Quick-term results of minimally invasive dynamic neutralization system for the therapy of lumbar spinal stenosis: An observational research.
Medication (Baltimore). 2018 Jun;97(22):e10854
Authors: Tu J, Hua W, Li W, Liu W, Luo R, Li S, Zhang Y, Kang L, Wang Ok, Track Y, Yang S, Yang C
The goal of the research was to judge the security and short-term results of dynamic stabilization by way of minimally invasive system for degenerative lumbar spinal stenosis. Sufferers with degenerative lumbar spinal stenosis and handled with Transforaminal Lumbar Interbody Fusion by way of minimally invasive minimally system (mis-TLIF) have been served because the management group.From April 2011 to March 2015, 47 sufferers (29 male, 18 feminine; imply age 47.6 [range, 26-52] years) with lumbar spinal stenosis have been handled with decompression and excision of herniated disk by way of the minimally invasive system mixed with the dynamic fixation method, and 42 sufferers as management group with mis-TLIF. Minimally invasive surgical procedures have been carried out by way of the posterior incision strategy. The medical outcomes have been evaluated by evaluating the Visible Analog Scale (VAS) rating, Oswestry Incapacity Index (ODI) scores, and the ROMs of the adjoining section earlier than and after surgical procedure. The postoperative issues associated to the implants have been recognized.A complete of 83 sufferers (43 of Dynesys group and 40 of mis-TLIF group) have been adopted for a median length of >35 months. Dynesys stabilization resulted in considerably greater preservation of movement on the index degree (P?<?.05), and considerably much less hypermobility on the adjoining segments. VAS for the again and leg ache and ODI improved considerably (P?<?.05) in 2 teams; nonetheless, there isn’t a vital distinction between the teams. In Dynesys group, three circumstances suffered pores and skin flay necrosis, 1 of them had a wound an infection that was handled with washing and drainage mixed with antibiotic remedy. Pores and skin flay necrosis have been additionally noticed in 2 circumstances of mis-TLIF group. Reoperation was carried out in a single case of Dynesys group for rupture of the inner fixation. No rupture of inner fixation was noticed in mis-TLIF group.The nonfusion fixation system Dynesys could also be used to deal with degenerative spinal stenosis with out posterior ingredient harm. This surgical method is secure and efficient. Nevertheless, using greater preservation of movement could result in the failure of inner fixation.
PMID: 29851799 [PubMed – in process]