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Revision Extension of Fusion Surgery in Thoracolumbar Spine Using a Newly Designed Revision Rod – Comparative Matched Cohort Study Versus Implant-Replacement Surgery – Lumbar Fusion

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The article presents a retrospective cohort study comparing the outcomes of revision extension fusion surgery using a newly designed revision rod versus implant-replacement surgery in the thoracolumbar spine. Thirty-one patients in each group were matched for age, sex, preoperative diagnosis, and number of revision segments. Results showed that the revision rod group had less hemovac drainage and better laboratory findings compared to the control group. While the operative time was similar between the two groups, the average lumbar lordosis was lower in the revision rod group. Union rates and clinical outcomes did not differ significantly between the two groups. The study concludes that revision extension fusion surgery using the newly designed revision rod may be a more favorable option compared to implant-replacement revision surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established day surgery unit in London

Published article

S: Revision extension of fusion surgery using a newly designed revision rod had less hemovac drainage and superior laboratory findings compared to implant-replacement revision surgery.

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Global Spine J. 2024 Apr 16:21925682241248105. doi: 10.1177/21925682241248105. Online ahead of print. ABSTRACT STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To compare the results of revision extension of fusion surgery using the newly designed revision rod and implant-replacement surgery in thoracolumbar spine. METHODS: Thirty-one patients who underwent extension of fusion surgery using the revision rod for,

Global Spine J. 2024 Apr 16:21925682241248105. doi: 10.1177/21925682241248105. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective cohort study.

OBJECTIVE: To compare the results of revision extension of fusion surgery using the newly designed revision rod and implant-replacement surgery in thoracolumbar spine.

METHODS: Thirty-one patients who underwent extension of fusion surgery using the revision rod for adjacent segment disease were included in this study. Thirty-one patients who underwent implant-replacement revision surgery were selected as a control group by matching age, sex, preoperative diagnosis, and number of revision segments.

RESULTS: The mean age was 70.7 ± 8.0 years in the revision rod (RR) group and 69.0 ± 8.4 years in the control group. Preoperative diagnoses, underlying diseases, and mean number of revision segments (2.2 ± 1.1) were similar in both groups. The change of hemoglobin (1.0 ± 1.9 vs 2.5 ± 1.5 g/dl; P < .01), hematocrit (4.1 ± 4.9 vs 7.2 ± 4.4 % P < .01) and albumin (.8 ± .9 vs 1.3 ± .4 g/dl; P < .01) levels before and after surgery showed significant differences between the two groups. Hemovac drainage was significantly less in the RR group (P = .01). The mean operative time was shorter in the RR group (203.5 ± 9.5 min vs 233.5 ± 8.7 min; P = .12) with no statistical difference. Radiological results showed that the average lumbar lordosis 2 years after surgery was lower in the RR group compared to the control group (25.1 ± 9.9° vs 32.9 ± 9.8°; P = .02). Union rates and clinical outcomes were not different between the two groups.

S: Revision extension of fusion surgery using a newly designed revision rod had less hemovac drainage and superior laboratory findings compared to implant-replacement revision surgery.

PMID:38624239 | DOI:10.1177/21925682241248105

The London Spine Unit : most established day surgery unit in London

Read the original publication:

Revision Extension of Fusion Surgery in Thoracolumbar Spine Using a Newly Designed Revision Rod – Comparative Matched Cohort Study Versus Implant-Replacement Surgery

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Global Spine J. 2024 Apr 16:21925682241248105. doi: 10.1177/21925682241248105. Online ahead of print. ABSTRACT STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To compare the results of revision extension of fusion surgery using the newly designed revision rod and implant-replacement surgery in thoracolumbar spine. METHODS: Thirty-one patients who underwent extension of fusion surgery using the revision rod for

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