Fijación pedicular percutánea en pacientes con espondilolistesis degenerativa de la tercera edad con comorbilidades.
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Abstract
Objective: to evaluate the results of percutaneous transpedicular lumbar fixation in elderly patients (60 years or older) with degenerative spondylolisthesis.
Methods: in this study, we retrospectively analyzed a serie of 9 elderly patients with this pathology and operated using this technique in the Chilean Air Force clinical hospital (Hospital FACH) between 2012 and 2016.
Results: all patients had some comorbidity: in all of them there was a significant improvement in the pain measured with Visual analog scale and also in their disability, gauge with Oswestry scale. There were no mortality or serious complications. The average surgical time was 90 minutes, and the hospitalized stay was 4 days.
Conclusion: percutaneous lumbar fixation was shown to be safe and effective in this age group, which has a higher surgical risk than the general population and would benefit from a less invasive procedure.
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Degenerative spondylolisthesis; Percutaneous transpedicular fixation; Elderly; Comorbidity.
Marchetti PG, Bartolozzi P, Binazzi R, Vaccari V, Girolami M,Impallomeni C, Morici F, Bevoni R. Preoperative reduction of spondylolisthesis. Chir Organi Mov. 2002 Oct-Dec;87(4):203-15. English, Italian.
Weinstein JN, Lurie JD, Tosteson TD, Hanscom B, Tosteson AN, Blood EA, Birkmeyer NJ, Hilibrand AS, Herkowitz H, Cammisa FP, Albert TJ, Emery SE, Lenke LG, Abdu WA, Longley M, Errico TJ, Hu SS. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Engl J Med. 2007 May 31;356(22):2257-70. DOI: https://doi.org/10.1056/NEJMoa070302
Bydon M, Alvi MA, Goyal A. Degenerative Lumbar Spondylolisthesis: Definition, Natural History, Conservative Management,and Surgical Treatment. Neurosurg Clin N Am. 2019 Jul;30(3):299-304. DOI: https://doi.org/10.1016/j.nec.2019.02.003
Birkmeyer NJ, Weinstein JN, Tosteson AN, Tosteson TD, Skinner JS, Lurie JD, Deyo R, Wennberg JE. Design of the Spine Patient outcomes Research Trial (SPORT). Spine (Phila Pa 1976). 2002 Jun 15;27(12):1361-72. DOI: https://doi.org/10.1097/00007632-200206150-00020
Abdu, W. A., Sacks, O. A., Tosteson, A., Zhao, W., Tosteson, T. D., Morgan, T. S., Pearson, A., Weinstein, J. N., & Lurie, J. D. (2018). Long-Term Results of Surgery Compared With Nonoperative Treatment for Lumbar Degenerative Spondylolisthesis in the Spine Patient Outcomes Research Trial (SPORT). Spine, 43(23), 1619-1630. DOI: https://doi.org/10.1097/BRS.0000000000002682
Kim DY, Lee SH, Chung SK, Lee HY. Comparison of multifidus muscle atrophy and trunk extension muscle strength: percutaneous versus open pedicle screw fixation. Spine (Phila Pa 1976). 2005 Jan 1;30(1):123-9. DOI: https://doi.org/10.1097/01.brs.0000148999.21492.53
Bernard F, Mazerand E, Gallet C, Troude L, Fuentes S. History of degenerative spondylolisthesis: From anatomical description to surgical management. Neurochirurgie. 2019 Apr-Jun;65(2-3):75-82. DOI: https://doi.org/10.1016/j.neuchi.2019.03.006
Mobbs RJ, Sivabalan P, Li J, Wilson P, Rao PJ. Hybrid technique for posterior lumbar interbody fusion: a combination of open decompression and percutaneous pedicle screw fixation. Orthop Surg. 2013 May;5(2):135-41. DOI: https://doi.org/10.1111/os.12042
Foley KT, Gupta SK, Justis JR, Sherman MC. Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus. 2001 Apr 15;10(4):E10. doi: 10.3171/foc.2001.10.4.11. PMID: 16732626. DOI: https://doi.org/10.3171/foc.2001.10.4.11
Mummaneni PV, Bisson EF, Kerezoudis P, Glassman S, Foley K, Slotkin JR, Potts E, Shaffrey M, Shaffrey CI, Coric D, Knightly J, Park P, Fu KM, Devin CJ, Chotai S, Chan AK, Virk M, Asher AL, Bydon M. Minimally invasive versus open fusion for Grade I degenerative lumbar spondylolisthesis: analysis of the Quality Outcomes Database. Neurosurg Focus. 2017 Aug;43(2):E11. DOI: https://doi.org/10.3171/2017.5.FOCUS17188
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