Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 3/2013

01.06.2013 | Clinical Investigation

Lumbar Spinal Stenosis Minimally Invasive Treatment with Bilateral Transpedicular Facet Augmentation System

verfasst von: Salvatore Masala, Umberto Tarantino, Giovanni Nano, Riccardo Iundusi, Roberto Fiori, Valerio Da Ros, Giovanni Simonetti

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of this study was to evaluate the effectiveness of a new pedicle screw-based posterior dynamic stabilization device PDS Percudyn System™ Anchor and Stabilizer (Interventional Spine Inc., Irvine, CA) as alternative minimally invasive treatment for patients with lumbar spine stenosis.

Methods

Twenty-four consecutive patients (8 women, 16 men; mean age 61.8 yr) with lumbar spinal stenosis underwent implantation of the minimally invasive pedicle screw-based device for posterior dynamic stabilization. Inclusion criteria were lumbar stenosis without signs of instability, resistant to conservative treatment, and eligible to traditional surgical posterior decompression.

Results

Twenty patients (83 %) progressively improved during the 1-year follow-up. Four (17 %) patients did not show any improvement and opted for surgical posterior decompression. For both responder and nonresponder patients, no device-related complications were reported.

Conclusions

Minimally invasive PDS Percudyn System™ has effectively improved the clinical setting of 83 % of highly selected patients treated, delaying the need for traditional surgical therapy.
Literatur
1.
Zurück zum Zitat Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976) 8(8):817–831 Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976) 8(8):817–831
2.
Zurück zum Zitat Arbit E, Pannullo S (2001) Lumbar stenosis: a clinical review. Clin Orthop Relat Res 384:137–143PubMedCrossRef Arbit E, Pannullo S (2001) Lumbar stenosis: a clinical review. Clin Orthop Relat Res 384:137–143PubMedCrossRef
3.
Zurück zum Zitat Hart LG, Deyo RA, Cherkin DC (1995) Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. Spine (Phila Pa 1976) 20(1):11–19 Hart LG, Deyo RA, Cherkin DC (1995) Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. Spine (Phila Pa 1976) 20(1):11–19
4.
Zurück zum Zitat Long DM, BenDebba M, Torgerson WS et al (1996) Persistent back pain and sciatica in the United States: patient characteristics. J Spinal Disord 9(1):40–58PubMedCrossRef Long DM, BenDebba M, Torgerson WS et al (1996) Persistent back pain and sciatica in the United States: patient characteristics. J Spinal Disord 9(1):40–58PubMedCrossRef
5.
Zurück zum Zitat Johnsson KE (1995) Lumbar spinal stenosis. A retrospective study of 163 cases in southern Sweden. Acta Orthop Scand 66(5):403–405PubMedCrossRef Johnsson KE (1995) Lumbar spinal stenosis. A retrospective study of 163 cases in southern Sweden. Acta Orthop Scand 66(5):403–405PubMedCrossRef
6.
Zurück zum Zitat Gibson JN, Waddell G (2005) Surgery for degenerative lumbar spondylosis. Cochrane Database Syst Rev (4):CD001352 Gibson JN, Waddell G (2005) Surgery for degenerative lumbar spondylosis. Cochrane Database Syst Rev (4):CD001352
7.
Zurück zum Zitat Genevay S, Atlas SJ (2010) Lumbar spinal stenosis. Best Pract Res Clin Rheumatol 24(2):253–65 Genevay S, Atlas SJ (2010) Lumbar spinal stenosis. Best Pract Res Clin Rheumatol 24(2):253–65
8.
Zurück zum Zitat Botwin KP, Gruber RD (2003) Lumbar spinal stenosis: anatomy and pathogenesis. Phys Med Rehabil Clin N Am 14(1):1–15 Botwin KP, Gruber RD (2003) Lumbar spinal stenosis: anatomy and pathogenesis. Phys Med Rehabil Clin N Am 14(1):1–15
