LONG-TERM OUTCOMES OF MOTION-PRESERVING TECHNIQUES IN DEGENERATIVE SPINE SURGERY.
Main Article Content
Keywords
Motion-preservation, spine surgery, artificial disc, outcomes
Abstract
Background
Degenarative spine conditions are severe and produce large effects on the problems of patients and their quality of life. Further, there are motion preserving strategies which include artificial disc replacement as a method of spinal surgery which does not involve spinal fusion. However, the study has limitations such as the assessment of long term outcomes of disabling pain, functionality and adjacent segment disease have not been done on a larger population to conclusively support the use of motion preservation over fusion.
Objectives
To assess the effectiveness of motion-preserving techniques for posterior spine surgery with special reference to pain relief, restoration of the functionality of the spine, and prevention of more surgeries due to adjacent segment disease in degenerative spine pathology.
Study Desgin : A retrospective Study.
Durtion and place and study. Department of orthopedic hmc Peshawar from jan 2021 to jan 2022
Methods
The present study was a retrospective cohort analysis of 150 patients with ND who had received motion-preserving treatment options, particularly ADR. Patient outcomes were evaluated after 10 years using a reliable form of assessment like the ODI and VAS. Mean and SD for functional scores and for the incidence of adjacent segment disease were computed and compared with spinal fusion patients using t-test and p-values.
Results
Of 150 patient, 90 underwent ADR while 60 of them underwent fusion. The ADR group showed a significant improvement in ODI scores (mean: 22.1 ± 5.8, p < 0.01) and significantly greater than fusion (mean: 28.4 ± 6.3. There was also a trend towards a lower incidence of adjacent segment disease in the ADR group (15% vs 28%, p = 0.02). VAS scores improved similarly in both groups (ADR: 3.4 ± 1.2, fusion: 3.6 ± 1.5, p = 0.34).
Conclusion
Illustrated by ADR, motion-preserving treatments result from high long-term health advantages in painless performance and minimal ASD occurrence in comparison to fusion procedures. These outcomes provide evidence for using them as an efficient treatment for degenerative spine disorders.
References
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Akbar Ali
Assistant Prof orthopedic Qazi Hussain Ahmad medical complex nowshera.
Abdul Satar
Associate Prof ortho spine HMC hospital Peshawar
Samir Kabir
Assistant Prof orthopedic and spine HMC hospital Peshawar
Muhammad Zahid Khan
Assistant Prof orthopedic and spine HMC hospital Peshawar
Muhammad Arif Khan
Prof orthopedic and Spine HMC hospital Peshawar
Waqar Khan
Assistant Prof orthopedic and spine HMC Peshawar