Journals / Turkish Neurosurgery / 2009 / Cilt: 19 - Sayı: 4

Kronik instabilitenin cerrahi tedavisinde dinamik vidalar ile dinamik rodların kullanımı: Prospektif klinik çalışma

Utilizing dynamic rods with dynamic screws in the surgical treatment of chronic instability: A prospective clinical study

Pages
319–326
DOI
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CONCLUSION: We obtained good clinical results by utilizing dynamic rods with dynamic transpedicular screws.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: In this study, we examined the results of utilizing the agile posterior dynamic stabilization system with dynamic transpedicular screws in our patients.
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Key Findings & Data:MATERIAL and METHODS: Posterior dynamic instrumentation with agile rods and dynamic transpedicular screws was employed in 15 (seven male and eight female) patients (mean age = 42, ranging from 30 to 53).
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Conclusion & Impact:CONCLUSION: We obtained good clinical results by utilizing dynamic rods with dynamic transpedicular screws.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

AIM: In this study, we examined the results of utilizing the agile posterior dynamic stabilization system with dynamic transpedicular screws in our patients. MATERIAL and METHODS: Posterior dynamic instrumentation with agile rods and dynamic transpedicular screws was employed in 15 (seven male and eight female) patients (mean age = 42, ranging from 30 to 53). The average follow-up duration was 19 months (ranging from 12 to 25). The primary purpose for the surgery was degenerative disc disease. For subjective evaluation, patients underwent a physical examination utilizing the Oswestry disability index (ODI) and visual analogue scale (VAS). Radiographic parameters, including the angle of lumbar lordosis (LL), angle of segmental lordosis ( ) and intervertebral space (IVS), were also evaluated. Both subjective patient evaluations and radiographic parameters were assessed at the 3rd and 12th postoperative months. RESULTS: Significant postoperative improvements were observed in the ODI and VAS measurements (P<0.05). There were no significant differences in the LL, and IVS parameters. One patient experienced a broken screw. CONCLUSION: We obtained good clinical results by utilizing dynamic rods with dynamic transpedicular screws.

Özet

AMAÇ: Bu çalışmada, hastalarımızda uyguladığımız dinamik transpediküler vidalar ile agile posterior dinamik stabilizasyon sisteminin sonuçlarını inceledik. YÖNTEM ve GEREÇ: Agile rodlar ve dinamik transpediküler vidalardan oluşan posterior dinamik enstrümantasyon 15 (yedi erkek, sekiz bayan)hastada(ortalama yaş=42, 30 ile 53 arasında)kullanıldı. Ortalama takip süresi 19 aydır(12 ile 25 ay arasında). Cerrahi uygulamadaki primer ama dejeneratif disk hastalığıydı. Subjektif değerlendirmelerde fizik muayene, Oswestry sakatlık indeksi (ODI) ve visual analog skala (VAS) kullanıldı.Radyolojik parametreler olarak lomber lordoz açısı (LL),segmental lordoz açısı ( ) ve intervertebral mesafe (IVS) değerlendirildi. Hem subjektif hasta değerlendirmeleri hem de radyolojik parametreler postoperatif 3. ve 12. aylarda değerlendirildi. BULGULAR: ODI ve VAS ölçümlerinde önemli postoperatif d・elmeler glendi (P<0.05).LL, ve IVS parametrelerinde önemli farklılıklar yoktu. Bir hastada vida kırılması glendi. SONUÇ: Dinamik transpedik・er vidalar ile dinamik rodların beraber kullanımında iyi klinik sonuçar gledik.

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Cite This Article

KANER, T., SASANİ, M., ÖKTENOĞLU, T., COŞAR, M., ÖZER, A. F. (2009). Kronik instabilitenin cerrahi tedavisinde dinamik vidalar ile dinamik rodların kullanımı: Prospektif klinik çalışma. Turkish Neurosurgery, Cilt: 19 - Sayı: 4, 319–326. https://ajindex.com/articles/405219

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References (1)

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