Impaired bone mineral density as a predictor of graft subsidence following minimally invasive transpsoas lateral lumbar interbody fusion
| العنوان: | Impaired bone mineral density as a predictor of graft subsidence following minimally invasive transpsoas lateral lumbar interbody fusion |
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| المؤلفون: | David O. Okonkwo, Zachary J. Tempel, Gurpreet S. Gandhoke, Adam S. Kanter |
| المصدر: | European Spine Journal. 24:414-419 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Adult, Graft Rejection, Male, medicine.medical_specialty, Bone density, Arthrodesis, medicine.medical_treatment, Osteoporosis, Lumbar vertebrae, Standard score, Absorptiometry, Photon, Bone Density, medicine, Humans, Minimally Invasive Surgical Procedures, Orthopedics and Sports Medicine, Aged, Retrospective Studies, Femoral neck, Aged, 80 and over, Bone Transplantation, Lumbar Vertebrae, business.industry, Middle Aged, medicine.disease, Orthopedic Fixation Devices, Surgery, Osteopenia, Bone Diseases, Metabolic, Spinal Fusion, Treatment Outcome, medicine.anatomical_structure, Spinal fusion, Female, business |
| الوصف: | The LLIF procedure is a useful stand-alone and adjunct surgical approach for many spinal conditions. One complication of LLIF is subsidence of the interbody graft into the vertebral bodies, resulting in severe pain, impaired arthrodesis and potentially fracture of the body. Low bone density, as measured by T score on DEXA scanning, has also been postulated to increase the risk of subsidence. A retrospective review of prospectively collected data was performed on all patients who underwent LLIF at this institution consisting of 712 levels in 335 patients. Patients with subsidence following LLIF were recorded. We utilized the T score obtained from the femoral neck DEXA scans, which is used to determine overall fracture risk. The T score of patients with subsidence was compared to those without subsidence. 20 of 57 (35 %) patients without subsidence had a DEXA T score between −1.0 and −2.4 consistent osteopenia, one patient (1.8 %) exhibited a T score less than −2.5, consistent with osteoporosis. 13 patients of 23 (57 %) with subsidence exhibited a T score between −1.0 and −2.4, consistent with osteopenia, five (22 %) exhibited a T score of −2.5 or less, consistent with osteoporosis. The mean DEXA T score in patients with subsidence was −1.65 (SD 1.04) compared to −0.45 (SD 0.97) in patients without subsidence (p |
| تدمد: | 1432-0932 0940-6719 |
| DOI: | 10.1007/s00586-015-3844-y |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5de52f19be23ec11d00fd4aa50ee5b4e https://doi.org/10.1007/s00586-015-3844-y |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....5de52f19be23ec11d00fd4aa50ee5b4e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14320932 09406719 |
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| DOI: | 10.1007/s00586-015-3844-y |