Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature

Kaner, Tuncay; Özer, Ali Fahir

doi:10.1155/2013/753470

Cited by 24 publications

(14 citation statements)

References 89 publications

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“…In these cases a less invasive approach can be performed and a posterior dynamic stabilization system can be used [9][10][11][12]. The aims of dynamic stabilization are to unload the disc and the facet joints to preserve the motion under mechanical loading and to restrict abnormal motion in the spinal segment.…”

Section: Introductionmentioning

confidence: 99%

“…While further research is developing, the literature reports clinically relevant radiographic parameters that have significant relationships with patient-reported outcomes [17]. This is a prospective study to determine the effect of posterior dynamic stabilization IntraSPINE system [11,12] on sagittal spinal balance using EOS ® X-Ray imaging system [18], since no studies have fully delineated the effect of indirect decompression on spinal balance on EOS images.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Effect of Posterior Dynamic Stabilization IntraSPIN System on Sagittal Spinal Balance using EOS® X-Ray Imaging System

Bistazzoni¹,

Angelis²,

D’Ercole³

et al. 2017

J Neurol Neurophysiol

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Aim of this prospective study is to assess the effect of posterior dynamic stabilization IntraSPINE system on sagittal spinal balance, using EOS ® X-Ray imaging system. Between March and December 2015, 8 patients affected by lumbar soft stenosis underwent indirect decompression of the lumbar canal by positioning of IntraSPINE ® device. Sagittal balance was evaluated considering following parameters: C7 Plum Line (C7PL), Thoracic Kyphosis (TK), Lumbar Lordosis (LL), Pelvic Tilt (PT), Pelvic Index (PI) and Sacral Slope (SS). The EOS ® 2D/3D system and corresponding sterEOS 3D software for surface 3D reconstruction has been used to calculate the above mentioned parameters. All patients had neurogenic claudication and low back pain for more than 6 months and resistant to drug treatment. They underwent clinical examination before surgery and 1 month after surgery. Statistical analyses were performed using Stata software. All results were considered significant if p<0.05. C7PL, TK, LL, PI and SS were not modified after surgery. PT increased after surgery. VAS, ODI and JOA significantly increased after surgery. The results show that the posterior dynamic stabilization offered by this device leads to a good symptoms control and does not seems to change the sagittal balance.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of Effect of Posterior Dynamic Stabilization IntraSPIN System on Sagittal Spinal Balance using EOS® X-Ray Imaging System

Bistazzoni¹,

Angelis²,

D’Ercole³

et al. 2017

J Neurol Neurophysiol

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“…3 Distinct surgical techniques have been developed to treat this problem, among which is included dynamic stabilization of the operated segment. 4 The goal of this technique is to stabilize the segment, without fusion in order to reduce mobility and also to reduce and/or prevent postsurgical degeneration. 5,6 Other indications, not addressed in this study, are used to prevent the adjacent segment syndrome, only applicable in cases of fusion with or without instrumentation.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study on the Treatment of Disc Herniations

et al. 2016

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Objective: To compare the results of treatment of patients with low back pain and radiculalgia resulting from disc herniation associated with disc degeneration through instrumentation with pedicle screws and dynamic rod, with root release and without diskectomy compared with other non-instrumented techniques (microdiskectomy with or without foraminotomy). Methods: This is a retrospective descriptive study of interventions for patients with herniated discs in the Traumatology and Neurosurgery that used the following variables: age, sex, type of technique, surgical time, time of evolution, degree of satisfaction, and complications. Two groups were formed: instrumentation with dynamic rods and non-instrumented techniques, comparing the results of each group. The software used was the SPSS v20.0. Results: We presented 142 interventions carried out between 2009 and 2012, 86 with dynamic instrumentation and 56 by other decompression techniques without instrumentation. No statistically significant differences were observed between age and sex groups and time elapsed until intervention. We found statistically significant differences (p=0.001) in surgical time, which was lower in the instrumented technique. No significant differences were found in complications between the techniques in both re-operations and in infections. Conclusions: In this study, we found no significant differences between the use of instrumentation with dynamic rods with respect to other non-instrumented surgical techniques in the treatment of herniated discs over 6 months of evolution or the complications and the degree of the patients' satisfaction.Keyword: Intervertebral disc displacement/therapy; Diskectomy; Pedicle screws. RESUMEN Objetivo: Comparar los resultados del tratamiento de pacientes con lumbalgia y radiculalgia secundaria a hernia discal asociada a degeneración del disco, mediante la instrumentación con tornillos pediculares y barra dinámica, liberando la raíz sin discectomía frente a otras técnicas no instrumentadas (microdiscectomía con o sin foraminotomía

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“…█ INTRODUCTION P osterior transpedicular dynamic systems (PTDS), are being used more often each year despite the high amount of fusion assertors (2,5,8, 15,22,23). Our long experience with the dynamics systems have shown us that the complication rate is near to none regardless of the type of system used especially in the young adult patients under 40 years of age who undergo a single segment instrumentation (10,11,27). However, like fusion, the rate of complication increases as the number of levels involved increase (3,29).…”

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confidence: 99%

A novel modular dynamic stabilization system for the treatment of degenerative spinal pathologies

Özer

Cevik²,

Erbulut³

et al. 2018

Turkish Neurosurgery

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█ MATERIAL and METHODS The Orthrus system aims to stabilize every segment in the system as a single separate segment. The system utilizes two types of screws. The first type of screw has two screw tips to connect to two rods, one going to the upper and one to the lower segment. The other type of screw is designed to prevent load on the screw body on an unmoving fused vertebra and has two types of movement on the tip (Figure 1A-C). The screws can be interconnected with titanium, carbon fiber, peek or any other rod system (Figures 2, 3). The main method used to apply the screws is the Wiltse technique (25), with many studies conducted on it. AIM: To show the preliminary clinical results of the Orthrus modular dynamic stabilization system that is a new instrumentation system intended for degenerative diseases of the lumbar spine. MATERIAL and METHODS: The system utilizes two different types of screws that can be used in conjunction with different types of rods such as titanium, carbon fiber or PEEK. The first type of screw is a double headed screw to interconnect to the upper and lower level with independent rods. The second type of screw is a sliding screw to be used on a immovable vertebrae that allows movement in two planes on the tip. RESULTS: The system has been used on 36 patients with pathology varying from degenerative disc disease to degenerative lumbar scoliosis. Satisfactory results have been obtained in a all 36 patients in the 12-month follow-up period. CONCLUSION: The Orthrus dynamic system shows better clinical results than the available dynamic systems on the market. It also proves to provide similar fusion with considerably less postoperative morbidity which makes it a better method to treat adult degenerative spine diseases for carefully chosen patients.

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Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature

Cited by 24 publications

References 89 publications

Evaluation of Effect of Posterior Dynamic Stabilization IntraSPIN System on Sagittal Spinal Balance using EOS® X-Ray Imaging System

Evaluation of Effect of Posterior Dynamic Stabilization IntraSPIN System on Sagittal Spinal Balance using EOS® X-Ray Imaging System

Comparative Study on the Treatment of Disc Herniations

A novel modular dynamic stabilization system for the treatment of degenerative spinal pathologies

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