9.
Zurück zum Zitat Steurer J, Roner S, Gnannt R, Lumb Sten Research Collaboration et al (2011) Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC Musculoskelet Disord 28(12):175CrossRef Steurer J, Roner S, Gnannt R, Lumb Sten Research Collaboration et al (2011) Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC Musculoskelet Disord 28(12):175CrossRef
10.
Zurück zum Zitat Wassenaar M, van Rijn RM, van Tulder MW et al (2011) Magnetic resonance imaging for diagnosing lumbar spinal pathology in adult patients with low back pain or sciatica: a diagnostic systematic review. Eur Spine J 21(2):220–227 Wassenaar M, van Rijn RM, van Tulder MW et al (2011) Magnetic resonance imaging for diagnosing lumbar spinal pathology in adult patients with low back pain or sciatica: a diagnostic systematic review. Eur Spine J 21(2):220–227
11.
Zurück zum Zitat Van Rijn RM, Wassenaar M, Verhagen AP et al (2011) Computed tomography for the diagnosis of lumbar spinal pathology in adult patients with low back pain or sciatica: a diagnostic systematic review. Eur Spine J 21(2):228–239 Van Rijn RM, Wassenaar M, Verhagen AP et al (2011) Computed tomography for the diagnosis of lumbar spinal pathology in adult patients with low back pain or sciatica: a diagnostic systematic review. Eur Spine J 21(2):228–239
12.
Zurück zum Zitat Lee S, Lee JW, Yeom JS et al (2010) A practical MRI grading system for lumbar foraminal stenosis. AJR Am J Roentgenol 194(4):1095–1098PubMedCrossRef Lee S, Lee JW, Yeom JS et al (2010) A practical MRI grading system for lumbar foraminal stenosis. AJR Am J Roentgenol 194(4):1095–1098PubMedCrossRef
13.
Zurück zum Zitat Iizuka Y, Iizuka H, Tsutsumi S et al (2009) Foot drop due to lumbar degenerative conditions: mechanism and prognostic factors in herniated nucleus pulposus and lumbar spinal stenosis. J Neurosurg Spine 10(3):260–264PubMedCrossRef Iizuka Y, Iizuka H, Tsutsumi S et al (2009) Foot drop due to lumbar degenerative conditions: mechanism and prognostic factors in herniated nucleus pulposus and lumbar spinal stenosis. J Neurosurg Spine 10(3):260–264PubMedCrossRef
14.
Zurück zum Zitat Jönsson B, Strömqvist B (1995) Motor affliction of the L5 nerve root in lumbar nerve root compression syndromes. Spine (Phila Pa 1976) 20(18):2012–2015 Jönsson B, Strömqvist B (1995) Motor affliction of the L5 nerve root in lumbar nerve root compression syndromes. Spine (Phila Pa 1976) 20(18):2012–2015
15.
Zurück zum Zitat Miyamoto H, Sumi M, Uno K et al (2008) Clinical outcome of nonoperative treatment for lumbar spinal stenosis, and predictive factors relating to prognosis, in a 5-year minimum follow-up. J Spinal Disord Tech 21(8):563–568PubMedCrossRef Miyamoto H, Sumi M, Uno K et al (2008) Clinical outcome of nonoperative treatment for lumbar spinal stenosis, and predictive factors relating to prognosis, in a 5-year minimum follow-up. J Spinal Disord Tech 21(8):563–568PubMedCrossRef
16.
Zurück zum Zitat Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483PubMedCrossRef Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483PubMedCrossRef
17.
Zurück zum Zitat Daltroy LH, Cats-Baril WL, Katz JN et al (1996) The North American spine society lumbar spine outcome assessment instrument: reliability and validity tests. Spine (Phila Pa 1976) 21(6):741–749 Daltroy LH, Cats-Baril WL, Katz JN et al (1996) The North American spine society lumbar spine outcome assessment instrument: reliability and validity tests. Spine (Phila Pa 1976) 21(6):741–749
