scholarly journals Do PEEK Rods for Posterior Instrumented Fusion in the Lumbar Spine Reduce the Risk of Adjacent Segment Disease?

10.14444/8034 ◽  
2021 ◽  
Vol 15 (2) ◽  
pp. 251-258
Author(s):  
Daniel Hirt ◽  
Heather A. Prentice ◽  
Jessica E. Harris ◽  
Elizabeth W. Paxton ◽  
Jessa Alexander ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Adjacent Segment Disease ◽  
Adjacent Segment ◽  
Instrumented Fusion ◽  
Peek Rods ◽  
Posterior Instrumented Fusion

scholarly journals The Interspinous Spacer: A New Posterior Dynamic Stabilization Concept for Prevention of Adjacent Segment Disease

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Antoine Nachanakian ◽  
Antonios El Helou ◽  
Moussa Alaywan
Keyword(s):  
Lumbar Spine ◽  
Preventive Measure ◽  
Radicular Pain ◽  
Dynamic Stabilization ◽  
Adjacent Segment Disease ◽  
Neurogenic Claudication ◽  
Adjacent Segment ◽  
Disability Score ◽  
Interspinous Spacer ◽  
Posterior Dynamic Stabilization

Introduction. Posterior Dynamic stabilization using the interspinous spacer device is a known to be used as an alternative to rigid fusion in neurogenic claudication patients in the absence of macro instability. Actually, it plays an important in the management of adjacent segment disease in previously fused lumbar spine.Materials and Method. We report our experience with posterior dynamic stabilization using an interspinous spacer. 134 cases performed in our institution between September 2008 and August 2012 with different lumbar spine pathologies. The ages of our patients were between 40 and 72 years, with a mean age of 57 years. After almost 4 years of follow up in our patient and comparing their outcome to our previous serious we found that in some case the interspinous distracter has an important role not only in the treatment of adjacent segment disease but also in its prevention.Results and Discussion. Clinical improvement was noted in ISD-treated patients, with high satisfaction rate. At first, radicular pain improves with more than 3/10 reduction of the mean score on visual analog scale (VAS). In addition, disability score as well as disc height and lordotic angle showed major improvement at 3 to 6 months post operatively. And, no adjacent segment disease was reported in the patient operated with interspinous spacer.Conclusion. The interspinous spacer is safe and efficient modality to be used not only as a treatment of adjacent segment disease but also as a preventive measure in patients necessitating rigid fusion.

Minimally invasive options for surgical management of adjacent segment disease of the lumbar spine

2018 ◽  
Vol 66 (3) ◽  
pp. 755 ◽  
Author(s):  
MazdaK Turel ◽  
MenaG Kerolus ◽  
BrianT David ◽  
RichardG Fessler
Keyword(s):  
Lumbar Spine ◽  
Minimally Invasive ◽  
Surgical Management ◽  
Adjacent Segment Disease ◽  
Adjacent Segment

A Biomechanical Analysis of Lateral Interbody Construct and Supplemental Fixation in Adjacent-Segment Disease of the Lumbar Spine

2019 ◽  
Vol 128 ◽  
pp. e694-e699
Author(s):  
M. Craig McMains ◽  
Nikhil Jain ◽  
Azeem Tariq Malik ◽  
Emily Cerier ◽  
Alan S. Litsky ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Biomechanical Analysis ◽  
Adjacent Segment Disease ◽  
Adjacent Segment ◽  
Supplemental Fixation ◽  
Lateral Interbody

scholarly journals Etiology-Based Classification of Adjacent Segment Disease Following Lumbar Spine Fusion

2019 ◽  
Vol 16 (2) ◽  
pp. 130-136
Author(s):  
Philip K. Louie ◽  
Garrett K. Harada ◽  
Arash J. Sayari ◽  
Benjamin C. Mayo ◽  
Jannat M. Khan ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Fusion ◽  
Adjacent Segment Disease ◽  
Adjacent Segment ◽  
Lumbar Spine Fusion

scholarly journals High-Grade Adult Isthmic L5–S1 Spondylolisthesis: A Report of Intraoperative Slip Progression Treated with Surgical Reduction and Posterior Instrumented Fusion

2012 ◽  
Vol 2 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Mark M. Mikhael ◽  
Gary S. Shapiro ◽  
Jeffrey C. Wang
Keyword(s):  
Patient Outcome ◽  
Surgical Treatment ◽  
Lumbar Spine ◽  
Bone Graft ◽  
Treatment Options ◽  
High Grade ◽  
Isthmic Spondylolisthesis ◽  
Instrumented Fusion ◽  
Surgical Reduction ◽  
Posterior Instrumented Fusion

Adult isthmic spondylolisthesis most commonly occurs at the L5–S1 level of the lumbar spine. Slip progression is relatively rare in adults with this condition and slippage is typically associated with advanced degeneration of the disk below the pars defect. When symptomatic, radiculopathy is the typical complaint in adults with isthmic spondylolisthesis. When considering options for surgical treatment of adult isthmic spondylolisthesis, the surgeon must consider several different options, such as decompression, fusion, instrumentation, reduction, and type of bone graft to be used. All of these decisions must be individualized as deemed appropriate for each particular patient. This report presents a case of intraoperative slip progression of a L5–S1 adult isthmic spondylolisthesis to a high-grade slip, which was treated with complete surgical reduction and posterior instrumented fusion. This case demonstrates the potential instability of this condition in adults and has not been previously reported. The case details and images are reviewed and the intraoperative decisions, treatment options, and patient outcome are discussed.

Sign in / Sign up

Export Citation Format

Share Document