19 Harley St, London, W1G 9QJ, UK

Comparative Analysis of Hounsfield Units and Vertebral Bone Quality Scores for Predicting Proximal Junctional Failure in Female Adult Spinal Deformity Patients Undergoing Planned Two-stage Corrective Surgery with Lateral Lumbar Interbody Fusion – Published Article

Day Case Lumbar Fusion Surgery

This article is a retrospective observational study that aimed to evaluate the utility of CT-based Hounsfield Units (HUs) and MRI-based vertebral bone quality (VBQ) scores as alternatives to DXA for predicting the risk of proximal junctional failure (PJF) in female adult spinal deformity (ASD) patients undergoing two-stage corrective surgery with lateral lumbar interbody fusion (LLIF). The study included 53 female ASD patients, and the results showed that patients with PJF had significantly lower HU values at the upper instrumented vertebra (UIV) and L4 compared to those without PJF. However, there was no difference in VBQ scores between the two groups. The study concluded that measuring HU values at UIV or L4 by CT may be useful for predicting the risk of PJF in female ASD patients undergoing two-stage corrective surgery with LLIF. PMID: 37423331 | DOI: 10.1016/j.wneu.2023.07.006

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spine facility on Harley Street UK

Published article

CONCLUSION: The findings suggest that measuring HU values at UIV or L4 by CT may be useful for predicting the risk of PJF in female ASD patients undergoing two-stage corrective surgery with LLIF. Therefore, CT-based HUs should be considered in ASD surgery planning to reduce the risk of PJF.

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2023 Jul 7:S1878-8750(23)00932-4. doi: 10.1016/j.wneu.2023.07.006. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective observational study.OBJECTIVES: This study aimed to evaluate the utility of CT-based Hounsfield units (HUs) and MRI-based vertebral bone quality (VBQ) scores as alternatives to DXA for predicting the risk of proximal junctional failure (PJF) in female adult spinal deformity (ASD) patients undergoing,

World Neurosurg. 2023 Jul 7:S1878-8750(23)00932-4. doi: 10.1016/j.wneu.2023.07.006. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective observational study.

OBJECTIVES: This study aimed to evaluate the utility of CT-based Hounsfield units (HUs) and MRI-based vertebral bone quality (VBQ) scores as alternatives to DXA for predicting the risk of proximal junctional failure (PJF) in female adult spinal deformity (ASD) patients undergoing two-stage corrective surgery with lateral lumbar interbody fusion (LLIF).

METHODS: The study included 53 female ASD patients who underwent two-stage corrective surgery with lateral lumbar interbody fusion from January 2016 to April 2022 with a minimum follow-up of one year. CT and MRI scans were evaluated for their correlation with PJF.

RESULTS: Of the 53 patients (mean age 70.2 years), 14 had PJF. Patients with PJF had significantly lower HU values at the upper instrumented vertebra (UIV) (113.0 ± 29.4 vs. 141.1 ± 41.5, P = 0.036) and L4 (113.4 ± 59.5 vs. 160.0 ± 64.9, P = 0.026) than those without PJF. However, there was no difference in VBQ scores between the two groups. PJF correlated with HU values at UIV and L4 but not with VBQ scores. Patients with PJF also had significantly different pre- and postoperative thoracic kyphosis, postoperative pelvic tilt, PI-LL, and proximal junctional angle compared to those without PJF.

CONCLUSION: The findings suggest that measuring HU values at UIV or L4 by CT may be useful for predicting the risk of PJF in female ASD patients undergoing two-stage corrective surgery with LLIF. Therefore, CT-based HUs should be considered in ASD surgery planning to reduce the risk of PJF.

PMID:37423331 | DOI:10.1016/j.wneu.2023.07.006

The London Spine Unit : the highest rated spine facility on Harley Street UK

Read the original publication:

Comparative Analysis of Hounsfield Units and Vertebral Bone Quality Scores for Predicting Proximal Junctional Failure in Female Adult Spinal Deformity Patients Undergoing Planned Two-stage Corrective Surgery with Lateral Lumbar Interbody Fusion

Sciatica My mother was in absolute agony for more than 3 months due to sciatica. It just came out of nowhere and took her out of action. From working full time she went straight to being bed bound and unable to carry out simplest of actions.The pain was 9/10 and she was bed bound for those three months. Multiple trips to A&E and GP and they wouldn't class it as an emergency therefore they wouldn't do anything about it other than upgrading the painkillers which did next to nothing for my mother. I couldn't bear to watch my mother sleeping on A&E bench in pain for 7 hours, just to be told by doctors that she wouldn't be kept in. I remember her joining her hands and begging the doctors to stop the pain which broke my heart. I then started doing research on google and London spine unit came up with Dr Mo AKMAL's profile and review. First meeting with Dr AKMAL was via ZOOM as my mother was bed bound. Dr AKMAL spoke to me and my mom and told us that this is nothing to worry about and that the pain would be 100% gone.Dr AKMAL assured us to visit the hospital so he could physically inspect my mother and give us the best solution. One trip to the london spine unit and Dr AKMAL advised us that the best solution would be to carry out Minimally invasive disectomy. Dr AKMAL advised that due to my mother being bed bound for a while, steroid injection might not give the result that my mother wishes. Dr AKMAL was very confident and showed us some videos from other patients who had gone through the same ordeal. The biggest thing i noticed between before and after was the smile on the patients face. Dr AKMAL was constantly assuring my mother throughout the meeting that he would take care of her pain and gave her 100% confidence that the result would be delivered.He promised her that she would be walking pain free the same day after the operation. Before the operation Dr GURUNG was consulted multiple times and he also was very helpful. Right after the surgery, as Dr AKMAL promised, my mother was walking and the biggest thing was that the pain was gone. My mother had forgotten to smile for three months and there i saw her smiling again. Dr AKMAL and Dr GURUNG gave us brilliant aftercare and informed us that just give them a ring if there was any issue. Its been several weeks now and my mother is heading towards complete recovery without any issues. The pain is completely gone and anyone who is reading this going through the same horrible sciatica pain you must come and see Dr AKMAL. Thank you Dr AKMAL and your whole team for helping my mom achieve this pain free life.

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

World Neurosurg. 2023 Jul 7:S1878-8750(23)00932-4. doi: 10.1016/j.wneu.2023.07.006. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective observational study.OBJECTIVES: This study aimed to evaluate the utility of CT-based Hounsfield units (HUs) and MRI-based vertebral bone quality (VBQ) scores as alternatives to DXA for predicting the risk of proximal junctional failure (PJF) in female adult spinal deformity (ASD) patients undergoing
Lumbar slipped Disc

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810