Degenerative facet joint changes in lumbar percutaneous pedicle screw fixation without fusion

Luca Proietti, Francesco Ciro Tamburrelli, Sergio Sessa, Giuliano Giorgio Cerulli, L. Scaramuzzo

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

14 Citazioni (Scopus)

Abstract

Background Aim of the study was to evaluate degenerative lumbar facet-joints changes after percutaneous pedicle screw fixation (PPSF) in the treatment of lumbar fractures. Materials and methods Thirty patients underwent short PPSF without fusion. CT-scan was performed in the pre- and post-operative time at four, eight and 12 months. The six zygapophyseal joints adjacent the fracture's level were evaluated. Results At four months patients showed no differences between pre- and post-operative joint radiographic aspect. At eight and 12 months, CT-scan demonstrated a progressive degeneration only in the middle joints respectively in 21.42% and in 76.92% of the cases. All 10 disrupted facet joints showed progressive degenerative changes at eight and 12 months. Conclusion Lumbar percutaneous fixation without fusion induces little degenerations essentially collocated in the middle joints close to fracture level at eight and 12 months. In the proximal and distal joints adjacent the screws degenerative changes can be seen only when associated to pedicle-screw encroachment. Level of evidence Level IV retrospective study.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaORTHOPAEDICS & TRAUMATOLOGY: SURGERY & RESEARCH
Volume2015
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • Degenerative change
  • Lumbar spine
  • Percutaneous fixation
  • Zygapophyseal joints

Fingerprint

Entra nei temi di ricerca di 'Degenerative facet joint changes in lumbar percutaneous pedicle screw fixation without fusion'. Insieme formano una fingerprint unica.

Cita questo