Complications of 2-level dynamic stabilization: A correlative clinical and radiological analysis at two-year follow-up on 103 patients

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dc.authorid0000-0002-5700-3515
dc.contributor.authorÇıplak, Necati Mert
dc.contributor.authorSüzer, Tuncer
dc.contributor.authorŞentürk, Salim
dc.contributor.authorYaman, Onur
dc.contributor.authorSasani, Mehdi
dc.contributor.authorÖktenoğlu, Tunç
dc.contributor.authorYılmaz, Atilla
dc.contributor.authorErbulut, Deniz Ufuk
dc.contributor.authorÖzer, Ali Fahir
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:04:11Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:04:11Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Mühendislik ve Doğa Bilimleri Fakültesi, Biyomedikal Mühendisliği Bölümü
dc.descriptionWOS: 000443444000010
dc.descriptionPubMed ID: 30192368
dc.description.abstractAIM: To investigate the postoperative complications, such as screw loosening, screw breakage and adjacent segment disease (ASD), in patients who underwent surgery with 2-level dynamic stabilization systems. MATERIAL and METHODS: Postoperative complications, clinical improvements and radiological parameters in patients who underwent surgery using a dynamic system for 2-level lumbar stabilization were retrospectively reviewed. A total of 103 patients with lumbar degenerative spinal instability underwent 2-level dynamic stabilization. Clinical findings were reviewed at 2-year follow-up. Screw breakage and loosening were evaluated during this duration together with clinical findings. RESULTS: Visual analog scale (VAS) and Oswestry Disability Index (ODI) scores were significantly decreased at the four-month evaluation, and they were also decreased at the 1-year follow up and at the 24th postoperative month. ASD was diagnosed in twelve (8 females, 4 males) of the 103 patients in the follow-up radiological and clinical controls. There were 9 screw breakages and 4 screw loosening cases. The complication rate of 2-level dynamic stabilization was high in this study. CONCLUSION: Our results showed that complications (screw loosening or breakage and adjacent segment disease) are not rare after 2-level dynamic stabilization, unlike the acceptable results with the single-level dynamic system. The most probable explanation is that the instrument system behaves more rigidly with every additional segment.
dc.identifier.citationÇıplak, N. M., Süzer, T., Şentürk, S., Yaman, O., Sasani, M., Öktenoğlu, T. ... Özer, A. F. (2018). Complications of 2-level dynamic stabilization: A correlative clinical and radiological analysis at two-year follow-up on 103 patients. Turkish Neurosurgery, 28(5), 756-762. https://dx.doi.org/10.5137/1019-5149.JTN.21036-17.1
dc.identifier.doi10.5137/1019-5149.JTN.21036-17.1
dc.identifier.endpage762
dc.identifier.issn1019-5149
dc.identifier.issue5
dc.identifier.scopusqualityQ3
dc.identifier.startpage756
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.21036-17.1
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4010
dc.identifier.volume28
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Neurosurgical Society
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDynamic Rod
dc.subjectDynamic Stabilization
dc.subjectDynamic System
dc.subjectHinged Screw
dc.subjectLumbar Degenerative Disease
dc.titleComplications of 2-level dynamic stabilization: A correlative clinical and radiological analysis at two-year follow-up on 103 patients
dc.typeArticle

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