The benefits of elective spinal implant removal: a retrospective study of 137 patients

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
Thorsten JentzschClément M L Werner

Abstract

While spinal instrumentations are becoming more common, the advantages of elective spinal implant removal remain ambiguous. We hypothesized that elective implant removal of the posterior spine is beneficial. A retrospective study evaluated 137 consecutive trauma patients with elective implant removal of the posterior spine. If additional cages were present, they were not removed. Primary outcomes were the change in pre- and post-operative pain, fingertip-floor distance (FFD), and Cobb angles. Some secondary outcomes consisted of complications, work disability, and pelvic incidence (PI). Different stabilization approaches and cage sizes were compared. The presence and amount of pain as well as the FFD showed significant improvement. There was no loss of reduction. Delayed wound healing was observed in 9%, but only 3% needed revision. Thoracic fascial dehiscences were seen only in patients (9%) that had stand-alone posterior surgery. Larger cages were associated with increased work disability. An increased PI was associated with less post-operative pain and decreased FFD. In this study, trauma patients benefited from elective implant removal of the posterior spine due to lower presence and level of pain, improved function and low...Continue Reading

References

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Citations

Jul 10, 2016·Journal of Back and Musculoskeletal Rehabilitation·Thorsten JentzschClément M L Werner
Apr 25, 2019·Revista brasileira de enfermagem·Patrícia Rebouças AraújoPaulo César de Almeida
Nov 20, 2016·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·A J SmitsF W Bloemers
Nov 15, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Rafael LorenteAlejandro Lorente

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