Journals / Annals of Medical Research / 2020 / Cilt: 27 - Sayı: 2

Short-segment pedicle screw-based semi-rigid stabilization with poly (etheretherketone) rods for treatment of degenerative lumbar scoliosis in elderly patients

Pages
431–435
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This system can now be considered a viable optionin elderly patients with the degenerative lumbar scoliosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study analyzed outcomes after short-segment pedicle screw-based semi-rigid stabilization with Poly (etheretherketone)(PEEK-polymer) rods in elderly patients with degenerative lumbar scoliosis.
📊
Key Findings & Data:Therefore, this is the initial report about use of PEEK-polymer rods in elderly patients with degenerative lumbarscoliosis.Material and Methods: From January 2015 to June 2017, 31 patients aged over 60 years with degenerative lumbar scoliosis,who underwent pedicle screw-based semi-rigid stabilization with PEEK-polymer rods were investigated.
💡
Conclusion & Impact:This system can now be considered a viable optionin elderly patients with the degenerative lumbar scoliosis.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: This study analyzed outcomes after short-segment pedicle screw-based semi-rigid stabilization with Poly (etheretherketone)(PEEK-polymer) rods in elderly patients with degenerative lumbar scoliosis. To date, there is no high level of evidence (Level-I) in therelevant literature. Therefore, this is the initial report about use of PEEK-polymer rods in elderly patients with degenerative lumbarscoliosis.Material and Methods: From January 2015 to June 2017, 31 patients aged over 60 years with degenerative lumbar scoliosis,who underwent pedicle screw-based semi-rigid stabilization with PEEK-polymer rods were investigated. All medical records andradiological images were reviewed to evaluate surgery-related complications and clinical outcomes.Results: Patients demonstrated clinically significant functional improvement (Oswestry Disability Index) with an average of 69.3%during an average follow-up of 36.1 months (range, 24–54 months) after surgery. Patients displayed significant Visual Analog Scale(VAS) improvements when comparing pre- and postoperative scores at an average change of 76% and 80% for VAS for back pain andleg pain, respectively. No neurological deficit was observed after surgery.Conclusion: Satisfactory percentage in functional and pain improvement as well as low rate of instrument-related complicationswas obtained after pedicle screw-based stabilization with PEEK-polymer rods. This system can now be considered a viable optionin elderly patients with the degenerative lumbar scoliosis.

🔖

Cite This Article

AKYOLDAŞ, G. (2022). Short-segment pedicle screw-based semi-rigid stabilization with poly (etheretherketone) rods for treatment of degenerative lumbar scoliosis in elderly patients. Annals of Medical Research, Cilt: 27 - Sayı: 2, 431–435. https://ajindex.com/articles/446252

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. Vanderpool DW, James JIP, Wynne-Davies R. Scoliosis in the elderly. J Bone Joint Surg Am 1969;51:446-55
  2. Kobayashi T, Atsuta Y, Takemitsu M, et al. A prospective study of de novo scoliosis in a community based cohort. Spine (Phila Pa 1976) 2006;31:178-82
  3. Schwab F, Dubey A, Gamez L, et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine 2005;30:1082-5
  4. Weinstein SL, Ponseti IV. Curve progression in idiopathic scoliosis. J Bone Joint Surg Am 1983;65:447-55
  5. Pritchett JW, Bortel DT. Degenerative symptomatic lumbar scoliosis. Spine (Phila Pa 1976) 1993;18:700-3
  6. Aebi M. The adult scoliosis. Eur Spine J 2005;14:925-48
  7. Robin GC, Span Y, Steinberg R, et al. Scoliosis in the elderly: a follow-up study. Spine (Phila Pa 1976) 1982;7:355-9
  8. Murata Y, Takahashi K, Hanaoka E, et al. Changes in scoliotic curvature and lordotic angle during the early phase of degenerative lumbar scoliosis. Spine 2002;27:2268-73
  9. Benoist M. Natural history of the aging spine. Eur Spine J 2003;12:86–98
  10. Ploumis A, Transfledt EE, Denis F. Degenerative lumbar scoliosis associated with spinal stenosis. Spine J 2007;7:428-36
  11. Liu H, Ishihara H, Kanamori M, et al. Characteristics of nerve root compression caused by degenerative lumbar spinal stenosis with scoliosis. Spine J 2003;3:524-9
  12. Simmons ED. Surgical treatment of patients with lumbar spinal stenosis with associated scoliosis. Clin Orthop Relat Res 2001;384:45-53
  13. Carreon LY, Puno RM, Dimar JR 2nd, et al. Perioperative complications of posterior lumbar decompression and arthrodesis in older adults. J Bone Joint Surg Am 2003;85:2089-92
  14. Cho KJ, Suk SI, Park SR, et al. Complications in posterior fusion and instrumentation for degenerative lumbar scoliosis. Spine (Phila Pa 1976) 2007;32:2232-7
  15. Cho KJ, Suk SI, Park SR, et al. Short fusion versus long fusion for degenerative lumbar scoliosis. Eur Spine J 2008;17:650-6
  16. Ozer AF, Cevik OM, Erbulut DU, et al. A Novel Modular Dynamic Stabilization System for the Treatment of Degenerative Spinal Pathologies. Turk Neurosurg 2019;29:115-20
  17. Lee SE, Jahng TA, Kim HJ. Decompression and nonfusion dynamic stabilization for spinal stenosis with degenerative lumbar scoliosis: Clinical article. J Neurosurg Spine 2014;21:585-94
  18. Di Silvestre M, Lolli F, Bakaloudis G. Degenerative lumbar scoliosis in elderly patients: dynamic stabilization without fusion versus posterior instrumented fus