2010, Number S1
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Rev Hosp Jua Mex 2010; 77 (S1)
Tratamiento de la inestabilidad lumbosacra de L5-S1 secundario a enfermedad discal con espaciador interespinoso tipo Lixus LS OXPEKK-IG
González HFJ, de la Torre GDM, Ortiz RF, Guerrero BL, Padrón SN, López SJM, Aguilar AMA
Language: Spanish
References: 30
Page: 5-13
PDF size: 296.54 Kb.
ABSTRACT
Introduction. The knowledge of the biomechanics of the lumbosacral spine allows us to understand the origin of this level disc disease and its natural evolution, which finally ended in instability in the lumbosacral turning point with the subsequent development of neurological symptoms and structural being the surgical management of this disease a challenge but the new management tools provides individualized therapeutic implants, minimally invasive and reversible, with wide margin of safety for the patient and the surgeon.
Objective. To evaluate the evolution of patients diagnosed with instability secondary lumbosacral L5-S1 disc disease treated surgically with the interspinous spacer Lixus LS OXPEKK-IG type.
Methods. Between 2007 and 2008 underwent surgery for 10 patients, 6 men and 4 women between 24 and 36 years with and without radiculopathy at L5-S1.
Results. The use of the implant Lixus LS OXPEK-IG shows good clinical outcomes, low complication rate, with high clinical impact.
Conclusions. The spacer Lixus LS OXPEKK-IG as surgical treatment of spinal instability secondary to disc disease L5-S1es an alternative technically easy, reversible, minimally invasive, which offers a better quality of life for patients so treated.
REFERENCES
Fardon DF, Garfio SR. OKU Actualizaciones en Cirugía Ortopédica y Traumatológica. Columna 2.
Campbell. Cirugía Ortopédica. 10a. Ed. España: El Servier.
Bono C, Vaccaro AR. Interspinus Process Device in the Lumbar Spine. Journal of Spine Disordes & Techniques 2007; 20(3): 255-61.
Kapandji AI. Fisiología Articular. Tomo 2. 5a. Ed. Maloine: Panamericana.
Postaccini F. Management of Lumbar spinal Stenosis. J Bone Joint Surg 1996; 78: 154-64.
Catz JN, Dalgas M, Stucki G, Lipson SJ. Diagnosis of Lumbar Spinal Stenosis. Rheum Dis North Am 1994; 20: 471-83.
Acaroglu ER, Iatridis JC, Setton LA, et al. Degeneration and Aging Affect The Tencile Behavior Of Human Lumbar Annulus Fibrosus. Spine 1995; 20: 2690-701.
Kent DL, Hainor DR, Larson EV, Deyo RA. Diagnosis of Lumbar Spinal Stenosis in Adults: A Metha-Analysis Of The accuracy Of CT MR and Myeolography. AJR Am J Roentgenol 1992; 158: 1135-44.
Schlegel JD, Smith JA, Schleusener RL. Lumbar Motion Segment Pathology Adjacent Thoracolumbar, Lumbar and lumbosacral Fusions. Spine 1996; 21: 970-81.
Bernick S, Walker JM, Paule WJ. Age Changes to the annulus Fibrosus in Human Intervertebral Discs. Spine 1991; 16: 520-4.
Schiavone AM, Pasquuale G. The use of disc assistance Prostheses in degenerative lumbar pathology: Indications, technique and results. Ital J Spinal Disord 2003; 3: 213-20.
Etebar S, Cahill DW. Risk factors for adjacent-segment failure following lumbar fixation with rigid instrumentation for degenerative instability. J Neurosurg Spine 1999; 90: 163-9.
Caserta S, Misaggi B, Peroni D, et al. Elastic stabilization combined with rigid fusion: a prevention of pathology of the border area. Proceedings of the 24th National Congress of the Italian Spine Society. Eur Spine J 2001; 10: 252-62.
Christie SD, Song JK, Fessler RG. Dynamic Interspinous Process Technology. Spine 2005; 30 (16 Suppl.): S73-8.
Senegas J, Bernard P. Mechanical supplementation by dynamic fixation in degenerative intervertebral lumbar segments. The Wallis System. Journal of Bone & Joint Surgery British 2003; 85-B(Suppl. III): 286.
Schmoelz W, Huber JF, Nydegger T, et al. Dynamic Stabilization of the lumbar spine and its effects on adjacent segments. J Spinal Disord Tech 2003; 16: 418-23.
Markwalder TM, Wenger M. Dynamic stabilization of lumbar motion segments by use of Graf’s ligaments: results with an average follow-up of7.4 years in 39 highly selected, consecutive patients. Acta Neurochir 2003; 145: 209-14.
Swanson KE, Lindsey DP, Hsu KY, et al. The Effects of an Interspinous implant on intervertebral disc pressures. Spine 2003; 28: 2632.
Mulholland RC, Sengupta DK. Rationale, principles and experimental evaluation of the concept of soft stabilization. Eur Spine J 2002; 11 (Suppl. 2): 198-205.
Panjabi MM, Oxland TR, Yamamoto I, Crisco JJ. Mechanical behavior of the human lumbar and lumbosacral spine as shown by three-dimensional load-displacement curves. J Bone join Surg [AM] 1994; 76A: 413-24.
Kummar MN, Jacquot F, Hall H. Long-Term Follow-up of functional outcomes and radiographic changes at adjacent levels following lumbar spine fusion for degenerative disc disease. Eur Spine J 2001; 10: 309-13.
Pitkänen M, Manninen H. Sidebending versus flexionextension radiographs in lumbar spinal instability. Clin Radiol 1994; 49: 109-14.
Adams MA, Dolan P. A technique for quantifying the bending moment acting on the lumbar spine in vivo. J Biomech 1991; 24: 117-26.
Shirazi-Adl A. Strain in Fibers of a lumbar disc: Analysis of the role of lifting in producing disc collapse. Spine 1989; 14: 96-103.
Fairbank JCT, Mboat JC, Davies JBD, O’Brien JP, the Oswestry Low back pain disability questionnaire. Physiotherapy 1980; 66: 271-3.
Sengupta DK. Dynamic stabilization devices in the treatment of low back pain. Orthop Clin North Am 2004; 35: 43-56.
Enker P, Steffe AD. Interbody fusion and instrumentation. Clin Orthop 1994; 300: 90-101.
Turner JA, Ersek M, Herron L, Deyo R. Surgery for lumbar spinal Stenosis. Attempted meta-analysis of the literature. Spine 1992; 17: 1-7.
Butler D, Trafimow JH, Anderson GB, et al. Discs degenerate before facets. Spine 1990 15: 111-3.
Herron LD, Mangelsdorf C. Lumbar spinal stenosis: Results of surgical treatment. J Spinal Disord 1991; 4: 26-33.