Risk factors for adjacent segment disease requiring reoperation after posterior lumbar interbody fusion with screw fixation: focus on paraspinal muscle, facet joint, and disc degeneration

Yun, Yeong Il; Jeon, Ikchan; Kim, Sang Woo; Yu, Dongwoo

doi:10.1007/s00701-021-05073-x

Cited by 13 publications

(18 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 54 Incidence has a wide range between 2,62 and 84% with a prevalence of proximal level and main associated factors were old age, body mass index (BMI), previous degenerative disc o facet disease, type of pathology, multiple-level fusion, male, intraoperative superior facet joint violation, laminectomy, sagittally oriented facet joint angle, PLIF and progressive fatty degeneration of the multifidus muscle. 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65…”

Section: Discussionmentioning

confidence: 99%

Relationship between lumbar lordosis, pelvic parameters, PI-LL mismatch and outcome after short fusion surgery for lumbar degenerative disease. Literature review, rational and presentation of public study protocol: RELApSE study (registry for evaluation of lumbar arthrodesis sagittal alignEment)

Tartara

Garbossa

Armocida

et al. 2023

World Neurosurgery: X

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Relationship between lumbar lordosis, pelvic parameters, PI-LL mismatch and outcome after short fusion surgery for lumbar degenerative disease. Literature review, rational and presentation of public study protocol: RELApSE study (registry for evaluation of lumbar arthrodesis sagittal alignEment)

Tartara

Garbossa

Armocida

et al. 2023

World Neurosurgery: X

View full text Add to dashboard Cite

“…Summarizing, age, gender, body mass index (BMI), osteoporosis, pre-existing degenerated disc at the adjacent level, injury of the adjacent facet joint, sagittal malalignment and paraspinal muscle could all impact ASD independently. [12][13][14][15] Endplate sclerosis is well-accepted as a marker of IVDD which was observed on the screening CT scan. 16 The diffusing capacity of endplates diminished with the severity of calcification increased.…”

Section: Introductionmentioning

confidence: 99%

“…A larger number of studies has been performed to bring insight to the risk factors of ASD after surgery. Summarizing, age, gender, body mass index (BMI), osteoporosis, pre‐existing degenerated disc at the adjacent level, injury of the adjacent facet joint, sagittal malalignment and paraspinal muscle could all impact ASD independently 12–15 …”

Section: Introductionmentioning

confidence: 99%

High Endplate Hounsfield Units Value Indicate Intervertebral Disc Degeneration Following Transforaminal Lumbar Interbody Fusion Surgery

Zheng

Song

et al. 2023

Orthopaedic Surgery

View full text Add to dashboard Cite

ObjectiveLumbar disc degeneration (LDD) is a common cause of low back pain and disability, and its prevalence increases with age. The aim of this study is to investigate whether endplate Hounsfield unit (HU) values have an effect on lumbar disc degeneration (LDD) after transforaminal lumbar interbody fusion (TLIF) surgery in patients with degenerative lumbar stenosis.MethodsThis study was a retrospective analysis of patients who underwent TLIF surgery in January 2016 to October 2019. One hundred and fifty‐seven patients who underwent TLIF surgery for degenerative lumbar stenosis were enrolled in this study. Demographic data was recorded. VAS and ODI values were compared to assess the surgical outcomes in patients with or without process of LDD after TLIF surgery. Correlation analysis was performed to investigate associations between LDD and endplate HU value. Binary logistic regression analysis was carried out to study relationships between the DDD and the multiple risk factors.ResultsThere was a statistically significant correlation between LDD, body mass index (BMI), age, paraspinal muscle atrophy, and total endplate scores (TEPS). Also, a strong and independent association between endplate HU value and LDD was found at every lumbar disc level (p < 0.01). After conditioning on matching factors, multivariate logistic regression analysis showed that higher endplate HU (odds ratio [OR]: 1.003, p = 0.003), higher TEPS (OR: 1.264, p = 0.002), higher BMI (odds ratio [OR]: 1.202, p = 0.002), a smaller cross‐sectional area (CSA) of the paraspinal muscle preoperatively (OR: 0.096, p < 0.001) were significant predictors of LDD development after TLIF surgery.ConclusionsThere is a significant association between LDD and endplate HU value after TLIF surgery in patients with degenerative lumbar stenosis. Beyond that, results from this study provide a mechanism by which high endplate HU value predisposes to LDD after TLIF surgery.

