دورية أكاديمية
أعرض في EDS

Effects of Minimally Invasive Lateral Lumbar Interbody Fusion with Accessory Rod Technique on Rod Fracture in Adult Spinal Deformity Surgery: Analysis of 239 Patients.

التفاصيل البيبلوغرافية
العنوان: Effects of Minimally Invasive Lateral Lumbar Interbody Fusion with Accessory Rod Technique on Rod Fracture in Adult Spinal Deformity Surgery: Analysis of 239 Patients.
المؤلفون: Lee KY; Department of Orthopedic Surgery, Graduate School, College of Medicine, Kyung Hee University, Seoul, Korea., Lee JH, Kang KC, Jung CH
المصدر: Spine [Spine (Phila Pa 1976)] 2024 Sep 15; Vol. 49 (18), pp. E291-E299. Date of Electronic Publication: 2024 Jan 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7610646 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-1159 (Electronic) Linking ISSN: 03622436 NLM ISO Abbreviation: Spine (Phila Pa 1976) Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Hagerstown, Md., Medical Dept., Harper & Row.
مواضيع طبية MeSH: Spinal Fusion*/methods , Spinal Fusion*/adverse effects , Spinal Fusion*/instrumentation , Lumbar Vertebrae*/surgery , Lumbar Vertebrae*/diagnostic imaging , Minimally Invasive Surgical Procedures*/methods, Humans ; Female ; Male ; Aged ; Retrospective Studies ; Middle Aged ; Aged, 80 and over ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Postoperative Complications/epidemiology ; Treatment Outcome ; Adult
مستخلص: Study Design: A retrospective study.
Objectives: To analyze factors associated with rod fracture (RF) in adult spinal deformity (ASD), and to assess whether the accessory rod (AR) technique can reduce RF occurrence in deformity correction in the setting of minimally invasive lateral lumbar interbody fusion (LLIF).
Summary of Background Data: Instrumentation failure is the most common reason for revision surgery in ASD. Several RF reduction methods have been introduced. However, there are insufficient studies on postoperative RF after deformity correction using minimally invasive LLIF.
Materials and Methods: This study included 239 patients (average age 71.4 y and a minimum 2-year follow-up) with ASD who underwent long-segment fusion from T10 to sacrum with sacropelvic fixation. Patients were classified into the non-RF group and the RF group. After logistic regression analysis of the risk factors for RF, subgroup analyses were performed: pedicle subtraction osteotomy (PSO) with two-rod (P2 group) versus PSO with two-rod and AR (P4 group), and LLIF with two-rod (L2 group) versus LLIF with two-rod and AR (L4 group).
Results: RF occurred in 50 patients (21%) at an average of 25 months. RF occurred more frequently in patients who underwent PSO than in those who underwent LLIF ( P =0.002), and the use of the AR technique was significantly higher in the non-RF group ( P <0.05).Following logistic regression analysis, preoperative PI-LL mismatch, PSO, and the AR technique were associated with RF. In subgroup analyses, RF incidence was 65% (24/37 cases) of the P2 group, 8% (4/51 cases) of the P4 group, and 21% (22/105 cases) of the L2 group. In the L4 group, there was no RF.
Conclusion: Minimally invasive multilevel LLIF with the AR technique is capable of as much LL correction as conventional PSO and appears to be an effective method for reducing RF.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
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معلومات مُعتمدة: United Kingdom WT_ Wellcome Trust
تواريخ الأحداث: Date Created: 20240112 Date Completed: 20240827 Latest Revision: 20240828
رمز التحديث: 20240828
مُعرف محوري في PubMed: PMC11346710
DOI: 10.1097/BRS.0000000000004920
PMID: 38212931
قاعدة البيانات: MEDLINE
الوصف
تدمد:1528-1159
DOI:10.1097/BRS.0000000000004920