相邻节段性疾病的手术治疗及结果:采用骨牌连接器在不拆除固定物的情况下进行额外的伸固定减压融合

Satapong Pisuitthanakan, MD, Chakkraphan Tantrakansakun, MD, Pradit Tantammaroj, MD, Pairoj Warachit, MD
{"title":"相邻节段性疾病的手术治疗及结果:采用骨牌连接器在不拆除固定物的情况下进行额外的伸固定减压融合","authors":"Satapong Pisuitthanakan, MD, Chakkraphan Tantrakansakun, MD, Pradit Tantammaroj, MD, Pairoj Warachit, MD","doi":"10.56929/jseaortho.v46i1.21","DOIUrl":null,"url":null,"abstract":"Purpose: Adjacent segmental disease (ASDis) represents symptomatic adjacent segment degeneration causing pain or neurological deficit. Revision lumbar decompression and extended spinal fusion remain the surgical gold standard. The surgical technique removes all prior implants (pedicle screw and rods) and applies the new implant to previous surgical sites while extending fixation across adjacent segments with fusion; however, it leads to soft tissue trauma, massive blood loss, prolonged operative time, and an increased fixation cost. This study aimed to present the use of a domino connector for connecting the old rod and new rod for extension fixation without removing prior fixation as an alternative technique.\nMethods: This study retrospectively analyzed the data of 14 patients with ASDis who underwent revision surgery with the use of a domino connector for connecting the old rod and new rod for extension fixation without the removal of prior fixation.\nResults: All the patients were aged 59–85 years with a mean age of 67.2 years. The mean duration of ASDis was 4.38 years postoperatively. The patients were grouped according to the modified MacNab criteria as follows: no patient in the excellent group, 12 patients in the good group, and two patients in the fair group.\nConclusions: This surgical technique for treating failed back surgery syndrome reduces the extent of the surgery by employing rod connectors without prior instrument revision. It can serve as an alternative for the operative technique for treating patients with ASDis.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"25 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Surgical Treatment and Outcomes of Adjacent Segmental Disease by Additional Extension-fixation Decompression and Fusion without Removing Prior Fixation by Using Domino Connector\",\"authors\":\"Satapong Pisuitthanakan, MD, Chakkraphan Tantrakansakun, MD, Pradit Tantammaroj, MD, Pairoj Warachit, MD\",\"doi\":\"10.56929/jseaortho.v46i1.21\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Purpose: Adjacent segmental disease (ASDis) represents symptomatic adjacent segment degeneration causing pain or neurological deficit. Revision lumbar decompression and extended spinal fusion remain the surgical gold standard. The surgical technique removes all prior implants (pedicle screw and rods) and applies the new implant to previous surgical sites while extending fixation across adjacent segments with fusion; however, it leads to soft tissue trauma, massive blood loss, prolonged operative time, and an increased fixation cost. This study aimed to present the use of a domino connector for connecting the old rod and new rod for extension fixation without removing prior fixation as an alternative technique.\\nMethods: This study retrospectively analyzed the data of 14 patients with ASDis who underwent revision surgery with the use of a domino connector for connecting the old rod and new rod for extension fixation without the removal of prior fixation.\\nResults: All the patients were aged 59–85 years with a mean age of 67.2 years. The mean duration of ASDis was 4.38 years postoperatively. The patients were grouped according to the modified MacNab criteria as follows: no patient in the excellent group, 12 patients in the good group, and two patients in the fair group.\\nConclusions: This surgical technique for treating failed back surgery syndrome reduces the extent of the surgery by employing rod connectors without prior instrument revision. It can serve as an alternative for the operative technique for treating patients with ASDis.\",\"PeriodicalId\":333749,\"journal\":{\"name\":\"Journal of Southeast Asian Orthopaedics\",\"volume\":\"25 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-03-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Southeast Asian Orthopaedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.56929/jseaortho.v46i1.21\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Southeast Asian Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.56929/jseaortho.v46i1.21","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

摘要

目的:邻节段性疾病(ASDis)是指有症状的邻节段变性,引起疼痛或神经功能障碍。翻修腰椎减压和扩展脊柱融合术仍然是手术的金标准。手术技术移除所有先前的植入物(椎弓根螺钉和棒),将新的植入物应用于先前的手术部位,同时将固定扩展到相邻节段并融合;然而,它会导致软组织损伤,大量失血,延长手术时间,增加固定费用。本研究旨在介绍使用骨牌连接器连接旧棒和新棒进行延伸固定,而不移除先前的固定物作为替代技术。方法:本研究回顾性分析了14例ASDis患者的资料,这些患者接受了翻修手术,使用骨牌连接器连接旧棒和新棒进行延伸固定,而无需拆除先前的固定物。结果:患者年龄59 ~ 85岁,平均年龄67.2岁。ASDis的平均持续时间为4.38年。根据修改后的MacNab标准将患者分组:优组无患者,良组12例,一般组2例。结论:该手术技术用于治疗失败的背部手术综合征,通过使用棒连接器而无需事先翻修器械,减少了手术的范围。它可以作为一种替代手术技术治疗ASDis患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Treatment and Outcomes of Adjacent Segmental Disease by Additional Extension-fixation Decompression and Fusion without Removing Prior Fixation by Using Domino Connector
Purpose: Adjacent segmental disease (ASDis) represents symptomatic adjacent segment degeneration causing pain or neurological deficit. Revision lumbar decompression and extended spinal fusion remain the surgical gold standard. The surgical technique removes all prior implants (pedicle screw and rods) and applies the new implant to previous surgical sites while extending fixation across adjacent segments with fusion; however, it leads to soft tissue trauma, massive blood loss, prolonged operative time, and an increased fixation cost. This study aimed to present the use of a domino connector for connecting the old rod and new rod for extension fixation without removing prior fixation as an alternative technique. Methods: This study retrospectively analyzed the data of 14 patients with ASDis who underwent revision surgery with the use of a domino connector for connecting the old rod and new rod for extension fixation without the removal of prior fixation. Results: All the patients were aged 59–85 years with a mean age of 67.2 years. The mean duration of ASDis was 4.38 years postoperatively. The patients were grouped according to the modified MacNab criteria as follows: no patient in the excellent group, 12 patients in the good group, and two patients in the fair group. Conclusions: This surgical technique for treating failed back surgery syndrome reduces the extent of the surgery by employing rod connectors without prior instrument revision. It can serve as an alternative for the operative technique for treating patients with ASDis.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信