18.
Zurück zum Zitat Atlas SJ, Deyo RA, Keller RB et al (1996) The maine lumbar spine study, part III. 1-year outcomes of surgical and nonsurgical management of lumbar spinal stenosis. Spine 21:1787–1794; discussion 1794–1795 Atlas SJ, Deyo RA, Keller RB et al (1996) The maine lumbar spine study, part III. 1-year outcomes of surgical and nonsurgical management of lumbar spinal stenosis. Spine 21:1787–1794; discussion 1794–1795
19.
Zurück zum Zitat Atlas SJ, Deyo RA, Patrick DL et al (1996) The Quebec Task Force classification for spinal disorders and the severity, treatment, and outcomes of sciatica and lumbar spinal stenosis. Spine 21:2885–2892PubMedCrossRef Atlas SJ, Deyo RA, Patrick DL et al (1996) The Quebec Task Force classification for spinal disorders and the severity, treatment, and outcomes of sciatica and lumbar spinal stenosis. Spine 21:2885–2892PubMedCrossRef
20.
Zurück zum Zitat Patrick DL, Deyo RA, Atlas SJ et al (1995) Assessing health-related quality of life in patients with sciatica. Spine 20:1899–1908; discussion 1909 Patrick DL, Deyo RA, Atlas SJ et al (1995) Assessing health-related quality of life in patients with sciatica. Spine 20:1899–1908; discussion 1909
21.
Zurück zum Zitat Genevay S, Atlas SJ, Katz JN (2010) Variation in eligibility criteria from studies of radiculopathy due to a herniated disc and of neurogenic claudication due to lumbar spinal stenosis: a structured literature review. Spine (Phila Pa 1976) 35(7):803–811 Genevay S, Atlas SJ, Katz JN (2010) Variation in eligibility criteria from studies of radiculopathy due to a herniated disc and of neurogenic claudication due to lumbar spinal stenosis: a structured literature review. Spine (Phila Pa 1976) 35(7):803–811
22.
Zurück zum Zitat Watters WC 3rd, Baisden J, Gilbert TJ et al (2008) North American Spine Society. Degenerative lumbar spinal stenosis: an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis. Spine J 8(2):305–310 Watters WC 3rd, Baisden J, Gilbert TJ et al (2008) North American Spine Society. Degenerative lumbar spinal stenosis: an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis. Spine J 8(2):305–310
23.
Zurück zum Zitat Kirkaldy-Willis WH, Wedge JH, Yong-Hing K (1978) Pathology and pathogenesis of lumbar spondylolisthesis and stenosis. Spine 3:319–328PubMedCrossRef Kirkaldy-Willis WH, Wedge JH, Yong-Hing K (1978) Pathology and pathogenesis of lumbar spondylolisthesis and stenosis. Spine 3:319–328PubMedCrossRef
24.
Zurück zum Zitat Arnoldi CC, Brodsky AE, Canchoix J (1976) Lumbar spinal stenosis and nerve root entrapment syndromes Definition and classification. Clin Orthop 115:4–5PubMed Arnoldi CC, Brodsky AE, Canchoix J (1976) Lumbar spinal stenosis and nerve root entrapment syndromes Definition and classification. Clin Orthop 115:4–5PubMed
25.
Zurück zum Zitat Hasegawa T, An HS, Haughton VM et al (1995) Lumbar foraminal stenosis: critical heights of the intervertebral discs and foramina: a cryomicro- tome study in cadavera. J Bone Joint Surg Am 77:32–38PubMed Hasegawa T, An HS, Haughton VM et al (1995) Lumbar foraminal stenosis: critical heights of the intervertebral discs and foramina: a cryomicro- tome study in cadavera. J Bone Joint Surg Am 77:32–38PubMed
26.
Zurück zum Zitat King D (1948) Internal fixation for lumbosacral fusion. J Bone Joint Surg Am 30A(3):560–565PubMed King D (1948) Internal fixation for lumbosacral fusion. J Bone Joint Surg Am 30A(3):560–565PubMed
