腰椎椎弓根螺钉固定术后邻近节段疾病及再手术的发生率

Shallaw Mahdi Saleem, Hoshanc Sdeeq Rashid, Anjam Ibrahim Sulaiman Rowandizy
{"title":"腰椎椎弓根螺钉固定术后邻近节段疾病及再手术的发生率","authors":"Shallaw Mahdi Saleem, Hoshanc Sdeeq Rashid, Anjam Ibrahim Sulaiman Rowandizy","doi":"10.21271/zjpas.35.3.23","DOIUrl":null,"url":null,"abstract":"Background: Adjacent segment disease is a condition in which the mobile level next to the fused section degenerates as a result of increased biomechanical stress and mobility, it may be rostral, caudal, or both rostral and caudal to fused segment. Patients and Methods: A retrospective study was conducted on 110 patients who underwent transpedicular screw fixation of the lumbar spine between January 2011 and May 2019. Demographic data of the patients, including patient’s age, gender, symptoms, type of fixation, the extent of fixation, segments fixed, date and pathology causing first and second surgery, were taken from patients attending the outpatient department of Hawler Teaching Hospital on Mondays and Wednesdays from October 2018 to May 2021. Results: Thirty-six (32.72%) patients of 110 patients who were included in the study developed ASD. Eleven (10%) patients needed a second surgery for ASD. Conclusions: The rate of developing ASD was (32.72%) out of 110 patients who were included in our study and had transpedicular screw fixation. The rate of patients that needed a second surgery for ASD was (10%). Male gender, advanced age, floating fixation and multiple level fixation were variables that contributed to a higher rate of developing ASD. Multiple level fixation was the only variable with clinical significance. These rates in our study were comparable with the literature's stated prevalence of ASD after spinal fixation and reoperation for ASD.","PeriodicalId":23933,"journal":{"name":"ZANCO Journal of Pure and Applied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Prevalence of Adjacent Segment Disease and Reoperation Following Transpedicular Screw Fixation of Lumbar Spine\",\"authors\":\"Shallaw Mahdi Saleem, Hoshanc Sdeeq Rashid, Anjam Ibrahim Sulaiman Rowandizy\",\"doi\":\"10.21271/zjpas.35.3.23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Adjacent segment disease is a condition in which the mobile level next to the fused section degenerates as a result of increased biomechanical stress and mobility, it may be rostral, caudal, or both rostral and caudal to fused segment. Patients and Methods: A retrospective study was conducted on 110 patients who underwent transpedicular screw fixation of the lumbar spine between January 2011 and May 2019. Demographic data of the patients, including patient’s age, gender, symptoms, type of fixation, the extent of fixation, segments fixed, date and pathology causing first and second surgery, were taken from patients attending the outpatient department of Hawler Teaching Hospital on Mondays and Wednesdays from October 2018 to May 2021. Results: Thirty-six (32.72%) patients of 110 patients who were included in the study developed ASD. Eleven (10%) patients needed a second surgery for ASD. Conclusions: The rate of developing ASD was (32.72%) out of 110 patients who were included in our study and had transpedicular screw fixation. The rate of patients that needed a second surgery for ASD was (10%). Male gender, advanced age, floating fixation and multiple level fixation were variables that contributed to a higher rate of developing ASD. Multiple level fixation was the only variable with clinical significance. These rates in our study were comparable with the literature's stated prevalence of ASD after spinal fixation and reoperation for ASD.\",\"PeriodicalId\":23933,\"journal\":{\"name\":\"ZANCO Journal of Pure and Applied Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ZANCO Journal of Pure and Applied Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21271/zjpas.35.3.23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ZANCO Journal of Pure and Applied Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21271/zjpas.35.3.23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:邻近节段疾病是指由于生物力学应力和活动性增加,融合节段附近的活动水平退化的情况,它可能是融合节段的吻侧、尾侧,也可能是融合段的吻端和尾侧。患者和方法:对2011年1月至2019年5月期间接受腰椎椎弓根螺钉固定的110名患者进行回顾性研究。患者的人口学数据,包括患者的年龄、性别、症状、固定类型、固定程度、固定节段、导致第一次和第二次手术的日期和病理学,取自2018年10月至2021年5月周一和周三在Hawler教学医院门诊就诊的患者。结果:纳入研究的110名患者中有36名(32.72%)患者出现ASD。11名(10%)患者需要对ASD进行第二次手术。结论:在我们研究的110名患者中,经椎弓根螺钉内固定的ASD发生率为32.72%。ASD需要第二次手术的患者比例为(10%)。男性、高龄、浮动固定和多级固定是导致ASD发生率较高的变量。多层面固定是唯一具有临床意义的变量。在我们的研究中,这些发生率与文献中所述的ASD在脊柱固定和ASD再次手术后的患病率相当。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Prevalence of Adjacent Segment Disease and Reoperation Following Transpedicular Screw Fixation of Lumbar Spine
Background: Adjacent segment disease is a condition in which the mobile level next to the fused section degenerates as a result of increased biomechanical stress and mobility, it may be rostral, caudal, or both rostral and caudal to fused segment. Patients and Methods: A retrospective study was conducted on 110 patients who underwent transpedicular screw fixation of the lumbar spine between January 2011 and May 2019. Demographic data of the patients, including patient’s age, gender, symptoms, type of fixation, the extent of fixation, segments fixed, date and pathology causing first and second surgery, were taken from patients attending the outpatient department of Hawler Teaching Hospital on Mondays and Wednesdays from October 2018 to May 2021. Results: Thirty-six (32.72%) patients of 110 patients who were included in the study developed ASD. Eleven (10%) patients needed a second surgery for ASD. Conclusions: The rate of developing ASD was (32.72%) out of 110 patients who were included in our study and had transpedicular screw fixation. The rate of patients that needed a second surgery for ASD was (10%). Male gender, advanced age, floating fixation and multiple level fixation were variables that contributed to a higher rate of developing ASD. Multiple level fixation was the only variable with clinical significance. These rates in our study were comparable with the literature's stated prevalence of ASD after spinal fixation and reoperation for ASD.
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
64
审稿时长
8 weeks
×
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:481959085
Book学术官方微信