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01-10-2014 | Original Article

Estimating the risk for symptomatic adjacent segment degeneration after lumbar fusion: analysis from a cohort of patients undergoing revision surgery

Authors: Alberto Di Martino, Carlo Cosimo Quattrocchi, Laura Scarciolla, Nicola Papapietro, Bruno Beomonte Zobel, Vincenzo Denaro

Published in: European Spine Journal | Special Issue 6/2014

Abstract

Purpose

Aim of this study is to estimate the risk for symptomatic adjacent segment degeneration (ASD) and examine the association between spino-pelvic parameters and ASD.

Methods

22 patients operated upon by instrumented lumbar or lumbosacral spinal fusion and re-operated upon for ASD were enrolled in the study. 83 consecutive patients with the same surgery and never re-operated upon were the controls. Pelvic incidence, sacral slope (SS), pelvic tilt (PT), and lumbar lordosis were calculated.

Results

Patients with ASD had significantly lower SS (p = 0.005) and higher PT values (p < 0.001). Patients with SS <39° or PT >21°, were at higher risk for symptomatic ASD (relative risk 1.73 for SS and 3.663 for PT).

Conclusions

In patients re-operated upon for ASD, pelvic retroversion and hyperlordosis are the main mechanisms of compensation for the unbalanced spine. Patients with PT above 21° and SS below 39° are at higher risk for symptomatic ASD.

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Title: Estimating the risk for symptomatic adjacent segment degeneration after lumbar fusion: analysis from a cohort of patients undergoing revision surgery
Authors: Alberto Di Martino
Carlo Cosimo Quattrocchi
Laura Scarciolla
Nicola Papapietro
Bruno Beomonte Zobel
Vincenzo Denaro
Publication date: 01-10-2014
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 6/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-014-3551-0

ACC 2024 Congress

Springer Medicine

Estimating the risk for symptomatic adjacent segment degeneration after lumbar fusion: analysis from a cohort of patients undergoing revision surgery

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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