Biomechanical changes in cervical spine sequencing after rigid lumbar stabilization

Başak, Ahmet Tulgar; Özbek, Muhammet Arif; Özer, Ali Fahir

Biomechanical changes in cervical spine sequencing after rigid lumbar stabilization

dc.authorid	0000-0002-1847-2562
dc.contributor.author	Başak, Ahmet Tulgar
dc.contributor.author	Özbek, Muhammet Arif
dc.contributor.author	Özer, Ali Fahir
dc.date.accessioned	2022-10-13T12:29:39Z
dc.date.available	2022-10-13T12:29:39Z
dc.date.issued	2022
dc.department	İstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstract	Objective: Surgical stabilization of the thoraco-lumbar spine can induce biomechanical changes in other spinal regions, potentially influencing postoperative outcome. This study detected biomechanical changes in cervical spine sequencing and identify preoperative parameters associated with these changes following rigid stabilization surgery for degenerative lumbar spinal disease. Materials and Methods: Twenty patients (10 males and 10 females, mean age 64.6 years) with lumbar degeneration receiving rigid stabilization (polyaxial screws and titanium rods) were included in the study. Preoperative and postoperative anterioposterior and sagittal scoliosis x-rays were retrospectively evaluated by an independent researcher using SurgimapR (Nemaris Inc., USA). Preoperative and postoperative cervical spine parameters were compared using Wilcoxon test. A p<0.05 was considered statistically significant for all tests. Results: Among the 20 patients enrolled, 4 each were treated for degenerative disc disease, 5 had spinal stenosis, and 3 had spondylolisthesis, while 5 were treated for the previously operated spinal instability and 3 for spondylolysis. The highest instrumentation level was L1 and the lowest was L5. Radiological measurements were obtained by calibrating Surgimap for each patient using standard techniques. The T1 slope angle was significantly reduced post-surgery (p<0.05), and the magnitude of this reduction was enhanced by greater improvement in the lumbar long segment angle after rigid stabilization (p<0.05). Conclusion: Rigid stabilization for degenerative lumbar spine disease can also affect sagittal balance and alter biomechanical loads in postoperative cervical spine sequencing.
dc.identifier.citation	Başak, A. T., Özbek, M. A. ve Özer, A. F. (2022). Biomechanical changes in cervical spine sequencing after rigid lumbar stabilization. Journal of Turkish Spinal Surgery, 33(3), 108-112. https://doi.org/10.4274/jtss.galenos.2022.91885
dc.identifier.doi	10.4274/jtss.galenos.2022.91885
dc.identifier.endpage	112
dc.identifier.issn	2147-5903
dc.identifier.issue	3
dc.identifier.scopus	2-s2.0-85160275534
dc.identifier.scopusquality	N/A
dc.identifier.startpage	108
dc.identifier.trdizinid	536068
dc.identifier.uri	https://doi.org/10.4274/jtss.galenos.2022.91885
dc.identifier.uri	https://hdl.handle.net/20.500.12511/9837
dc.identifier.volume	33
dc.indekslendigikaynak	Scopus
dc.indekslendigikaynak	TR-Dizin
dc.institutionauthor	Özbek, Muhammet Arif
dc.language.iso	en
dc.publisher	Galenos Publishing House
dc.relation.ispartof	Journal of Turkish Spinal Surgery	en_US
dc.relation.publicationcategory	Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	Rigid Stabilization
dc.subject	Sagittal Balancing
dc.subject	Cervical Spine
dc.subject	SurgimapR
dc.title	Biomechanical changes in cervical spine sequencing after rigid lumbar stabilization
dc.type	Article