Menu
Menu
19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

The Efficacy of Lumbar Hybrid Stabilization Using the DIAM™ to Delay Adjacent Segment Degeneration: An Intervention Comparison Study With a Minimum Two-Year Follow-up.

Related Articles

The Efficacy of Lumbar Hybrid Stabilization Using the DIAM™ to Delay Adjacent Segment Degeneration: An Intervention Comparison Study With a Minimum Two-Year Follow-up.

Neurosurgery. 2013 Mar 5;

Authors: Lee CH, Hyun SJ, Kim KJ, Jahng TA, Yoon SH, Kim HJ

Abstract
BACKGROUND:: Although posterior lumbar interbody fusion (PLIF) has a successful fusion rate, the long-term outcome of PLIF is occasionally below expectations because of adjacent segment degeneration (ASD). OBJECTIVE:: To evaluate the ability of hybrid stabilization using DIAM (Device for Interspinous Assisted Motion) to delay ASD. METHODS:: An intervention comparison study of 75 patients (hybrid, 25; PLIF, 50) was performed. The indications for hybrid stabilization were facet joint degeneration, Pfirrmann grade II-III, and stenosis at the rostral adjacent segment. The PLIF group consisted of patients matched for age, gender, and fusion. The hybrid stabilization procedure included traditional PLIF and DIAM installation at a superior adjacent segment. The outcomes were analyzed using linear mixed model analysis. Conditional logistic regression was performed to calculate the odds ratio for the association of surgical methods. RESULTS:: The hybrid group (24%) revealed fewer ASDs than the PLIF group (48%). Among ASDs, spondylolisthesis occurred more frequently in the PLIF group than the hybrid group. Hybrid surgery was significantly associated with ASD; the odds ratio for hybrid surgery was 0.28 when compared to PLIF. Foraminal height of the PLIF group decreased more than the hybrid group (P=.01). Segmental mobility showed a greater increase in the PLIF group than the hybrid group (P=.04). However, the clinical outcomes did not show significant differences between the groups. CONCLUSION:: Hybrid stabilization using DIAM and pedicle screws can be used for patients with facet degeneration at adjacent segments but should be further investigated.

PMID: 23467248 [PubMed – as supplied by publisher]

Share to care...

Share on facebook
Facebook
Share on twitter
Twitter
Share on pinterest
Pinterest
Share on google
Google+
Share on linkedin
LinkedIn
Share on skype
Skype

What we do...

The Harley Street Hospital

Testimonials

What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......

Cervical Epidural

I was really impressed by the diagnosis and treatment that I received. My condition has been considerably improved. John W. You May Also Like:Patient following

Read More »

L5 Nerve Root Compression

A very good experience. Efficient and friendly. Aftercare at the hospital was excellent. Patricia M. You May Also Like:Discectomy and stabilisationFacet joint injections for Treatment

Read More »