Outcomes of the use of cement-augmented cannulated pedicle screws in lumbar spinal fusion
DC Field | Value | Language |
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dc.contributor.author | Son, Hee Jung | - |
dc.contributor.author | Choi, Sung Hoon | - |
dc.contributor.author | Heo, Dong Ryul | - |
dc.contributor.author | Kook, Incheol | - |
dc.contributor.author | Lee, Myoung Keun | - |
dc.contributor.author | Ahn, Hyung Seob | - |
dc.contributor.author | Kang, Chang-Nam | - |
dc.date.accessioned | 2022-07-06T11:45:41Z | - |
dc.date.available | 2022-07-06T11:45:41Z | - |
dc.date.created | 2021-07-14 | - |
dc.date.issued | 2021-11 | - |
dc.identifier.issn | 1529-9430 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/140590 | - |
dc.description.abstract | BACKGROUND CONTEXT: There are few studies of the radio-clinical outcomes of cement-augmented cannulated pedicle screw (CPS) fixation in osteoporotic patients. PURPOSE: To compare the radiological and clinical outcomes between groups receiving cement-augmented CPS and solid pedicle screws (SPS) in lumbar fusion surgery. STUDY DESIGN/SETTING: Retrospective comparative study PATIENT SAMPLE: A total of 187 patients who underwent lumbar fusion surgery for degenerative spinal stenosis or spondylolisthesis from 2014 to 2019. OUTCOME MEASURES: Radiological evaluation included screw failure, cage failure, rod breakage, and fusion grade at postoperative 6 months and 1 year. Pre- and postoperative visual analog scales for back pain (VAS-BP), leg pain (VAS-LP), Korean Oswestry disability index (K-ODI), and postoperative complications were also compared. METHODS: Outcomes of patients with high risk factors for implant failure [old age, osteoporosis, autoimmune disease or chronic kidney disease (CKD)] who underwent open transforaminal lumbar interbody fusion with cement-augmented CPS fixation (Group C, n=55) or SPS fixation (Group S, n=132) were compared. RESULTS: 324 pedicle screws in Group C and 775 pedicle screws in Group S were analyzed. Group C had a significantly higher average age and lower T-score, and included more patients with autoimmune disease and CKD than group S (all p<.05). Clear zones, screw migration and loss of correction were significantly less frequent in Group C (all p<.05). Thirteen screw breakages were observed; they were only in Group C (4.0%) and all were in the proximal of the two holes. Interbody and posterolateral fusion rates were not significantly different. At last follow-up, all clinical parameters including VAS-BP, VAS-LP, and K-ODI scores had improved significantly in both groups. Postoperative complications were not significantly different in the two groups. CONCLUSION: In lumbar fusion surgery, using cement-augmented CPS in high-risk groups for implant failure could be a useful technical option for reducing acute radiological complications and obtaining clinical results comparable to those obtained using SPS in patients with low risk of implant failure. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Inc. | - |
dc.title | Outcomes of the use of cement-augmented cannulated pedicle screws in lumbar spinal fusion | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Sung Hoon | - |
dc.contributor.affiliatedAuthor | Kang, Chang-Nam | - |
dc.identifier.doi | 10.1016/j.spinee.2021.05.005 | - |
dc.identifier.scopusid | 2-s2.0-85108290840 | - |
dc.identifier.wosid | 000717957000011 | - |
dc.identifier.bibliographicCitation | Spine Journal, v.21, no.11, pp.1857 - 1865 | - |
dc.relation.isPartOf | Spine Journal | - |
dc.citation.title | Spine Journal | - |
dc.citation.volume | 21 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1857 | - |
dc.citation.endPage | 1865 | - |
dc.type.rims | ART | - |
dc.type.docType | Article in Press | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | OSTEOPOROTIC SPINE | - |
dc.subject.keywordPlus | FIXATION | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | STRENGTH | - |
dc.subject.keywordAuthor | Cement-augment cannulated screw | - |
dc.subject.keywordAuthor | Clear zone | - |
dc.subject.keywordAuthor | Loss of correction | - |
dc.subject.keywordAuthor | Screw breakage | - |
dc.subject.keywordAuthor | Screw migration | - |
dc.subject.keywordAuthor | Screw pull-out | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1529943021002369?via%3Dihub | - |
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