Correlation between surgical segment mobility and paravertebral muscle fatty infiltration of upper adjacent segment in single-segment LDD patients: retrospective study at a minimum 2 years' follow-up.
Isobar
Lumbar degenerative disease
Paraspinal muscles fat infiltration
Posterior pedicle screw fixation
Posterolateral intertransverse lumbar fusion
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
12 Jan 2023
12 Jan 2023
Historique:
received:
31
10
2022
accepted:
05
01
2023
entrez:
12
1
2023
pubmed:
13
1
2023
medline:
17
1
2023
Statut:
epublish
Résumé
The purpose of this study was to investigate the relationship between surgical segment mobility and fatty infiltration of the adjacent segment paravertebral muscles in patients with single-segment lumbar degenerative disease (LDD) who underwent decompression with fusion or dynamic stabilization. Retrospective analysis of patients who underwent lumbar decompression combined with titanium rod fixation intertransverse fusion (PITF group), Isobar TTL dynamic stabilization (TTL group) or Isobar EVO dynamic stabilization (EVO group) for single-segment lumbar degenerative disease, from March 2012 to July 2018. The preoperative and final follow-up clinical indexes C-LDSI and the measured imaging indexes (range of motion of the surgical segment and the upper adjacent segment, and Goutallier grade of the upper adjacent segment) were counted, and the differences between the preoperative and final follow-up indexes were compared. According to the inclusion and exclusion criteria, 68 patients were included in this study, 21 in the PITF group, 24 in the TTL group, and 23 in the EVO group. At the final follow-up, the C-LSDI score had significantly higher in the PITF group than the TTL and EVO groups, and the C-LSDI score was a very strongly negatively correlated with ROM of surgical segment (r=-0.7968, p < 0.001). There was a strong negative correlation between surgical segment and upper adjacent segment mobility (r = -0.6959, p < 0.001). And there was a very strong negative correlation between ROM of surgical segment and upper adjacent segment paravertebral muscle Goutallier classification (r = -0.8092, p < 0.001), whereas the ROM of the upper adjacent segment was strong positive correlated with the Goutallier classification (r = 0.6703, P < 0.001). Compared with decompression combined with rigid fusion, decompression combined with dynamic fixation for single-segment lumbar degenerative disease can significantly reduce postoperative low back stiffness. And a certain range of increased mobility of the dynamic stabilization device can effectively reduce the compensatory mobility of the upper adjacent segment and slow down the fatty infiltration of the paravertebral muscle in the adjacent segment.
Identifiants
pubmed: 36635673
doi: 10.1186/s12891-023-06137-y
pii: 10.1186/s12891-023-06137-y
pmc: PMC9835309
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
28Subventions
Organisme : the Horizontal Subject "effect of biomimetic mineralized collagen artificial bone in the treatment of spinal diseases and fractures" of Dongzhimen Hospital Beijing University of Chinese Medicine
ID : HX-DZM-2018010
Informations de copyright
© 2023. The Author(s).
Références
Eur Spine J. 2017 Oct;26(10):2543-2551
pubmed: 28748488
Br J Neurosurg. 2021 Apr;35(2):220-228
pubmed: 32576034
