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ORIGINAL ARTICLE Motion-preserving Surgery Can Prevent Early Breakdown of Adjacent Segments Comparison of Posterior Dynamic Stabilization With Spinal Fusion Masahiro Kanayama, MD, Daisuke Togawa, MD, Tomoyuki Hashimoto, MD, Keiichi Shigenobu, MD, and Fumihiro Oha, MD than fusion surgeries. Although the rates of additional surgeries Study Design: A retrospective study. in PLIF and PLF were comparable, PLIF developed adjacent- level instability and required fusion surgery more frequently Objectives: This study aims to determine the prevalence and than PLF. nature of adjacent-segment deterioration after posterior liga- mentoplasty, posterolateral lumbar fusion (PLF) versus posterior Key Words: posterior dynamic stabilization, Graf ligamento- lumbar interbody fusion (PLIF). plasty, posterior lumbar interbody fusion, posterolateral lumbar fusion, adjacent segment Summary of Background: Motion-preserving technologies in- cluding disc arthroplasty and ligamentoplasty were gaining (J Spinal Disord Tech 2009;22:463–467) interest to reduce the risk of adjacent-segment morbidity. However, few clinical studies have reported the prevalence of adjacent-segment disease in motion-preserving surgeries. pinal arthrodesis is the current gold standard in 1–4 Methods: Two-hundred and eighteen consecutive patients who Ssurgical management of lumbar spinal instability, had undergone single-level posterior L4-L5 pedicle-screw– but it increases mechanical stress at the segments adjacent 5,6 instrumented fusion or ligamentoplasty were reviewed at to the
Journal of Spinal Disorders & Techniques – Wolters Kluwer Health
Published: Oct 1, 2009
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