Clinical outcome and complication rate after posterior arthrodesis of the lumbar spine: Are there age-related differences? A comparative study

2011 ◽  
Vol 19 (3) ◽  
pp. 195-202
Author(s):  
Dorothea Daentzer ◽  
Kathleen Reichwald ◽  
Thilo Floerkemeier
Keyword(s):  
Lumbar Spine ◽  
Clinical Outcome ◽  
Comparative Study ◽  
Complication Rate ◽  
Age Related ◽  
Posterior Arthrodesis

Outcomes of 2-level posterior lumbar interbody fusion for 2-level degenerative lumbar spondylolisthesis

2013 ◽  
Vol 19 (1) ◽  
pp. 90-94 ◽  
Author(s):  
Hironobu Sakaura ◽  
Tomoya Yamashita ◽  
Toshitada Miwa ◽  
Kenji Ohzono ◽  
Tetsuo Ohwada
Keyword(s):  
Lumbar Spine ◽  
Clinical Outcome ◽  
Interbody Fusion ◽  
Sagittal Alignment ◽  
Posterior Lumbar Interbody Fusion ◽  
Adjacent Segment ◽  
Lumbar Interbody Fusion ◽  
Single Level ◽  
The Mean

Object A systematic review concerning surgical management of lumbar degenerative spondylolisthesis (DS) showed that a satisfactory clinical outcome was significantly more likely with adjunctive spinal fusion than with decompression alone. However, the role of adjunctive fusion and the optimal type of fusion remain controversial. Therefore, operative management for multilevel DS raises more complicated issues. The purpose of this retrospective study was to elucidate clinical and radiological outcomes after 2-level PLIF for 2-level DS with the least bias in determination of operative procedure. Methods Since 2005, all patients surgically treated for lumbar DS at the authors' hospital have been treated using posterior lumbar interbody fusion (PLIF) with pedicle screws, irrespective of severity of slippage, patient age, or bone quality. The authors conducted a retrospective review of 20 consecutive cases involving patients who underwent 2-level PLIF for 2-level DS and had been followed up for 2 years or longer (2-level PLIF group). They also analyzed data from 92 consecutive cases involving patients who underwent single-level PLIF for single-level DS during the same time period and had been followed for at least 2 years (1-level PLIF group). This second group served as a control. Clinical status was assessed using the Japanese Orthopaedic Association (JOA) score. Fusion status and sagittal alignment of the lumbar spine were assessed by comparing serial plain radiographs. Surgery-related complications and the need for additional surgery were evaluated. Results The mean JOA score improved significantly from 12.8 points before surgery to 20.4 points at the latest follow-up in the 2-level PLIF group (mean recovery rate 51.8%), and from 14.2 points preoperatively to 22.5 points at the latest follow-up in the single-level PLIF group (mean recovery rate 55.3%). At the final follow-up, 95.0% of patients in the 2-level PLIF group and 96.7% of those in the 1-level PLIF group had achieved solid spinal fusion, and the mean sagittal alignment of the lumbar spine was more lordotic than before surgery in both groups. Early surgery-related complications, including transient neurological complications, occurred in 6 patients in the 2-level PLIF group (30.0%) and 11 patients in the 1-level PLIF group (12.0%). Symptomatic adjacent-segment disease was found in 4 patients in the 2-level PLIF group (20.0%) and 10 patients in the 1-level PLIF group (10.9%). Conclusions The clinical outcome of 2-level PLIF for 2-level lumbar DS was satisfactory, although surgery-related complications including symptomatic adjacent-segment disease were not negligible.

A comparative study on screw loosening in osteoporotic lumbar spine fusion between expandable and conventional pedicle screws

2011 ◽  
Vol 132 (4) ◽  
pp. 471-476 ◽  
Author(s):  
Zi-xiang Wu ◽  
Fu-tai Gong ◽  
Li Liu ◽  
Zhen-sheng Ma ◽  
Yang Zhang ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Comparative Study ◽  
Pedicle Screws ◽  
Spine Fusion ◽  
Screw Loosening ◽  
Lumbar Spine Fusion

Compression fractures of the thoracic and lumbar spine in children

1985 ◽  
Vol 66 (6) ◽  
pp. 407-410
Author(s):  
A. A. Rumyantseva ◽  
F. X. Bashirova
Keyword(s):  
Lumbar Spine ◽  
Spinal Fractures ◽  
Physiological Characteristics ◽  
Compression Fractures ◽  
Age Related ◽  
Thoracic And Lumbar Spine ◽  
Fractures In Childhood

The age-related evolution of the spine in combination with the physiological characteristics of a growing organism determines the specificity of the clinical and radiological picture and the treatment of uncomplicated spinal fractures in childhood.

scholarly journals Correlation between Degenerative Changes and Osteoporosis in Lumbar Spine of Elderly Women in Dhaka city, Bangladesh

2018 ◽  
Vol 10 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Sultana Amena Ferdoucy ◽  
Md Anower Hussain Mian ◽  
Nasrin Akhter ◽  
Md Shafiqul Alam ◽  
MA Sadek
Keyword(s):  
Lumbar Spine ◽  
Elderly Women ◽  
Significant Negative Correlation ◽  
Cross Sectional Study ◽  
Degenerative Changes ◽  
Mineral Density ◽  
Cross Sectional ◽  
Age Related ◽  
Younger Age ◽  
Study Results

Aims: Degenerative joint diseases and decreased bone mass i.e.  osteoporosis are two common age related skeletal disorders  responsible for pain and disability. Bangladesh has a high incidence  of osteoporosis and the incidence particularly in women, occurs  among a relatively younger age group than in the developed world.  However little is known about the correlation between degenerative  changes and osteoporosis in lumbar spine of elderly women. The  purpose of this study was to clarify this relationship in elderly women  of Dhaka, Bangladesh.  Methods: A cross-sectional study was conducted at the department  of radiology and imaging of Bangladesh institute of research and  rehabilitation in diabetes, endocrine and metabolic disorders  (BIRDEM), Dhaka during the period of 1st January, 2009 to 31st  December, 2010. DEXA scan of spine and BMD measurement were  done at a renowned private hospital of Dhaka. Total 63 elderly female  aged between 50-75 years were randomly selected for this study.  Results: An inverse relationship between osteoporosis and  spondylosis in postmenopausal women as evaluated by bone  mineral density and semiquantitative scoring of spinal degeneration  was observed. A significant negative correlation (r=-0.53:p<0.05)  was found between T-score and grade. DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13740 City Dent. Coll. J Volume-10, Number-1, January-2013

Sign in / Sign up

Export Citation Format

Share Document