Cargando…

Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease

Objective. To date, there is still no consensus on the treatment of spinal degenerative disease. Current surgical techniques to manage painful spinal disorders are imperfect. In this paper, we aimed to evaluate the prospective results of posterior transpedicular dynamic stabilization, a novel surgic...

Descripción completa

Detalles Bibliográficos
Autores principales: Solmaz, Bilgehan, Aydin, Ahmet Levent, Gomleksiz, Cengiz, Ataker, Yaprak, Sasani, Mehdi, Oktenoglu, Tunc, Ozer, Ali Fahir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3471421/
https://www.ncbi.nlm.nih.gov/pubmed/23091736
http://dx.doi.org/10.1155/2012/496817
_version_ 1782246423523229696
author Solmaz, Bilgehan
Aydin, Ahmet Levent
Gomleksiz, Cengiz
Ataker, Yaprak
Sasani, Mehdi
Oktenoglu, Tunc
Ozer, Ali Fahir
author_facet Solmaz, Bilgehan
Aydin, Ahmet Levent
Gomleksiz, Cengiz
Ataker, Yaprak
Sasani, Mehdi
Oktenoglu, Tunc
Ozer, Ali Fahir
author_sort Solmaz, Bilgehan
collection PubMed
description Objective. To date, there is still no consensus on the treatment of spinal degenerative disease. Current surgical techniques to manage painful spinal disorders are imperfect. In this paper, we aimed to evaluate the prospective results of posterior transpedicular dynamic stabilization, a novel surgical approach that skips the segments that do not produce pain. This technique has been proven biomechanically and radiologically in spinal degenerative diseases. Methods. A prospective study of 18 patients averaging 54.94 years of age with distant spinal segment degenerative disease. Indications consisted of degenerative disc disease (57%), herniated nucleus pulposus (50%), spinal stenosis (14.28%), degenerative spondylolisthesis (14.28%), and foraminal stenosis (7.1%). The Oswestry Low-Back Pain Disability Questionnaire and visual analog scale (VAS) for pain were recorded preoperatively and at the third and twelfth postoperative months. Results. Both the Oswestry and VAS scores showed significant improvement postoperatively (P < 0.05). We observed complications in one patient who had spinal epidural hematoma. Conclusion. We recommend skipping posterior transpedicular dynamic stabilization for surgical treatment of distant segment spinal degenerative disease.
format Online
Article
Text
id pubmed-3471421
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-34714212012-10-22 Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease Solmaz, Bilgehan Aydin, Ahmet Levent Gomleksiz, Cengiz Ataker, Yaprak Sasani, Mehdi Oktenoglu, Tunc Ozer, Ali Fahir Adv Orthop Clinical Study Objective. To date, there is still no consensus on the treatment of spinal degenerative disease. Current surgical techniques to manage painful spinal disorders are imperfect. In this paper, we aimed to evaluate the prospective results of posterior transpedicular dynamic stabilization, a novel surgical approach that skips the segments that do not produce pain. This technique has been proven biomechanically and radiologically in spinal degenerative diseases. Methods. A prospective study of 18 patients averaging 54.94 years of age with distant spinal segment degenerative disease. Indications consisted of degenerative disc disease (57%), herniated nucleus pulposus (50%), spinal stenosis (14.28%), degenerative spondylolisthesis (14.28%), and foraminal stenosis (7.1%). The Oswestry Low-Back Pain Disability Questionnaire and visual analog scale (VAS) for pain were recorded preoperatively and at the third and twelfth postoperative months. Results. Both the Oswestry and VAS scores showed significant improvement postoperatively (P < 0.05). We observed complications in one patient who had spinal epidural hematoma. Conclusion. We recommend skipping posterior transpedicular dynamic stabilization for surgical treatment of distant segment spinal degenerative disease. Hindawi Publishing Corporation 2012 2012-10-03 /pmc/articles/PMC3471421/ /pubmed/23091736 http://dx.doi.org/10.1155/2012/496817 Text en Copyright © 2012 Bilgehan Solmaz et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Solmaz, Bilgehan
Aydin, Ahmet Levent
Gomleksiz, Cengiz
Ataker, Yaprak
Sasani, Mehdi
Oktenoglu, Tunc
Ozer, Ali Fahir
Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease
title Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease
title_full Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease
title_fullStr Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease
title_full_unstemmed Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease
title_short Skipping Posterior Dynamic Transpedicular Stabilization for Distant Segment Degenerative Disease
title_sort skipping posterior dynamic transpedicular stabilization for distant segment degenerative disease
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3471421/
https://www.ncbi.nlm.nih.gov/pubmed/23091736
http://dx.doi.org/10.1155/2012/496817
work_keys_str_mv AT solmazbilgehan skippingposteriordynamictranspedicularstabilizationfordistantsegmentdegenerativedisease
AT aydinahmetlevent skippingposteriordynamictranspedicularstabilizationfordistantsegmentdegenerativedisease
AT gomleksizcengiz skippingposteriordynamictranspedicularstabilizationfordistantsegmentdegenerativedisease
AT atakeryaprak skippingposteriordynamictranspedicularstabilizationfordistantsegmentdegenerativedisease
AT sasanimehdi skippingposteriordynamictranspedicularstabilizationfordistantsegmentdegenerativedisease
AT oktenoglutunc skippingposteriordynamictranspedicularstabilizationfordistantsegmentdegenerativedisease
AT ozeralifahir skippingposteriordynamictranspedicularstabilizationfordistantsegmentdegenerativedisease