PRELIMINARY RESULTS OF ADDING DYNAMIC SCREWS TO UPPER FUSION SEGMENT IN PATIENTS WITH DEGENERATIVE LUMBAR SPINE
Journal Title: Journal of Turkish Spinal Surgery - Year 2019, Vol 30, Issue 2
Abstract
Aim: To assess sufficiency of dynamic screw addition to instrumented fusion segment to prevent development of the adjacent segment disease (ASD). Material and Methods: Medical records were retrospectively reviewed for degenerative lumbar spine surgery from 2016 to 2018. Patients with degenerative lumbar spinal disease constituted the core sample for this study. To obtain homogeneity of both groups only patients involved with degenerative lumbar spine disease were included. All surgeries were performed by the same spine surgeon (EO). Results: This series included 87 (66 female, 21 male) patients, with a median age of 56 years. Mean follow-up period was 10.24 months for dynamic screw added patients and 16.06 months for only fusion patients. Eleven patients with adjacent level disease were diagnosed only in alone fusion group (17.7 %) and no adjacent level disease was diagnosed in upper level dynamic screw added group. Adjacent level disease is statistically significant in alone fusion group (p = 0.03). Conclusions: In our study, there is a statistically significant difference between only fusion instrumentation and dynamic screw added fusion in radiologic and clinical adjacent segment disease. Although long-term followed-up, studies are needed to assess the sufficiency of dynamic screw addition to instrumented fusion segment to prevent the adjacent segment disease.
Authors and Affiliations
Erdinç ÖZEK, Anas ABDALLAH
Keywords
Related Articles
- EP ID EP677046
- DOI -
- Views 151
- Downloads 0
EFFECT OF POSTOPERATIVE SHOULDER IMBALANCE ON PATIENT SATISFACTION WITH SURGICAL TREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS
Objective: We aimed to evaluate whether there is a relation between the level of shoulder imbalance after scoliosis surgery and patients’ satisfaction with treatment. Materials and methods: Twenty-three patients w...
FUSION OF UPPER AND LOWER SEGMENTS WITH ANTERIOR CERVICAL HEMIVERTEBRAL RESECTION: CASE REPORT
Hemivertebrae are relatively rarely seen in cervical vertebrae compared to thoracic and lumbar vertebrae. Hemivertebrectomy in the cervical region is more difficult and more complicated than in other regions, due to diff...
THE RESULTS OF EARLY SURGICAL MANAGEMENTFOR GUNSHOT WOUNDS OF THE SPINE
Twenty seven patients with spinal gunshot injury were admitted to our department from 2000 to 2006. Functional recovery in patients who underwent early surgical procedure was evaluated. Twenty seven w ere treated surgica...
ER‹ÞK‹N ÜST SP‹NAL KORD BASILARINDA GÖZDEN KAÇAN B‹R NEDEN: T‹P 1 CH‹AR‹ MALFORMASYONU
Tip-1 Chiari malformasyonu di¤er ad›yla primer serebellar ektopi; serebellar tonsillerin foramen magnumdan servikal spinal kanala do¤ru yer de¤ißtirmesidir. Bu malformasyonun tam oluß mekanizmas› bilinmemekte ve olußma...
BROWN-SEQUARD SYNDROME (CASE REPORT-UNUSUAL PRESENTATION)
A 48-year-old male with a stab wound on his neck was admitted with a delayed Brown-Sequard syndrome that had not been noticed on the first examination because of the lacking features of spinal canal penetration. Apart fr...