Pathoanatomic Risk Factors for Instability and Adjacent Segment Disease in Lumbar Spine: How to Use Topping Off?
Joint Authors
Sobottke, R.
Bredow, J.
Eysel, P.
Löhrer, L.
Siewe, J.
Scheyerer, Max J.
Oppermann, J.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-31
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Purpose.
The goal of this review is to identify criteria indicating implantation of hybrid system into lumbar spine and to evaluate general benefits of use.
Methods.
A systematic review of literature was performed using current randomized clinical trials, reviews, and meta-analyses.
Data sources included relevant literature of human studies identified through searches of Medline Library until May 2015.
Results.
Predisposing factors for Adjacent Segment Disease (ASDi) are discussed in literature: laminar horizontalization, insufficiency of fascia thoracolumbalis, facet tropism, and facet sagittalization.
Currently there is no evidence for topping off.
There are only 12 studies and these have no consistent statements about use of a hybrid system for avoidance of ASDi.
Conclusion.
Hybrid instrumentation of lumbar spine, either with pedicle-based technique or additional spacer, might possibly prevent ASDi from developing in previously damaged segment adjacent to a fusion.
Good clinical data proving effectiveness of this new implant technique is as yet unavailable.
Thus, currently one must speak of an unevaluated procedure.
Various radiological classifications can assist in making a reliable decision as to whether hybrid instrumentation is an appropriate choice of therapy.
Pathoanatomical conditions of facet joints and laminae as well as preservation of sagittal balance must also be considered.
American Psychological Association (APA)
Bredow, J.& Löhrer, L.& Oppermann, J.& Scheyerer, Max J.& Sobottke, R.& Eysel, P.…[et al.]. 2017. Pathoanatomic Risk Factors for Instability and Adjacent Segment Disease in Lumbar Spine: How to Use Topping Off?. BioMed Research International،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1135584
Modern Language Association (MLA)
Bredow, J.…[et al.]. Pathoanatomic Risk Factors for Instability and Adjacent Segment Disease in Lumbar Spine: How to Use Topping Off?. BioMed Research International No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1135584
American Medical Association (AMA)
Bredow, J.& Löhrer, L.& Oppermann, J.& Scheyerer, Max J.& Sobottke, R.& Eysel, P.…[et al.]. Pathoanatomic Risk Factors for Instability and Adjacent Segment Disease in Lumbar Spine: How to Use Topping Off?. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1135584
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135584