J Orthop Surg Res. 2020 Jun 23;15(1):235
pubmed: 32576203
Spine J. 2017 Jan;17(1):81-87
pubmed: 27497888
BMC Musculoskelet Disord. 2022 Nov 19;23(1):998
pubmed: 36401203
Neurol Med Chir (Tokyo). 2000 Mar;40(3):151-4; discussion 154-5
pubmed: 10842484
Clin Orthop Relat Res. 2021 Apr 1;479(4):726-732
pubmed: 33416225
Eur Spine J. 2022 Feb;31(2):364-379
pubmed: 34773148
Spine (Phila Pa 1976). 2008 Feb 1;33(3):318-25
pubmed: 18303466
J Clin Neurosci. 2014 Oct;21(10):1796-801
pubmed: 24880486
Eur Spine J. 2016 May;25(5):1452-1459
pubmed: 26957101
Pain Physician. 2016 Sep-Oct;19(7):E985-E1000
pubmed: 27676689
Eur Spine J. 2010 Feb;19(2):316-24
pubmed: 19876659
Spine J. 2016 Jul;16(7):867-75
pubmed: 26970600
Spine (Phila Pa 1976). 2004 Sep 1;29(17):1938-44
pubmed: 15534420
BMC Musculoskelet Disord. 2017 Jan 10;18(1):12
pubmed: 28068962
J Orthop Surg Res. 2022 May 26;17(1):289
pubmed: 35619169
J Neurosurg Spine. 2016 Jan;24(1):25-31
pubmed: 26360146
J Orthop Surg Res. 2021 Aug 3;16(1):476
pubmed: 34344407
J Manipulative Physiol Ther. 2014 Mar-Apr;37(3):190-7
pubmed: 24630770
Pain Physician. 2016 Jul;19(6):E853-61
pubmed: 27454275
Acta Neurochir (Wien). 2014 Feb;156(2):235-44
pubmed: 24384989
Skeletal Radiol. 2018 Jul;47(7):939-945
pubmed: 29476224
BMC Musculoskelet Disord. 2019 Oct 20;20(1):454
pubmed: 31630684
Neurosurgery. 2016 Dec;79(6):847-855
pubmed: 27244469
Neurologist. 2004 Sep;10(5):259-64
pubmed: 15335443
Eur Spine J. 2011 Nov;20(11):1951-60
pubmed: 21786038
Spine (Phila Pa 1976). 1993 Jun 1;18(7):830-6
pubmed: 8316880
J Orthop Surg Res. 2022 Feb 21;17(1):116
pubmed: 35189915
BMC Musculoskelet Disord. 2019 Sep 5;20(1):414
pubmed: 31488112
Spine (Phila Pa 1976). 2000 Jul 15;25(14):1837-42
pubmed: 10888954
Spine J. 2015 Jul 01;15(7):1593-601
pubmed: 25828477
Spine J. 2022 Feb;22(2):313-320
pubmed: 34343666
Skeletal Radiol. 2018 Jul;47(7):955-961
pubmed: 29379999
BMC Musculoskelet Disord. 2020 Feb 5;21(1):73
pubmed: 32024500
Spine J. 2021 Nov;21(11):1881-1889
pubmed: 34174436
Curr Pain Headache Rep. 2009 Jun;13(3):185-90
pubmed: 19457278
Orthopedics. 2016 Mar-Apr;39(2):e209-14
pubmed: 26840699
Spine (Phila Pa 1976). 2012 Oct 15;37(22 Suppl):S133-43
pubmed: 22872221
Eur Spine J. 1999;8(5):396-401
pubmed: 10552323
J Spinal Disord Tech. 2003 Aug;16(4):418-23
pubmed: 12902959
Eur Spine J. 2018 May;27(5):1005-1012
pubmed: 29396765
Sci Rep. 2020 Sep 3;10(1):14635
pubmed: 32884010
J Korean Neurosurg Soc. 2011 Sep;50(3):201-4
pubmed: 22102949
Clin Biomech (Bristol, Avon). 2003 May;18(4):280-6
pubmed: 12689777
Spine J. 2017 Nov;17(11):1729-1748
pubmed: 28756299
Radiology. 1988 Jan;166(1 Pt 1):193-9
pubmed: 3336678
Radiology. 2001 May;219(2):368-74
pubmed: 11323459
BMC Musculoskelet Disord. 2018 Sep 27;19(1):351
pubmed: 30261870
Spine (Phila Pa 1976). 2004 Jul 15;29(14):1535-40
pubmed: 15247575
BMC Med. 2007 Jan 25;5:2
pubmed: 17254322
PLoS One. 2013 Jul 02;8(7):e68273
pubmed: 23844179
Spine (Phila Pa 1976). 2021 Dec 15;46(24):E1311-E1319
pubmed: 33958539
BMC Musculoskelet Disord. 2021 Dec 20;22(1):1049
pubmed: 34930199
Clin Radiol. 2000 Feb;55(2):145-9
pubmed: 10657162
Biomed Res Int. 2017;2017:2562957
pubmed: 28409152
Spine (Phila Pa 1976). 1989 Jan;14(1):33-6
pubmed: 2913665
Am J Sports Med. 2012 Aug;40(8):1728-34
pubmed: 22753846
Eur Spine J. 2016 May;25(5):1522-1532
pubmed: 26968875
BMC Surg. 2020 Jan 17;20(1):15
pubmed: 31952499