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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2013, Number 2

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Acta Ortop Mex 2013; 27 (2)

Lumbar herniated disks treated with a dynamic interspacer

Cueva-del Castillo MJF, Franco-López EA, Hinojosa-Sandoval F, de León-Martínez UA, Cueva-del Castillo MFJ

Language: Spanish
References: 18
Page: 87-91
PDF size: 73.44 Kb.


ABSTRACT

Lumbar herniated disks result in lumbar pain with neurologic involvement. Medical treatment and rehabilitation provide improvement for this type of lumbar pain at the early stages. When conservative treatment fails, the surgical option offers the possibility of improving patients’ health status. Moojen considers that the application of interspinous spacers provides good results. The purpose of this research is to assess the clinical and imaging results in patients with contained lumbar herniated disk treated with the DYNAMIC INTERSPACER® interspinous spacer, a Mexican product. Material and methods: The efficacy of the interspinous device was assessed by means of a near-investigational and longitudinal study conducted at «General Ignacio Zaragoza» ISSSTE Regional Hospital in patients with a diagnosis of lumbar pain. Results: The mean age of the sample is 46.1 years, with an age range of 26-55 years. The treated levels were 6 L5-S1 and 5 L4-L5; two levels were treated in two patients. The mean preoperative VAS score was 8.1. The mean VAS score at postoperative year three was 1.6. Conclusion: Multiple types and brands of foreign interspinous devices are applied in Mexico which results in patients’ clinical improvement. We proved that the use of the Mexican interspinous device can clinically improve patients with lumbar pain due to herniated disk. A decrease in the compression of the sac or the nerve roots by the hernia was observed in the comparative preoperative and postoperative MRI images.


REFERENCES

  1. Verhoof OJ, Bron JL, Wapstra FH, Van Royen BJ: High failure rate of the interspinous distraction device (X-Stop) for the treatment of lumbar spinal stenosis caused by degenerative spondylolisthesis. Eur Spine J 2008; 17:188-92.

  2. Brusee P, Hauth J, Donk D, Verbeek ALM, Bartels RHMA: Self-rated evaluation of outcome of the implantation of interspinous process distraction (X-Stop) for neurogenic claudication. Eur Spine J 2008; 17: 200-3.

  3. Schnake KJ, Putzier M, Haas NP, Kandziora F: Mechanical concepts for the disc regeneration. Eur Spine J 2006; 15: S354-60.

  4. Moojen WA, Arts MP, Brand R, Koes BW, Peul WC: The felix-trial double-blind randomization of interspinous implant or bony descompression for treatment of spinal stenosis related intermittent neurogenic claudication. BMC Musculoskelet Disord 2010; 11: 1-9.

  5. Lotz JC, Hsieh AH, Walsh AL, Palmer EI, Chin JR: Mechanobiology of the intervertebral disc. Biochem Soc Trans 2002; 30: 853-8.

  6. Hans-Joachin W, Drumm J, Haussler K, Mack C, Steudel WI, Kettler A. Biomechanical effect of different lumbar interspinous implants on fl exibility and intradiscal pressure. Eur Spine J 2008; 17: 1049-56.

  7. Crawford RJ, Price RI, Singer KP, Malone Q. Clinical outcomes following lumbar surgery augmented with DIAM interspinous implant: J Musculoskelet Res 2009; 12: 59-69.

  8. Richards JC, Majundar S, Lindsey D, Beaupré GS, Yerby SA: The treatment mechanism of an interspinous process implant for lumbar neurogenic intermittent claudication. Spine 2005; 30: 744-9.

  9. Tsai KJ, Murakami H, Lowery GL, Hutton WC: A biomechanical evaluation of an interspinous device (cofelx device) used to stabilize the lumbar spine. Paradigm spine jour 2006; 1: 1-4.

  10. Gunzburg R, Szpalski M, Callary SA, Colloca CJ, Kosmopoulos V, Harrison D, et al: Effect of a novel interspinous implant on lumbar spinal range of motion. Eur Spine J 2009; 18: 696-703.

  11. Ryu SJ, Kim IS: Interspinous implant with unilateral laminotomy for bilateral descompression of degenerative lumbar spinal stenosis in elderly patients. J Korean Neurosurg Soc 2010; 47: 338-46.

  12. Sobottke R, Schluter-Brust K, Kaulhausen T, Röllinghoff M, Joswig B, Stutzer H, et al: Interspinous implants (X Stop®, Wallis®, Diam®) for the treatment of LSS: is there a correlation between radiological parameters and clinical outcome? Eur Spine J 2009; 18: 1494-503.

  13. Cabraja M, Abbshi A, Woiciechowsky C, Kroppenstedt S: The short and mid-term effect of dynamic intersinous distraction in the treatment of recurrent lumbar facet joint pain. Eur Spine J 2009; 18: 1686-94.

  14. Kuchta J, Sobottke R, Eysel P, Simons P: Two-year results of interspinous spacer (X-Stop) implantation in 175 patients with neurologic intermittent claudication due to lumbar spinal stenosis. Eur Spine J 2009; 18: 823-9.

  15. Seong-Cheol P, Sang Hoon Yoon, Yong-Pyo Hong, Ki-Jeong K, Sang-Ki Chung, Hyun-Jib Kim: Minimum 2-year follow-up result of degenerative spinal stenosis treated with interspinous U (Cofl ex). J Korean Neurosurg Soc 2009; 46: 292-9.

  16. Qun Xia, Shaobai Wang, Passias P, Kozanek M, Gang Li, Grottkau BE, et al: In vivo range of motion of the lumbar spinous processes. Eur Spine J 2009; 18: 1355-62.

  17. Sénegas J, Vital JM, Pointillart V, Mangione P: Long-term actuarial survivorship analysis of an interspinous stabilization system. Eur Spine J 2007; 16: 1279-87.

  18. Crawford RJ, Price RI, Singer KP: Surgical treatment of lumbar segment disease with interspinous implant. J Musculoskelet Res 2009; 12: 153-67.




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