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Erschienen in: European Spine Journal 6/2014

01.10.2014 | Original Article

Estimating the risk for symptomatic adjacent segment degeneration after lumbar fusion: analysis from a cohort of patients undergoing revision surgery

verfasst von: Alberto Di Martino, Carlo Cosimo Quattrocchi, Laura Scarciolla, Nicola Papapietro, Bruno Beomonte Zobel, Vincenzo Denaro

Erschienen in: European Spine Journal | Sonderheft 6/2014

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Abstract

Purpose

Aim of this study is to estimate the risk for symptomatic adjacent segment degeneration (ASD) and examine the association between spino-pelvic parameters and ASD.

Methods

22 patients operated upon by instrumented lumbar or lumbosacral spinal fusion and re-operated upon for ASD were enrolled in the study. 83 consecutive patients with the same surgery and never re-operated upon were the controls. Pelvic incidence, sacral slope (SS), pelvic tilt (PT), and lumbar lordosis were calculated.

Results

Patients with ASD had significantly lower SS (p = 0.005) and higher PT values (p < 0.001). Patients with SS <39° or PT >21°, were at higher risk for symptomatic ASD (relative risk 1.73 for SS and 3.663 for PT).

Conclusions

In patients re-operated upon for ASD, pelvic retroversion and hyperlordosis are the main mechanisms of compensation for the unbalanced spine. Patients with PT above 21° and SS below 39° are at higher risk for symptomatic ASD.
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Metadaten
Titel
Estimating the risk for symptomatic adjacent segment degeneration after lumbar fusion: analysis from a cohort of patients undergoing revision surgery
verfasst von
Alberto Di Martino
Carlo Cosimo Quattrocchi
Laura Scarciolla
Nicola Papapietro
Bruno Beomonte Zobel
Vincenzo Denaro
Publikationsdatum
01.10.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe Sonderheft 6/2014
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-014-3551-0

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