Prospective study of a new dynamic stabilisation system in the treatment of degenerative discopathy and instability of the lumbar spine

Zagra, Antonino; Minoia, Leone; Archetti, Marino; Corriero, A. S.; Ricci, Kevin B.; Teli, Marco; Giudici, Fabrizio

doi:10.1007/s00586-012-2223-1

Cited by 18 publications

(9 citation statements)

References 22 publications

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“…Similar to our study, Zagra et al found significant improvements in pain and disability scores at a 1-year follow-up evaluation using a new lumbar dynamic stabilization system in patients with degenerative lumbar spine instability in a prospective study (27).…”

Section: A B C Canbay S Et Al: Posterior Instrumentation and High-insupporting

confidence: 90%

“…There was no change in Pfirrmann grades in any levels of disc degeneration in the control group. In their prospective study using various dynamic stabilization systems in the treatment of degenerative discopathy and instability of the lumbar spine, Zagra et al showed a change in Pfirrmann grade from 4 to 3 in 8 of 32 patients at an average of 12 months of follow-up (27). Similarly, in their study, Reyes-Sánchez et al reported research on 20 patients who underwent posterior dynamic stabilization of the lumbar spine and were monitored for 2 years (22).…”

Section: Resultsmentioning

confidence: 97%

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Effect of posterior dynamic instrumentation on high-intensity zones in lumbar degenerative disc disease

Canbay

Ataker²,

Canbulat³

et al. 2015

Turkish Neurosurgery

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AIm: To investigate high-intensity zone (HIZ) changes after lumbar posterior dynamic instrumentation. mATeRIAL and meTHods: Our study included 53 patients: 27 patients in group 1, 26 patients in group 2. All patients had one or two levels of degenerative disc disease with an HIZ confirmed by magnetic resonance imaging (MRI). Group 1 underwent one-or two-level dynamic lumbar posterior instrumentation. Group 2 was treated conservatively with an exercise program. Patients were evaluated using MRI, a numerical visual analog pain scale (VAS), and the Oswestry Disability Index (ODI) at baseline, at 1 year after surgery, and at final follow-up evaluation. ResuLTs:The mean duration of follow-up was 49.3 months in group 1 and 47.19 months in group 2. The baseline VAS and ODI scores were similar for both groups. The mean VAS score of group 1 was significantly improved at 1 year after surgery and at final follow-up. The mean ODI value was lower in group 1 than in group 2 at 1 year and at final follow-up. Pfirrmann grades in group 1 significantly differed at 1 year and at final follow-up but did not change in group 2. The number of HIZs significantly decreased in from baseline to 1 year and from baseline to final follow-up in group 1 but did not differ in group 2.CoNCLusIoN: Dynamic lumbar stabilization systems are promising. Observations such as Pfirrmann grade improvements and disappearance of HIZs are concordant with improvements in VAS and ODI scores demonstrate that dynamic stabilization systems may provide an environment for regeneration.

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Section: A B C Canbay S Et Al: Posterior Instrumentation and High-insupporting

confidence: 90%

Section: Resultsmentioning

confidence: 97%

Effect of posterior dynamic instrumentation on high-intensity zones in lumbar degenerative disc disease

Canbay

Ataker²,

Canbulat³

et al. 2015

Turkish Neurosurgery

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“…The support of relatives and staff helped in creating a protected situation, thus limiting the drop-out rate and minimising adverse effects. The sample was representative of the general population undergoing surgery for lumbar degenerative diseases in Italy [31], but the data cannot be generalised to surgical revisions. Furthermore, the described intervention cannot be delivered in every setting as it requires a staff specialised in chronic pain management and a rehabilitation team specialised in CBT.…”

Section: Discussionmentioning

confidence: 99%

Management of catastrophising and kinesiophobia improves rehabilitation after fusion for lumbar spondylolisthesis and stenosis. A randomised controlled trial

Monticone

Ferrante

Teli³

et al. 2013

Eur Spine J

105

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“…Other factors contributing to the development of this problem include obesity, no/limited physical activity, spending long hours in a sitting position at work, and overload of the lumbosacral section of the spine [8,9]. The intervertebral disc structures (annulus fibrosus and nucleus pulposus) are well hydrated in young people, but later dehydrate as the patients age.…”

Section: Etiopathogenesismentioning

confidence: 99%

Lumbosacral discopathy: analysis of physical therapy

Fronczyk¹,

Kuliński²

2017

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Introduction: Spinal pain syndromes are one of the most common medical conditions of the 21 st century. Spinal pain syndromes are usually associated with degenerative disease and discopathy. Their incidence has been growing alarmingly year by year in all countries of the world. Studies show that sacral pain occurs in as many as 80% of adults and 39.5% of teenagers. Aim of the research: To analyse physical therapy and rehabilitation of patients suffering from lumbosacral discopathy. Material and methods:The study encompassed a group of 54 patients with lumbar disc disease. The subjects were aged 20-60 years. The research tool consisted of a questionnaire prepared by the authors. This survey included 17 closed questions and five open ones. The results were assessed with two subjective scales of pain intensity: a VAS scale and the Laitinen pain indicator. Moreover, Schober's test was also used to assess lumbosacral mobility. Results: The research shows that the rehabilitation introduced in the patients contributed to a reduction in pain. The treatment resulted in pain relief, a lower frequency of pain episodes, a lower frequency of taking analgesics, and less physical activity limitations. The rehabilitation also had a significant impact on the improvement of lumbosacral spine mobility. Conclusions: Physical therapy and rehabilitation constitute the basis for the treatment of patients with spinal pain syndromes.

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Prospective study of a new dynamic stabilisation system in the treatment of degenerative discopathy and instability of the lumbar spine

Cited by 18 publications

References 22 publications

Effect of posterior dynamic instrumentation on high-intensity zones in lumbar degenerative disc disease

Effect of posterior dynamic instrumentation on high-intensity zones in lumbar degenerative disc disease

Management of catastrophising and kinesiophobia improves rehabilitation after fusion for lumbar spondylolisthesis and stenosis. A randomised controlled trial

Lumbosacral discopathy: analysis of physical therapy

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