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Dynamic Stabilisation in the Treatment of Degenerative Disc Disease with Modic Changes
Joint Authors
Ataker, Yaprak
Suzer, Tuncer
Gomleksiz, Cengiz
Oktenoglu, Tunc
Eser, Olcay
Ozer, Ali Fahir
Sasani, Mehdi
Aydin, Ahmet Levent
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-20
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
Posterior dynamic stabilization is an effective alternative to fusion in the treatment of chronic instability and degenerative disc disease (DDD) of the lumbar spine.
This study was undertaken to investigate the efficacy of dynamic stabilization in chronic degenerative disc disease with Modic types 1 and 2.
Modic types 1 and 2 degeneration can be painful.
Classic approach in such cases is spine fusion.
We operated 88 DDD patients with Modic types 1 and 2 via posterior dynamic stabilization.
Good results were obtained after 2 years of followup.
Methods.
A total of 88 DDD patients with Modic types 1 and 2 were selected for this study.
The patients were included in the study between 2004 and 2010.
All of them were examined with lumbar anteroposterior (AP) and lateral X-rays.
Lordosis of the lumbar spine, segmental lordosis, and ratio of the height of the intervertebral disc spaces (IVSs) were measured preoperatively and at 3, 12, and 24 months after surgery.
Magnetic resonance imaging (MRI) analysis was carried out, and according to the data obtained, the grade of disc degeneration was classified.
The quality of life and pain scores were evaluated by visual analog scale (VAS) score and Oswestry Disability Index (ODI) preoperatively and at 3, 12, and 24 months after surgery.
Appropriate statistical method was chosen.
Results.
The mean 3- and 12-month postoperative IVS ratio was significantly greater than that of the preoperative group (P<0.001).
However, the mean 1 and 2 postoperative IVS ratio was not significantly different (P>0.05).
Furthermore, the mean preoperative and 1 and 2 postoperative angles of lumbar lordosis and segmental lordosis were not significantly different (P>0.05).
The mean VAS score and ODI, 3, 12, and 24 months after surgery, decreased significantly, when compared with the preoperative scores in the groups (P=0.000).
Conclusion.
Dynamic stabilization in chronic degenerative disc disease with Modic types 1 and 2 was effective.
American Psychological Association (APA)
Eser, Olcay& Gomleksiz, Cengiz& Sasani, Mehdi& Oktenoglu, Tunc& Aydin, Ahmet Levent& Ataker, Yaprak…[et al.]. 2013. Dynamic Stabilisation in the Treatment of Degenerative Disc Disease with Modic Changes. Advances in Orthopedics،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-499545
Modern Language Association (MLA)
Eser, Olcay…[et al.]. Dynamic Stabilisation in the Treatment of Degenerative Disc Disease with Modic Changes. Advances in Orthopedics No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-499545
American Medical Association (AMA)
Eser, Olcay& Gomleksiz, Cengiz& Sasani, Mehdi& Oktenoglu, Tunc& Aydin, Ahmet Levent& Ataker, Yaprak…[et al.]. Dynamic Stabilisation in the Treatment of Degenerative Disc Disease with Modic Changes. Advances in Orthopedics. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-499545
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499545