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Revision of Harrington rod constructs: a single-center’s experience with this homogenous adult spinal deformity population at a minimum 2-year follow-up – Lumbar Fusion

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The article examines the radiographic and clinical outcomes of revision surgery following high-grade spondylolisthesis correction (HRC) fusions. A retrospective study of 26 patients with a mean follow-up of 3.3 years found that patients significantly improved in radiographic parameters and experienced a decrease in Oswestry disability index scores by final follow-up. While complications were common, particularly lumbar nerve root deficits, most patients recovered fully within two years. The study concludes that patients revised for HRCs show significant improvements both clinically and radiographically after surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: Patients revised for HRCs significantly improve, both clinically and radiographically by final follow-up. This group did have a propensity for distal lumbar root neurological issues, which were common but all patients except for one, recovered to full strength by two-year follow-up.

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Spine Deform. 2024 Apr 12. doi: 10.1007/s43390-024-00867-2. Online ahead of print. ABSTRACT PURPOSE: To evaluate radiographic and clinical outcomes following revision surgery after HRC fusions. METHODS: Single-institution, retrospective study of patients revised following HRC with minimum 2-year follow-up post-revision. Demographics, perioperative information, radiographic parameters, complications, and Oswestry disability index (ODI) scores were collected. Radiographic parameters,

Spine Deform. 2024 Apr 12. doi: 10.1007/s43390-024-00867-2. Online ahead of print.

ABSTRACT

PURPOSE: To evaluate radiographic and clinical outcomes following revision surgery after HRC fusions.

METHODS: Single-institution, retrospective study of patients revised following HRC with minimum 2-year follow-up post-revision. Demographics, perioperative information, radiographic parameters, complications, and Oswestry disability index (ODI) scores were collected. Radiographic parameters included global alignment, coronal and sagittal measurements pre and postoperatively, as well as final follow-up time points.

RESULTS: 26 patients were included with a mean follow-up of 3.3 ± 1.1 years. Mean age was 55.5 ± 7.8 years, BMI 25.2 ± 5.8, and 22 (85%) were females. Instrumented levels increased from 9.7 ± 2.8 to 16.0 ± 2.2. Five (19.2%) patients underwent lumbar pedicle subtraction osteotomies, and 23 (88.4%) had interbody fusions. Patients significantly improved in all radiographic parameters at immediate and final follow-up (p < 0.005), except for thoracic kyphosis and pelvic incidence (p > 0.05). Correction was maintained from immediate postop to final follow-up (p > 0.05). 20 (76.9%) of patients experienced a complication at some point within the follow-up period with the most common being a lumbar nerve root deficit (n = 7). However, only one patient had a nerve root deficit at final follow-up, that being a 4/5 unilateral anterior tibialis function. 5 (19.2%) patients required further revision within a mean of 1.8 ± 1.1 years. On average, patients had an improvement in ODI score by final follow-up (35.6 ± 16.8 vs 25.4 ± 19.8, p = 0.035).

: Patients revised for HRCs significantly improve, both clinically and radiographically by final follow-up. This group did have a propensity for distal lumbar root neurological issues, which were common but all patients except for one, recovered to full strength by two-year follow-up.

PMID:38609698 | DOI:10.1007/s43390-024-00867-2

The London Spine Unit : most experienced day surgery hospital on Harley Street UK

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Revision of Harrington rod constructs: a single-center’s experience with this homogenous adult spinal deformity population at a minimum 2-year follow-up

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Spine Deform. 2024 Apr 12. doi: 10.1007/s43390-024-00867-2. Online ahead of print. ABSTRACT PURPOSE: To evaluate radiographic and clinical outcomes following revision surgery after HRC fusions. METHODS: Single-institution, retrospective study of patients revised following HRC with minimum 2-year follow-up post-revision. Demographics, perioperative information, radiographic parameters, complications, and Oswestry disability index (ODI) scores were collected. Radiographic parameters

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