27.
Zurück zum Zitat Amoretti N, Huwart L, Hauger O et al (2012) Computed tomography- and fluoroscopy-guided percutaneous screw fixation of low-grade isthmic spondylolisthesis in adults: a new technique. Eur Radiol 2012 Jun 15 (Epub ahead of print) Amoretti N, Huwart L, Hauger O et al (2012) Computed tomography- and fluoroscopy-guided percutaneous screw fixation of low-grade isthmic spondylolisthesis in adults: a new technique. Eur Radiol 2012 Jun 15 (Epub ahead of print)
28.
Zurück zum Zitat Amoretti N, Hovorka E, Dausse F et al (2005) Posterior arthrodesis of the spine by percutaneous CT-guided application of screws: preliminary report. Clin Imaging 29(4):231–234PubMedCrossRef Amoretti N, Hovorka E, Dausse F et al (2005) Posterior arthrodesis of the spine by percutaneous CT-guided application of screws: preliminary report. Clin Imaging 29(4):231–234PubMedCrossRef
29.
Zurück zum Zitat Dahl B, Gehrchen P, Blyme P et al (1997) Clinical outcome after spinal fusion with a rigid versus a semi-rigid pedicle screw system. Eur Spine J 6(6):412–416PubMedCrossRef Dahl B, Gehrchen P, Blyme P et al (1997) Clinical outcome after spinal fusion with a rigid versus a semi-rigid pedicle screw system. Eur Spine J 6(6):412–416PubMedCrossRef
30.
Zurück zum Zitat Bowers C, Amini A, Dailey AT et al (2010) Dynamic interspinous process stabilization: review of complications associated with the X-Stop device. Neurosurg Focus 28(6):E8PubMedCrossRef Bowers C, Amini A, Dailey AT et al (2010) Dynamic interspinous process stabilization: review of complications associated with the X-Stop device. Neurosurg Focus 28(6):E8PubMedCrossRef
31.
Zurück zum Zitat Nockels RP (2005) Dynamic stabilization in the surgical management of painful lumbar spinal disorders. Spine (Phila Pa 1976) 30(16 Suppl):S68–72 Nockels RP (2005) Dynamic stabilization in the surgical management of painful lumbar spinal disorders. Spine (Phila Pa 1976) 30(16 Suppl):S68–72
32.
Zurück zum Zitat Sengupta DK (2004) Dynamic stabilization devices in the treatment of low back pain. Orthop Clin North Am 35(1):43–56 Sengupta DK (2004) Dynamic stabilization devices in the treatment of low back pain. Orthop Clin North Am 35(1):43–56
33.
Zurück zum Zitat Masala S, Fiori R, Bartolucci DA et al (2012) Percutaneous decompression of lumbar spinal stenosis with a new interspinous device. Cardiovasc Intervent Radiol 35(2):368–374 Masala S, Fiori R, Bartolucci DA et al (2012) Percutaneous decompression of lumbar spinal stenosis with a new interspinous device. Cardiovasc Intervent Radiol 35(2):368–374
34.
Zurück zum Zitat Talwar V, Lindsey DP, Fredrick A et al (2006) Insertion loads of the X STOP interspinous process distraction system designed to treat neurogenic intermittent claudication. Eur Spine J 15:908–912PubMedCrossRef Talwar V, Lindsey DP, Fredrick A et al (2006) Insertion loads of the X STOP interspinous process distraction system designed to treat neurogenic intermittent claudication. Eur Spine J 15:908–912PubMedCrossRef
35.
Zurück zum Zitat Tamburrelli FC, Proietti L, Logroscino CA (2011) Critical analysis of lumbar interspinous devices failures: a retrospective study. Eur Spine J 20(Suppl 1):S27–S35 Tamburrelli FC, Proietti L, Logroscino CA (2011) Critical analysis of lumbar interspinous devices failures: a retrospective study. Eur Spine J 20(Suppl 1):S27–S35
36.
