Additional decompression at adjacent segments leads to adjacent segment degeneration after PLIF

详细信息    查看全文

• 作者：Masayuki Miyagi (1)
  Osamu Ikeda (2)
  Seiji Ohtori (1)
  Yoshikazu Tsuneizumi (2)
  Yukio Someya (2)
  Masataka Shibayama (2)
  Yasufumi Ogawa (2)
  Gen Inoue (1)
  Sumihisa Orita (1)
  Yawara Eguchi (1)
  Hiroto Kamoda (1)
  Gen Arai (1)
  Tetsuhiro Ishikawa (1)
  Yasuchika Aoki (3)
  Tomoaki Toyone (4)
  Toshio Ooi (2)
  Kazuhisa Takahashi (1)
  
• 关键词：Adjacent segment degeneration (ASD) ; Posterior lumbar interbody fusion (PLIF) ; Decompression surgery ; Spinal canal stenosis
• 刊名：European Spine Journal
• 出版年：2013
• 出版时间：August 2013
• 年：2013
• 卷：22
• 期：8
• 页码：1877-1883
• 全文大小：256KB
• 参考文献：1. Aota Y, Kumano K, Hirabayashi S (1995) Postfusion instability at the adjacent segments after rigid pedicle screw fixation for degenerative lumbar spinal disorders. J Spinal Disord 8:464-73 CrossRef
  2. Boden SD, Davis DO, Dina TS et al (1990) Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. J Bone Joint Surg Am 72:403-08
  3. Booth KC, Bridwell KH, Eisenberg BA et al (1999) Minimum 5-year results of degenerative spondylolisthesis treated with decompression and instrumented posterior fusion. Spine 24:1721-727 CrossRef
  4. Chen BL, Wei FX, Ueyama K, Xie DH, Sannohe A, Liu SY (2011) Adjacent segment degeneration after single-segment PLIF: the risk factor for degeneration and its impact on clinical outcomes. Eur Spine J 20(11):1946-950 CrossRef
  5. Cheh G, Bridwell KH, Lenke LG et al (2007) Adjacent segment disease following lumbar/thoracolumbar fusion with pedicle screw instrumentation: a minimum 5-year follow-up. Spine 32:2253-257 CrossRef
  6. Coe JD, Kitchel SH, Meisel HJ, Wingo CH, Lee SE, Jahng TA (2012) NFlex dynamic stabilization system: two-year clinical outcomes of multi-center study. J Korean Neurosurg Soc 51(6):343-49 CrossRef
  7. Costa F, Sassi M, Cardia A et al (2007) Degenerative lumbar spinal stenosis: analysis of results in a series of 374 patients treated with unilateral laminotomy for bilateral microdecompression. J Neurosurg Spine 7(6):579-86 CrossRef
  8. David A, James J, John A (2007) Adjacent segment degeneration following spinal fusion for degenerative disc disease. Bull NYU H Jt Dis 65(1):29-6
  9. Djurasovic MO, Carreon LY, Glassman SD et al (2008) Sagittal alignment as a risk factor for adjacent level degeneration: a case–control study. Orthopedics 31(6):546 CrossRef
  10. Ekman P, M?ller H, Shalabi A et al (2009) A prospective randomised study on the long-term effect of lumbar fusion on adjacent disc degeneration. Eur Spine J 18(8):1175-186 CrossRef
  11. Etebar S, Cahill DW (1999) Risk Factors for adjacent-segment failure following lumbar fixation with rigid instrumentation for degenerative instability. J Neurosurg 90:163-69
  12. Fay LY, Wu JC, Tsai TY, Wu CL, Huang WC, Cheng H (2012) Dynamic stabilization for degenerative spondylolisthesis: Evaluation of radiographic and clinical outcomes. Clin Neurol Neurosurg. in press
  13. Friberg S, Hirsch C (1949) Anatomical and clinical studies on lumbar disc degeneration. Acta Orthop Scand 19:222-42 CrossRef
  14. Frymoyer JW, Hanley E, Howe J et al (1978) Disc excision and spine fusion in the management of lumbar disc disease: a minimum ten-year followup. Spine 3(1):1- CrossRef
  15. Frymoyer JW, Hanley EN Jr, Howe J et al (1979) A comparison of radiographic findings in fusion and nonfusion patients ten or more years following lumbar disc surgery. Spine 4:435-40 CrossRef
  16. Guigui P, Lambert P, Lassale B et al (1997) Long-term outcome at adjacent levels of lumbar arthrodesis. Rev Chir Orthop Reparatrice Appar Mot 83:685-96
  17. Hatta Y, Shiraishi T, Sakamoto A et al (2009) Muscle-preserving interlaminar decompression for the lumbar spine: a minimally invasive new procedure for lumbar spinal canal stenosis. Spine 15 34(8):E276–E280 CrossRef
  18. Hirabayashi K, Miyakawa J, Satomi K et al (1981) Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament. Spine 6(4):354-64 CrossRef
  19. Hsu K, Zucherman J, White A et al (1988) Deterioration of motion segments adjacent to lumbar spine fusions. Ortho Transact 12:605-06
  20. Ishihara H, Osada R, Kanamori M et al (2001) Minimum 10-year follow-up study of anterior lumbar interbody fusion for isthmic spondylolisthesis. J Spinal Disord 14:91-9 CrossRef
  21. Jang JW, Park JH, Hyun SJ, Rhim SC (2012) Clinical outcomes and radiologic changes following microsurgical bilateral decompression via a unilateral approach in patients with lumbar canal stenosis and Grade I degenerative spondylolisthesis with a minimum 3-year follow-up. J Spinal Disord Tech. in press
