Sublaminar wiring stabilization to prevent adjacent segment degeneration after lumbar spinal fusion

Archives of Orthopaedic and Trauma Surgery
Hiroyasu OgawaDaich Ishimaru

Abstract

Adjacent segment degeneration (ASD) is a complication of lumbar spinal fusion. There are some reports on the cause of this degeneration but none concerning its prevention. We performed sublaminar wiring stabilization to prevent ASD after posterolateral lumbar spinal fusion with instrumentation. The purpose of this study was to prospectively evaluate the efficacy of this procedure. Between 2003 and 2004, 54 consecutive patients with lumbar spinal canal stenosis and multilevel instability of the lumbar spine underwent posterior decompression and posterolateral fusion with instrumentation. The mean age at the time of surgery was 66.7 +/- 1.3 years, and the mean follow-up period was 40.0 +/- 1.1 months, with a minimum of 29 months. Twenty-seven of the patients underwent conventional sublaminar wiring stabilization at the cephalad segment adjacent to the site of fusion to prevent ASD (group A), and the other 27 patients did not (group B). Some items were assessed, including clinical outcome using Japanese Orthopaedic Association (JOA) score, sagittal global lumbar alignment, and segmental motion in flexion-extension radiographs of the cephalad vertebral body adjacent to the site of fusion. There were no significant differences in JO...Continue Reading

References

Apr 15, 1994·Spine·P J StraussM H Pope
Sep 2, 1999·Lancet·S P Javedan, C A Dickman
Sep 21, 2001·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M N KumarD Chopin
Apr 2, 2002·The Journal of Bone and Joint Surgery. British Volume·F M PhillipsF T Wetzel
May 9, 2002·Archives of Orthopaedic and Trauma Surgery·Wen-Ying ChouChi-Yin Wong
Aug 5, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Keisuke GotoTakashi Arai
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·T HashimotoS Yamane
Jul 15, 2004·The Journal of Bone and Joint Surgery. American Volume·Gary GhiselliEdgar G Dawson
Sep 24, 2004·Journal of Spinal Disorders & Techniques·Po-Liang LaiWen-Jer Chen
Nov 16, 2004·The Spine Journal : Official Journal of the North American Spine Society·Alan S Hilibrand, Matthew Robbins
Nov 16, 2004·The Spine Journal : Official Journal of the North American Spine Society·Christina A Niosi, Thomas R Oxland
Feb 3, 2005·Journal of Spinal Disorders & Techniques·Chen-Sheng ChenWen-Jer Chen

❮ Previous
Next ❯

Citations

Jun 10, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Masoud MalakoutianThomas R Oxland
Sep 10, 2016·BioMed Research International·Jean-Marc Mac-ThiongYvan Petit
Oct 25, 2017·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Andreas Pingel, Frank Kandziora
Jun 19, 2020·Journal of Craniovertebral Junction and Spine·Major B BurchAli Nourbakhsh
Jan 26, 2021·The Spine Journal : Official Journal of the North American Spine Society·Remco J P DoodkortePaul C Willems
May 20, 2020·JBJS Reviews·Alexander RosinskiDimitriy Kondrashov

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.