Interspinous Process Fixation Device Versus Extended Pedicle Screw Fixation for Symptomatic Adjacent Segment Disease: 3-Year Retrospective Study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Bae, In Suk | - |
dc.contributor.author | Bak, Koang Hum | - |
dc.contributor.author | Chun, Hyoung Joon | - |
dc.date.accessioned | 2022-07-07T22:15:43Z | - |
dc.date.available | 2022-07-07T22:15:43Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2020-07 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/145431 | - |
dc.description.abstract | OBJECTIVE: In the present study, we compared the clinical and radiographic outcomes of an interspinous process fixation device (IFD) with those of extended pedicle screw fixation (PSF) for symptomatic adjacent segment disease (ASD) after lumbar fusion. METHODS: The data from 109 patients with ASD treated with IFD (n = 48) or extended PSF (n = 61) from January 2009 to January 2016 were reviewed retrospectively. The clinical outcomes were measured using a visual analog scale (VAS) and the Oswestry disability index. The radiographic outcomes included the fusion rate, incidence of cage subsidence, and additional radiographic ASD. RESULTS: The mean incision length, operative time, blood loss, and length of hospital stay were significantly lower in the IFD group (P < 0.001). Postoperative back and leg pain were relieved in both groups (P < 0.001). The mean preoperative VAS scores were 8.3 +/- 1.3 and 8.5 +/- 1.1 in the IFD and PSF groups and had improved to 2.8 +/- 1.1 and 2.7 +/- 1.2 after 36 months, respectively (P < 0.001). At 36 months postoperatively, 10 of the 56 patients (17.9%) in the PSF group had developed additional radiographic ASD compared with 2 of 44 patients (4.5%) in the IFD group. CONCLUSION: Our results have demonstrated that in the treatment of symptomatic ASD, comparable clinical and radiologic outcomes can be achieved using IFD, which has a shorter skin incision, shorter operative time, less intraoperative blood loss, and shorter hospital stay than the extended PSF technique. Although not statistically significant, the IFD resulted in a lower ASD incidence compare with the PSF technique. Thus, IFD might be an alternative surgical method for symptomatic ASD after lumbar spine fusion. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.title | Interspinous Process Fixation Device Versus Extended Pedicle Screw Fixation for Symptomatic Adjacent Segment Disease: 3-Year Retrospective Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Bak, Koang Hum | - |
dc.contributor.affiliatedAuthor | Chun, Hyoung Joon | - |
dc.identifier.doi | 10.1016/j.wneu.2020.03.147 | - |
dc.identifier.scopusid | 2-s2.0-85084222334 | - |
dc.identifier.wosid | 000550337100017 | - |
dc.identifier.bibliographicCitation | WORLD NEUROSURGERY, v.139, pp.E144 - E150 | - |
dc.relation.isPartOf | WORLD NEUROSURGERY | - |
dc.citation.title | WORLD NEUROSURGERY | - |
dc.citation.volume | 139 | - |
dc.citation.startPage | E144 | - |
dc.citation.endPage | E150 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | LUMBAR INTERBODY FUSION | - |
dc.subject.keywordPlus | IN-VITRO | - |
dc.subject.keywordPlus | INVITED SUBMISSION | - |
dc.subject.keywordPlus | PERIPHERAL-NERVES | - |
dc.subject.keywordPlus | REVISION SURGERY | - |
dc.subject.keywordPlus | POSTERIOR | - |
dc.subject.keywordPlus | ANTERIOR | - |
dc.subject.keywordPlus | SPINE | - |
dc.subject.keywordPlus | STABILIZATION | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordAuthor | Adjacent segment disease | - |
dc.subject.keywordAuthor | Interspinous process fixation device | - |
dc.subject.keywordAuthor | Lumbar spine fusion | - |
dc.subject.keywordAuthor | Pedicle screw fixation | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1878875020306185?via%3Dihub | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.