  22. Jaslow IA (1946) Intercorporal bone graft in spinal fusion after disc removal. Surg Gynecol Obstet 82:215-18
  23. Kanayama M, Hashimoto T, Shigenobu K et al (2001) Adjacent-segment morbidity after Graf ligamentoplasty compared with posterolateral lumbar fusion. J Neurosurg 95:5-0
  24. Kelleher MO, Timlin M, Persaud O, Rampersaud YR (2010) Success and failure of minimally invasive decompression for focal lumbar spinal stenosis in patients with and without deformity. Spine 35(19):E981–E987 CrossRef
  25. Kumar MN, Baklanov A, Chopin D (2001) Correlation between sagittal plane changes and adjacent segment degeneration following lumbar spine fusion. Eur Spine J 10:314-19 CrossRef
  26. Kuslich SD, Danielson G, Dowdle JD et al (2000) Four-year follow-up results of lumbar spine arthrodesis using the Bagby and Kuslich lumbar fusion cage. Spine 25:2656-662 CrossRef
  27. Lai PL, Chen LH, Niu CC et al (2004) Relation between laminectomy and development of adjacent segment instability after lumbar fusion with pedicle fixation. Spine 15 29(22):2527-532 CrossRef
  28. Mercer W (1939) Spondylolisthesis with a description of a new method of operative treatment and notes of 10 cases. Edin Med J 43:545-72
  29. Miyakoshi N, Abe E, Shimada Y et al (2000) Outcome of one-level posterior lumbar interbody fusion for spondylolisthesis and postoperative intervertebral disc degeneration adjacent to the fusion. Spine 25:1837-842 CrossRef
  30. Nakai S, Yoshizawa H, Kobayashi S (1999) Long-term follow-up study of posterior lumbar interbody fusion. J Spinal Disord 12:293-99 CrossRef
  31. Okuda S, Iwasaki M, Miyauchi A et al (2004) Risk factors for adjacent segment degeneration after posterior lumbar interbody fusion. Spine 29:1535-540 CrossRef
  32. Okuda S, Oda T, Miyauchi A et al (2008) Lamina horizontalization and facet tropism as the risk factors for adjacent segment degeneration after PLIF. Spine 33(25):2754-758 CrossRef
  33. Park P, Garton HJ, Gala VC et al (2004) Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine 29(17):1938-944 CrossRef
  34. Pihlajamaki H, Bostman O, Ruuskanen M et al (1996) Posterolateral lumbosacral fusion with transpedicular fixation: 63 consecutive cases followed for 4 (2-) years. Acta Orthop Scand 67:63-8 CrossRef
  35. Putzier M, Hoff E, Tohtz S, Gross C, Perka C, Strube P (2010) Dynamic stabilization adjacent to single-level fusion: part II. No clinical benefit for asymptomatic, initially degenerated adjacent segments after 6?years follow-up. Eur Spine J 19(12):2181-189 CrossRef
  36. Quinell RC, Stockdale HR (1981) Some experimental observations on the influence of a single floating fusion on the remaining lumbar spine. Spine 6:263-67 CrossRef
  37. Rahm MD, Hall BB (1996) Adjacent-segment degeneration after lumbar fusion with instrumentation: a retrospective study. J Spinal Disord 9:392-00 CrossRef
  38. Schlegel JD, Smith JA, Schleusener RL (1996) Lumbar motion segment pathology adjacent to thoracolumbar, lumbar, and lumbosacral fusions. Spine 21:970-81 CrossRef
  39. Song KJ, Choi BW, Jeon TS, Lee KB, Chang H (2011) Adjacent segment degenerative disease: is it due to disease progression or a fusion-associated phenomenon? Comparison between segments adjacent to the fused and non-fused segments. Eur Spine J 20(11):1940-945 CrossRef
  40. Thome C, B?rm W, Meyer F et al (2008) Degenerative lumbar spinal stenosis current strategies in diagnosis and treatment. Dtsch Arztebl Int 105(20):373-79
  41. Torgerson WR, Dotter WE (1976) Comparative roentgenographic study of the asymptomatic and symptomatic lumbar spine. J Bone Joint Surg Am 58:850-53
  42. Turner JA, Ersek M, Herron L et al (1992) Surgery for lumbar spinal stenosis, Attempted meta-analysis of the literature. Spine 17:1- CrossRef
  43. Umehara S, Zindrick MR, Patwardhan AG et al (2000) The biomechanical effect of postoperative hypolordosis in instrumented lumbar fusion on instrumented and adjacent spinal segments. Spine 25:1617-624 CrossRef
  44. Wimmer C, Gluch H, Krismer M et al (1997) AP-translation in the proximal disc adjacent to lumbar spine fusion. A retrospective comparison of mono- and polysegmental fusion in 120 patients. Acta Orthop Scand 68:269-72 CrossRef
  45. Yang SW, Langrana NA, Lee CK (1986) Biomechanics of lumbosacral spinal fusion in combined compression-torsion loads. Spine 11:937-41 CrossRef
  46. Yorimitsu E, Chiba K, Toyama Y et al (2001) Long-term outcomes of standard discectomy for lumbar disc herniation A follow-up study of more than 10?years. Spine 26(6):652-57 CrossRef
  
