studies that have compared epidural steroid injections with discectomy for the treatmen...
Closed intramedullary interlocking nailing for fracture shaft of femur: Prospective study
Introduction: Diaphyseal fractures of femur are most common due to increase in road traffic accidents and fall from height from building constructions. Closed or open reduction and intramedullary interlocking nailing is...
Prospective study of arthroscopic reconstruction of anterior cruciate ligament with quadrupled semitendinosus autograft
Background: In contrast to old time in today’s world of competitive sports and vehicular accidents twisting injuries to knee joints causing ligament and meniscal tears are a common occurrence. Being a prime stabilizer of...