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A New Interlaminar/Interspinous and Facet-Joint Stabilization System in Lumbar Degenerative Disk Disease: 2 Years of Results – Lumbar Spinal Stenosis

The article discusses a new system for interlaminar/interspinous and facet-joint stabilization and fusion in the surgical treatment of lumbar degenerative disk diseases. The aim of the system is to avoid the increased stress and adjacent segment degeneration caused by rigid spinal implants and fusion. The study involved 75 patients who had undergone the surgery and had a minimum follow-up time of 24 months. The results showed that all procedures were performed without complications, and significant improvements were observed in postoperative pain levels, analgesic drug consumption, and patients’ satisfaction ratings. Fusion was achieved in 77.3% of patients. The authors conclude that this minimally invasive surgery using the new implant solution is encouraging and satisfactory, but further research with more patients and longer follow-up is needed for validation

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced spine facility in UK

Published article

CONCLUSIONS: Our interspinous/interlaminar and facet-joint implant solution, associated with bone grafting, provided vertebral fusion in most stenotic patients with Grade I DS undergoing bilateral microdecompression (BMD) or bilateral decompression via the unilateral approach (BDUA). A higher number of patients and a longer follow-up will certainly be required to completely validate these new devices, but this minimally invasive surgery (MIS) is currently very encouraging and satisfactory.

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Acta Neurochir Suppl. 2023;135:439-445. doi: 10.1007/978-3-031-36084-8_67.ABSTRACTINTRODUCTION: In lumbar degenerative disk diseases (DDDs), we include a wide range of lumbar pathologies. Lumbar spinal stenosis with or without spondylolisthesis is a common cause of lower-limb pain in elderly patients. The surgical treatment of lumbar DDD consists of the decompression of the neural structures or the decompression and,

Acta Neurochir Suppl. 2023;135:439-445. doi: 10.1007/978-3-031-36084-8_67.

ABSTRACT

INTRODUCTION: In lumbar degenerative disk diseases (DDDs), we include a wide range of lumbar pathologies. Lumbar spinal stenosis with or without spondylolisthesis is a common cause of lower-limb pain in elderly patients. The surgical treatment of lumbar DDD consists of the decompression of the neural structures or the decompression and fusion of the involved motion segment. Unfortunately, rigid spinal implants followed by fusion cause increased stresses on the neighboring spinal segments, often leading to adjacent segment degeneration. The aim of this paper is to present a new system for interlaminar/interspinous and facet-joint stabilization and fusion.

MATERIAL AND METHODS: From March 2018 to June 2021, 175 patients with severe lumbar back and/or leg pain were operated on with this device after the failure of conservative treatment for a minimum of 6 months. For this study, we considered 75 available patients with a minimum follow-up time of 24 months. Patients rated their back pain and leg pain on a visual analog scale (VAS) after surgery and at the last follow-up; also, the postoperative consumption of analgesic drugs was investigated. Finally, patients were asked whether they would undergo this kind of surgery again or recommend it. The device is designed to promote a better and more efficient intervertebral fusion: Bone Ingrowth technology allows the system to achieve the best response from the bone tissue.

RESULTS: All procedures were performed without any complications. A reoperation was required in five cases (6.7%) because of implant failure. In one case, a spinous process and unilateral articular process fracture occurred. In four cases, a subcutaneous ISCHIA (one case) or FILICUDI (three cases) pullout was observed. Significant improvements following lumbar surgery were observed when evaluating the postoperative VAS values, analgesic drug consumption levels, and patients’ satisfaction ratings. Evident fusion was seen in 58 of 75 patients (77.3%).

CONCLUSIONS: Our interspinous/interlaminar and facet-joint implant solution, associated with bone grafting, provided vertebral fusion in most stenotic patients with Grade I DS undergoing bilateral microdecompression (BMD) or bilateral decompression via the unilateral approach (BDUA). A higher number of patients and a longer follow-up will certainly be required to completely validate these new devices, but this minimally invasive surgery (MIS) is currently very encouraging and satisfactory.

PMID:38153506 | DOI:10.1007/978-3-031-36084-8_67

The London Spine Unit : most advanced spine facility in UK

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A New Interlaminar/Interspinous and Facet-Joint Stabilization System in Lumbar Degenerative Disk Disease: 2 Years of Results

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Acta Neurochir Suppl. 2023;135:439-445. doi: 10.1007/978-3-031-36084-8_67.ABSTRACTINTRODUCTION: In lumbar degenerative disk diseases (DDDs), we include a wide range of lumbar pathologies. Lumbar spinal stenosis with or without spondylolisthesis is a common cause of lower-limb pain in elderly patients. The surgical treatment of lumbar DDD consists of the decompression of the neural structures or the decompression and

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