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Can Sacropelvic Fixation Improve Outcome of Long-Segment Lumbar Spine Fusion in Patients with Degenerative Lumbar Spine Disease?
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohammed Khalid Saleh Mohammed
Staff Zu Site
Abstract In Staff Site
Journal:
EgySpineJ EgySpineJ
Volume:
Keywords :
, Sacropelvic Fixation Improve Outcome of Long-Segment Lumbar
Abstract:
Background Data: Posterior spinal fusion has been more and more used for management of degenerative disorders of the lumbosacral spine. Long-segment fixation of three or more motion segments extending down to the sacrum has been associated with loosening or failure of S1 screws. Purpose: Comparison between fixations extending to S1 and those to S2 (S2-alar-iliac screws) with sacropelvic fixation in the management of multilevel lumbar spinal canal stenosis. Study Design: Prospective controlled cohort study. Patients and Methods: We recruited 45 patients suffering from lumbar spinal canal stenosis of 3 or more levels including 16 revision cases in the whole group. In 23 patients, posterior lumbar fusion extended to S1 and in 22 fixations extended to S2. Pre- and postoperative clinical evaluation included Visual Analogue Scale (VAS) for back pain and Oswestry Disability Index (ODI). Preoperative radiological evaluation included plain X-ray and MRI. Postoperative clinical evaluation included VAS and ODI and radiological evaluation included X-ray and CT. The mean follow-up duration was 14.1±1.7 months (range, 12–24) in S1 group and 14.3±1.9 months (range, 12–24) in S2 group. Results: The mean VAS improved from 8.1±0.8 to 4.9±0.9 in S1 group and from 7.7±1.2 to 1.95±0.79 in S2 group. The mean ODI improved from 77±10.5 and 76.8±10.9 to 45.9±7.3 and 29.5±8.4 in S1 and S2 groups, respectively. Two dural tears were repaired intraoperatively with no postoperative consequences. Seven cases in S1 group had loosening of S1 screw that was evident at 6-month follow-up. Conclusion: Sacropelvic fixation in the form of S2-alar-iliac screws provides a significantly more rigid construct, decreasing the incidence of loosening of S1 screws and improving the overall outcome in patients treated with long lumbar fusion. (2019ESJ199)
Author Related Publications
Mohammed Khalid Saleh Mohammed, "Sublaminar Decompression and Fusion in the Management of Stenotic Lumbar Degenerative Disorders", Egy Spine J, 2018
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Mohammed Khalid Saleh Mohammed, "Sublaminar decompression and fusion versus transforaminal lumbar interbody fusion in management of lumbar degenerative disorders: a retrospective cohort study", Current Orthopaedic Practice, 2020
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Mohammed Khalid Saleh Mohammed, "Comparative study between closed and open reduction internal fixation of acutely displaced unstable lateral humeral condyle fracture in children", Zagazig UNIVERSITY MEDICAL Journal, 2020
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Mohammed Khalid Saleh Mohammed, "Correction of Genu Valgum Deformity by Temporary Hemiepiphysiodesis using", Zagazig UNIVERSITY MEDICAL Journal, 2020
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Mohammed Khalid Saleh Mohammed, "Please check your proof carefully and mark all corrections at the appropriate place in the proof (e.g., by using on-screen annotation in the PDF file) or compile them in a separate list. Note: if you opt to annotate the file with software other than Adobe Reader then please also highlight the appropriate place in the PDF file. To ensure fast publication of your paper please return your corrections within 48 hours.", ORTHTR, 2020
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Department Related Publications
Mohamed Anwar Abdel Haleem, "التهاب العصبى للعصب ما فوق عظمة اللوح نتيجة لاختناق العصب من مجراة ", لايوجد, 1900
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Mohamed Anwar Abdel Haleem, "التصوير المغناطيسي من رسم مفصل الركبة في حالات اصابة الغضروف الهلالي ", لايوجد, 1900
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Abdelsalam Eid Abdelsalam, "Dorsal closing wedge osteotomy for the treatment of Freiberg's infarction. The short term results of 11 patients.", Faculty of Medicine, Zagazig University, Egypt, 2005
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Abdelsalam Eid Abdelsalam, "A peculiar periprosthetic humeral fracture managed in a simple but effective way", Medknow publications, WKH, 2012
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