show abstract

“…1,2 However, fusion changes in the segmental biomechanical environment may have long-term effects on adjacent segments, leading to adjacent segment degeneration (ASD). [3][4][5] As a common complication of lumbar fusion surgery, the incidence of ASD is increasing with more patients undergoing lumbar interbody fusion, and its main pathological manifestations are herniated discs, narrowed disc height, lumbar spondylolisthesis, spinal canal stenosis, and facet joint osteoarthritis. [6][7][8] In addition to risk factors such as age, body mass index, smoking, osteoporosis, and a pre-existing disc of adjacent segments, increased intradiscal stress of adjacent segments after spinal fusion and segmental instability distracted from the stiffness of the fusion segment also have a close impact on ASD progression.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical effects of iatrogenic muscle-ligaments complex damage on adjacent segments following posterior lumbar interbody fusion: A finite element analysis

Wei,

Wang,

et al. 2023

Int J Artif Organs

View full text Add to dashboard Cite

Objective: To analyze the biomechanical effects of proximal iatrogenic muscle-ligaments complex (MLC) damage on adjacent segments following posterior lumbar interbody fusion (PLIF) by finite element (FE) analysis. Methods: The multifidus muscle force was loaded in the validated intact lumbosacral finite element model. Based on whether undergoing PLIF or the proximal MLC damage, three models were established. Range of motion (ROM) and the maximum von Mises (VM) stress of adjacent segments were analyzed, as well as the average muscle force and work capacity in four loading directions. Results: PLIF results in significant changes in ROM and stress. ROM changed significantly in the upper adjacent segment, the PLIF model changed the most in extension, and the largest change in the lower adjacent segment occurred after MLC damage. The VM stress of the upper adjacent segment occurred in extension of the PLIF model, and that of the lower adjacent segment occurred in rotation after MLC damage. In flexion, ROM, and stress of the damaged MLC fusion model were significantly increased compared with the normal and PLIF models, there was a stepwise amplification. The average muscle force comparison of three models was 5.8530, 12.3185, and 13.4670 N, respectively. The total work capacity comparison was close to that of muscle force. Conclusion: PLIF results in increased ROM and the VM stress of adjacent segments, the proximal MLC damage will aggravate this change. This may increase the risk of ASD and chronic low back pain. Preserving the proximal MLC reduces the biomechanical effects on adjacent segments.

show abstract

Risk factors for adjacent segment disease requiring reoperation after posterior lumbar interbody fusion with screw fixation: focus on paraspinal muscle, facet joint, and disc degeneration

Cited by 13 publications

References 43 publications

Relationship between lumbar lordosis, pelvic parameters, PI-LL mismatch and outcome after short fusion surgery for lumbar degenerative disease. Literature review, rational and presentation of public study protocol: RELApSE study (registry for evaluation of lumbar arthrodesis sagittal alignEment)

Relationship between lumbar lordosis, pelvic parameters, PI-LL mismatch and outcome after short fusion surgery for lumbar degenerative disease. Literature review, rational and presentation of public study protocol: RELApSE study (registry for evaluation of lumbar arthrodesis sagittal alignEment)

High Endplate Hounsfield Units Value Indicate Intervertebral Disc Degeneration Following Transforaminal Lumbar Interbody Fusion Surgery

Biomechanical effects of iatrogenic muscle-ligaments complex damage on adjacent segments following posterior lumbar interbody fusion: A finite element analysis

Contact Info

Product

Resources

About