• 作者单位：Masayuki Miyagi (1)
  Osamu Ikeda (2)
  Seiji Ohtori (1)
  Yoshikazu Tsuneizumi (2)
  Yukio Someya (2)
  Masataka Shibayama (2)
  Yasufumi Ogawa (2)
  Gen Inoue (1)
  Sumihisa Orita (1)
  Yawara Eguchi (1)
  Hiroto Kamoda (1)
  Gen Arai (1)
  Tetsuhiro Ishikawa (1)
  Yasuchika Aoki (3)
  Tomoaki Toyone (4)
  Toshio Ooi (2)
  Kazuhisa Takahashi (1)
  
  1. Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan
  2. Department of Orthopaedic Surgery, Kamitsuga General Hospital, Kanuma, Japan
  3. Department of Orthopaedic Surgery, Toho University Sakura Medical Center, Sakura, Japan
  4. Department of Orthopaedic Surgery, Teikyo University Chiba Medical Center, Ichihara, Japan
  

文摘

Purpose Adjacent segment degeneration (ASD) is one of the major complications of lumbar fusion. Several previous retrospective studies reported ASD after PLIF. However, few reports evaluated whether decompression surgery combined with fusion surgery increases the rate of complications in adjacent segments. The purpose of the current study was to investigate the degeneration in decompressed adjacent segments after PLIF. Methods A total of 23 patients (12 men, 11 women; average age, 58.6) who underwent PLIF surgery [1 level (n?=?9), 2 levels (n?=?8), 3 levels (n?=?4), 4 levels (n?=?2)] were included. Additional adjacent decompression above or below the level of interbody fusion was performed at 25 levels and no adjacent decompression was performed at 15 levels. We retrospectively investigated ASD by X-ray films of all 40 adjacent segments (above and below fusion level) and clinical outcomes of all 23 cases. Results Of the 40 adjacent segments, 19 (47.5?%) showed ASD and 9 (22.5?%) showed symptomatic ASD. In the 19 segments with ASD, ASD occurred in 16 of 25 (64.0?%) segments at decompressed sites compared with 3 of 15 (20.0?%) non-decompressed sites. The ratio of ASD in adjacent segments was significantly higher at decompressed sites than at non-decompressed sites (p?<?0.01). Conclusion ASD occurs frequently in association with additional decompression above or below the level of PLIF. In cases in which the adjacent segments require decompression, a surgical strategy that preserves as much of the posterior complex as possible should be selected.