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Could the Topping-Off Technique Be the Preventive Strategy against Adjacent Segment Disease after Pedicle Screw-Based Fusion in Lumbar Degenerative Diseases? A Systematic Review
Joint Authors
Chou, Po-Hsin
Lin, Hsi-Hsien
An, Howard S.
Liu, Kang-Ying
Su, Wei-Ren
Lin, Cheng-Li
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-22
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
The “topping-off” technique is a new concept applying dynamic or less rigid fixation such as hybrid stabilization device (HSD) or interspinous process device (IPD) for the purpose of avoiding adjacent segment disease (ASD) proximal to the fusion construct.
A systematic review of the literature was performed on the effect of topping-off techniques to prevent or decrease the occurrence of ASD after lumbar fusion surgery.
We searched through major online databases, PubMed and MEDLINE, using key words related to “topping-off” technique.
We reviewed the surgical results of “topping-off” techniques with either HSD or IPD, including the incidence of ASD at two proximal adjacent levels (index and supra-adjacent level) as compared to the fusion alone group.
The results showed that the fusion alone group had statistically higher incidence of radiographic (52.6%) and symptomatic (11.6%) ASD at the index level as well as higher incidence (8.1%) of revision surgery.
Besides, the HSD (10.5%) and fusion groups (24.7%) had statistically higher incidences of radiographic ASD at supra-adjacent level than the IPD (1%).
The findings suggest that the “topping-off” technique may potentially decrease the occurrence of ASD at the proximal motion segments.
However, higher quality prospective randomized trials are required prior to wide clinical application.
American Psychological Association (APA)
Chou, Po-Hsin& Lin, Hsi-Hsien& An, Howard S.& Liu, Kang-Ying& Su, Wei-Ren& Lin, Cheng-Li. 2017. Could the Topping-Off Technique Be the Preventive Strategy against Adjacent Segment Disease after Pedicle Screw-Based Fusion in Lumbar Degenerative Diseases? A Systematic Review. BioMed Research International،Vol. 2017, no. 2017, pp.1-13.
https://search.emarefa.net/detail/BIM-1137061
Modern Language Association (MLA)
Chou, Po-Hsin…[et al.]. Could the Topping-Off Technique Be the Preventive Strategy against Adjacent Segment Disease after Pedicle Screw-Based Fusion in Lumbar Degenerative Diseases? A Systematic Review. BioMed Research International No. 2017 (2017), pp.1-13.
https://search.emarefa.net/detail/BIM-1137061
American Medical Association (AMA)
Chou, Po-Hsin& Lin, Hsi-Hsien& An, Howard S.& Liu, Kang-Ying& Su, Wei-Ren& Lin, Cheng-Li. Could the Topping-Off Technique Be the Preventive Strategy against Adjacent Segment Disease after Pedicle Screw-Based Fusion in Lumbar Degenerative Diseases? A Systematic Review. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-13.
https://search.emarefa.net/detail/BIM-1137061
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137061