Matteo Formica1, Luca Cavagnaro2, Marco Basso2, Andrea Zanirato2, Lamberto Felli2, Carlo Formica3. 1. Clinica Ortopedica - IRCCS Azienda Ospedaliera Universitaria San Martino - IST, Istituto Nazionale per la Ricerca sul Cancro, Largo Rosanna Benzi, 10, 16132, Genoa, GE, Italy. dott.formica@gmail.com. 2. Clinica Ortopedica - IRCCS Azienda Ospedaliera Universitaria San Martino - IST, Istituto Nazionale per la Ricerca sul Cancro, Largo Rosanna Benzi, 10, 16132, Genoa, GE, Italy. 3. CVCO - IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, MI, Italy.
Abstract
PURPOSE OF THE STUDY: To evaluate the results of a novel rigid-dynamic stabilization technique in lumbar degenerative segment diseases (DSD), expressly pointing out the preservation of postoperative lumbar lordosis (LL). MATERIALS AND METHODS: Forty-one patients with one level lumbar DSD and initial disc degeneration at the adjacent level were treated. Circumferential lumbar arthrodesis and posterior hybrid instrumentation were performed to preserve an initial disc degeneration above the segment that has to be fused. Clinical and spino-pelvic parameters were evaluated pre- and postoperatively. RESULTS: At 2-year follow-up, a significant improvement of clinical outcomes was reported. No statistically significant difference was noted between postoperative and 2-year follow-up in LL and in disc/vertebral body height ratio at the upper adjacent fusion level. CONCLUSIONS: When properly selected, this technique leads to good results. A proper LL should be achieved after any hybrid stabilization to preserve the segment above the fusion.
PURPOSE OF THE STUDY: To evaluate the results of a novel rigid-dynamic stabilization technique in lumbar degenerative segment diseases (DSD), expressly pointing out the preservation of postoperative lumbar lordosis (LL). MATERIALS AND METHODS: Forty-one patients with one level lumbar DSD and initial disc degeneration at the adjacent level were treated. Circumferential lumbar arthrodesis and posterior hybrid instrumentation were performed to preserve an initial disc degeneration above the segment that has to be fused. Clinical and spino-pelvic parameters were evaluated pre- and postoperatively. RESULTS: At 2-year follow-up, a significant improvement of clinical outcomes was reported. No statistically significant difference was noted between postoperative and 2-year follow-up in LL and in disc/vertebral body height ratio at the upper adjacent fusion level. CONCLUSIONS: When properly selected, this technique leads to good results. A proper LL should be achieved after any hybrid stabilization to preserve the segment above the fusion.
Authors: Angela D Melnyk; Jason D Chak; Vaneet Singh; Adrienne Kelly; Peter A Cripton; Charles G Fisher; Marcel F Dvorak; Thomas R Oxland Journal: Eur Spine J Date: 2015-01-06 Impact factor: 3.134
Authors: M Formica; D Vallerga; A Zanirato; L Cavagnaro; M Basso; S Divano; L Mosconi; E Quarto; G Siri; L Felli Journal: Musculoskelet Surg Date: 2020-01-01
Authors: Po-Hsin Chou; Hsi-Hsien Lin; Howard S An; Kang-Ying Liu; Wei-Ren Su; Cheng-Li Lin Journal: Biomed Res Int Date: 2017-02-22 Impact factor: 3.411