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Impact of multi-rod reinforcement on rod fractures in adult spinal deformity: A retrospective case series with a minimum follow up of 5 years – Lumbar Fusion

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This article examines the impact of a multi-rod construct on rod fractures compared to a conventional two-rod construct in patients undergoing thoracopelvic corrective fusion. Data was collected from a single-center database and included patients over 50 years of age who were followed up for at least five years. Of the 58 patients included in the study, rod fracture occurred in 43.1% of cases, with an average time to fracture of 25.1 months. The incidence of rod fracture was significantly lower in the multi-rod group compared to the two-rod group, although the timing of fracture did not differ. Reinforcement of the multi-rod to the distal portion of the iliac screw showed the lowest fracture rate and no cases of reoperation. The study suggests that multi-rod reinforcement can reduce the risk of fracture and reoperation in thoracopelvic corrective fusion

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top day surgery hospital in UK

Published article

S: The incidence of rod fracture was significantly lower using multi-rod reinforcement, but the timing of rod fracture did not differ, compared to that with the two-rod construct using the same surgical technique and rod material. Multi-rod reinforcement covering the distal portion of the iliac screw is recommended to reduce the risk of fracture and reoperation.

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
J Orthop Sci. 2024 Feb 7:S0949-2658(24)00011-3. doi: 10.1016/j.jos.2024.01.010. Online ahead of print.ABSTRACTBACKGROUND: This study aimed to determine the impact of the multi-rod construct on rod fractures over a minimum follow-up period of five years in comparison to that with the conventional two-rod construct using the same technique, rod composition, and rod reinforcement method.METHODS: Data were,

J Orthop Sci. 2024 Feb 7:S0949-2658(24)00011-3. doi: 10.1016/j.jos.2024.01.010. Online ahead of print.

ABSTRACT

BACKGROUND: This study aimed to determine the impact of the multi-rod construct on rod fractures over a minimum follow-up period of five years in comparison to that with the conventional two-rod construct using the same technique, rod composition, and rod reinforcement method.

METHODS: Data were retrospectively retrieved from a prospectively collected, single-center database. Consecutive patients >50 years of age who underwent thoracopelvic corrective fusion with planned two-stage anterior-posterior surgery and were followed up for at least five years were included in this study. The incidence of rod fracture in the conventional two-rod and multi-rod groups was investigated.

RESULTS: A total of 58 patients (mean age, 68.9 years) were included in this study (follow-up rate, 73.4 %). Rod fracture was identified in 25 patients (43.1 %), within an average period of 25.1 months. The incidence of rod fracture in the multi-rod group was significantly lower than that in the two-rod group. However, there was no significant difference in the time to rod fracture between the two groups. Reinforcement of the multi-rod to the distal portion of the connector of the iliac screw had the lowest fracture rate and no cases of reoperation.

S: The incidence of rod fracture was significantly lower using multi-rod reinforcement, but the timing of rod fracture did not differ, compared to that with the two-rod construct using the same surgical technique and rod material. Multi-rod reinforcement covering the distal portion of the iliac screw is recommended to reduce the risk of fracture and reoperation.

PMID:38331601 | DOI:10.1016/j.if.2024.01.010

The London Spine Unit : top day surgery hospital in UK

Read the original publication:

Impact of multi-rod reinforcement on rod fractures in adult spinal deformity: A retrospective case series with a minimum follow up of 5 years

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J Orthop Sci. 2024 Feb 7:S0949-2658(24)00011-3. doi: 10.1016/j.jos.2024.01.010. Online ahead of print.ABSTRACTBACKGROUND: This study aimed to determine the impact of the multi-rod construct on rod fractures over a minimum follow-up period of five years in comparison to that with the conventional two-rod construct using the same technique, rod composition, and rod reinforcement method.METHODS: Data were

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