Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases

Abstract Background Bending rod is a routine in lumbar fusion and fixation surgery, but there is no study investigating whether bending rod in one level is necessary. Methods Patients receiving 1 level lumbar fixation and fusion between May 2018 and September 2020 were included with a minimum 6-mont...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Xiao Han, Xin Chen, Kuan Li, Zheng Li, Shugang Li
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Orthopedic surgical procedures Single level Fusion Fixation Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c5b0d73e38ca4fe6952c48d0ff93ba01
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c5b0d73e38ca4fe6952c48d0ff93ba01
record_format	dspace
spelling	oai:doaj.org-article:c5b0d73e38ca4fe6952c48d0ff93ba012021-11-07T12:09:54ZBending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases10.1186/s12893-021-01386-x1471-2482https://doaj.org/article/c5b0d73e38ca4fe6952c48d0ff93ba012021-11-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01386-xhttps://doaj.org/toc/1471-2482Abstract Background Bending rod is a routine in lumbar fusion and fixation surgery, but there is no study investigating whether bending rod in one level is necessary. Methods Patients receiving 1 level lumbar fixation and fusion between May 2018 and September 2020 were included with a minimum 6-month follow-up. The routine of bending rod was omitted during fixation. Preoperative and postoperative radiological parameters were compared. Results There were 67 patients included in the study. Segment lordosis angle increased obviously from 10° (1–39°) to 14° (2–30°) immediately after operation (p = 0.000). T5-T12 increased from 22.97 ± 12.31° to 25.52 ± 11.83° by the 3rd months after surgery (p = 0.011). SS decreased from 35.45 ± 10.47 to 32.19 ± 11.37 in 6-month follow-up (p = 0.038), and PI dropped from 56.97 ± 14.24 to 53.19 ± 12.84 (p = 0.016). ROM of SLA decreased from 4.13 ± 3.14° to 1.93 ± 1.87° at that time point (p = 0.028). Those changes were not seen at 12-month follow-up. No evidence of adjacent vertebral disc degeneration was observed at any time point. Conclusions No sagittal imbalance, dynamic instability or adjacent vertebral degeneration was observed by the 12th month after single-segment posterior lumbar fusion with the use of unbent rods. Bending rod could be omitted in 1-level lumbar fusion to simplify the procedure and reduce operating time.Xiao HanXin ChenKuan LiZheng LiShugang LiBMCarticleOrthopedic surgical proceduresSingle levelFusionFixationSurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgical procedures Single level Fusion Fixation Surgery RD1-811
spellingShingle	Orthopedic surgical procedures Single level Fusion Fixation Surgery RD1-811 Xiao Han Xin Chen Kuan Li Zheng Li Shugang Li Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases
description	Abstract Background Bending rod is a routine in lumbar fusion and fixation surgery, but there is no study investigating whether bending rod in one level is necessary. Methods Patients receiving 1 level lumbar fixation and fusion between May 2018 and September 2020 were included with a minimum 6-month follow-up. The routine of bending rod was omitted during fixation. Preoperative and postoperative radiological parameters were compared. Results There were 67 patients included in the study. Segment lordosis angle increased obviously from 10° (1–39°) to 14° (2–30°) immediately after operation (p = 0.000). T5-T12 increased from 22.97 ± 12.31° to 25.52 ± 11.83° by the 3rd months after surgery (p = 0.011). SS decreased from 35.45 ± 10.47 to 32.19 ± 11.37 in 6-month follow-up (p = 0.038), and PI dropped from 56.97 ± 14.24 to 53.19 ± 12.84 (p = 0.016). ROM of SLA decreased from 4.13 ± 3.14° to 1.93 ± 1.87° at that time point (p = 0.028). Those changes were not seen at 12-month follow-up. No evidence of adjacent vertebral disc degeneration was observed at any time point. Conclusions No sagittal imbalance, dynamic instability or adjacent vertebral degeneration was observed by the 12th month after single-segment posterior lumbar fusion with the use of unbent rods. Bending rod could be omitted in 1-level lumbar fusion to simplify the procedure and reduce operating time.
format	article
author	Xiao Han Xin Chen Kuan Li Zheng Li Shugang Li
author_facet	Xiao Han Xin Chen Kuan Li Zheng Li Shugang Li
author_sort	Xiao Han
title	Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases
title_short	Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases
title_full	Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases
title_fullStr	Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases
title_full_unstemmed	Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases
title_sort	bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c5b0d73e38ca4fe6952c48d0ff93ba01
work_keys_str_mv	AT xiaohan bendingrodisunnecessaryinsinglelevelposteriorinternalfixationandfusionintreatmentoflumbardegenerativediseases AT xinchen bendingrodisunnecessaryinsinglelevelposteriorinternalfixationandfusionintreatmentoflumbardegenerativediseases AT kuanli bendingrodisunnecessaryinsinglelevelposteriorinternalfixationandfusionintreatmentoflumbardegenerativediseases AT zhengli bendingrodisunnecessaryinsinglelevelposteriorinternalfixationandfusionintreatmentoflumbardegenerativediseases AT shugangli bendingrodisunnecessaryinsinglelevelposteriorinternalfixationandfusionintreatmentoflumbardegenerativediseases
_version_	1718443514765770752

Bending rod is unnecessary in single-level posterior internal fixation and fusion in treatment of lumbar degenerative diseases

Ejemplares similares