Zurück zum Zitat Schmoelz W, Huber JF, Nydegger T et al (2003) Dynamic stabilization of the lumbar spine and its effects on adjacent segments: an in vitro experiment. J Spinal Disord Tech 16(4):418–423PubMedCrossRef Schmoelz W, Huber JF, Nydegger T et al (2003) Dynamic stabilization of the lumbar spine and its effects on adjacent segments: an in vitro experiment. J Spinal Disord Tech 16(4):418–423PubMedCrossRef
37.
Zurück zum Zitat Mulholland RC, Sengupta DK (2002) Rationale, principles and experimental evaluation of the concept of soft stabilization. Eur Spine J 11(Suppl 2):S198–S205 Mulholland RC, Sengupta DK (2002) Rationale, principles and experimental evaluation of the concept of soft stabilization. Eur Spine J 11(Suppl 2):S198–S205
38.
Zurück zum Zitat Kocak T, Cakir B, Reichel H et al (2010) Screw loosening after posterior dynamic stabilization–review of the literature. Acta Chir Orthop Traumatol Cech 77(2):134–139 Kocak T, Cakir B, Reichel H et al (2010) Screw loosening after posterior dynamic stabilization–review of the literature. Acta Chir Orthop Traumatol Cech 77(2):134–139
39.
Zurück zum Zitat Warren C, Culbert B, Min S et al (2009) Comparative finite element study of posterior stabilization devices. Ninth Annual Symposium on Motion Preservation Technology April 28–May 1, 2009 London Warren C, Culbert B, Min S et al (2009) Comparative finite element study of posterior stabilization devices. Ninth Annual Symposium on Motion Preservation Technology April 28–May 1, 2009 London
40.
Zurück zum Zitat Lurie JD, Tosteson AN, Tosteson TD et al (2008) Reliability of readings of magnetic resonance imaging features of lumbar spinal stenosis. Spine (Phila Pa 1976) 33(14):1605–1610. Erratum In: Spine 33(22):2482 Lurie JD, Tosteson AN, Tosteson TD et al (2008) Reliability of readings of magnetic resonance imaging features of lumbar spinal stenosis. Spine (Phila Pa 1976) 33(14):1605–1610. Erratum In: Spine 33(22):2482
41.
Zurück zum Zitat Speciale AC, Pietrobon R, Urban CW et al (2002) Observer variability in assessing lumbar spinal stenosis severity on magnetic resonance imaging and its relation to cross-sectional spinal canal area. Spine (Phila Pa 1976) 27(10):1082–1086 Speciale AC, Pietrobon R, Urban CW et al (2002) Observer variability in assessing lumbar spinal stenosis severity on magnetic resonance imaging and its relation to cross-sectional spinal canal area. Spine (Phila Pa 1976) 27(10):1082–1086
42.
Zurück zum Zitat Misaggi B, Gallazzi M, Colombo M et al (2009) Articular facets syndrome: diagnostic grading and treatment options. Eur Spine J 18(Suppl 1):49–51PubMedCrossRef Misaggi B, Gallazzi M, Colombo M et al (2009) Articular facets syndrome: diagnostic grading and treatment options. Eur Spine J 18(Suppl 1):49–51PubMedCrossRef
43.
Zurück zum Zitat Eisenstein SM, Parry CR (1987) The lumbar facet arthrosis syndrome: clinical presentation and articular surface changes. J Bone Joint Surg 69:3–7 Eisenstein SM, Parry CR (1987) The lumbar facet arthrosis syndrome: clinical presentation and articular surface changes. J Bone Joint Surg 69:3–7
Metadaten
Titel
Lumbar Spinal Stenosis Minimally Invasive Treatment with Bilateral Transpedicular Facet Augmentation System
verfasst von
Salvatore Masala
Umberto Tarantino
Giovanni Nano
Riccardo Iundusi
Roberto Fiori
Valerio Da Ros
Giovanni Simonetti
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 3/2013
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-012-0478-x

Weitere Artikel der Ausgabe 3/2013

CardioVascular and Interventional Radiology 3/2013 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.