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The Incidence of Iliac Screw-Related Complications After Long Fusion Surgery in Patients with Adult Spinal Deformity
http://hdl.handle.net/10271/00004221
http://hdl.handle.net/10271/00004221186068ad-1be1-4eb7-b090-9db68e93056b
名前 / ファイル | ライセンス | アクション |
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Spine-47-539.pdf (1.1 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-12-01 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | The Incidence of Iliac Screw-Related Complications After Long Fusion Surgery in Patients with Adult Spinal Deformity | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | adult spinal deformity | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | complication | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | surgery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | sagittal alignment | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | iliac screw | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | loosening | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | rod breakage | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | incidence rate | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | osteotomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | pelvic tilt | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | interbody fusion | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Banno, Tomohiro
× Banno, Tomohiro× Hasegawa, Tomohiko× Yamato, Yu× Yoshida, Go× Arima, Hideyuki× Oe, Shin× Mihara, Yuki× Ide, Koichiro× Watanabe, Yuh× Kurosu, Kenta× Nakai, Keiichi× Matsuyama, Yukihiro |
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書誌情報 |
Spine 巻 47, 号 7, p. 539-547, 発行日 2022-04-01 |
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出版者 | ||||||
出版者 | Wolters Kluwer Health | |||||
権利 | ||||||
権利情報 | "This is a non-final version of an article published in final form in ""Spine; 47(7): p539-547, 2022""." | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Study Design: Retrospective study. Objective: To investigate the long-term clinical outcome and incidence of iliac screw-related complications in patients with adult spinal deformity (ASD). Summary of Background Data: Rigid lumbosacral fixation is crucial to achieve optimal global alignment and successful long-term clinical outcomes. Methods: The data of eligible patients with ASD who underwent spinopelvic fixation using bilateral iliac screws with at least 5-year follow-up periods were retrospectively analyzed. Iliac screw loosening and rod breakage between the S1 and iliac (S1/IL) screws were defined as distal instability (DI). Demographic data, health-related quality of life scores, and spinopelvic parameters in the DI group were compared with those in the non-DI group. Sub-group analyses were performed between the cases with and without alignment change after rod fracture at S1/IL. Results: Of the 159 patients, the data of 110 patients (15 men, 95 women; mean age, 67.8 years) were analyzed. The follow-up rate was 69%. Forty-five (41%) patients showed DI (29 cases [26%] in screw loosening, 16 cases [15%] in rod breakage). Eight patients (7.3%) required revision surgery because of iliac screw-related complications. No significant differences were observed in the Oswestry Disability Index and Scoliosis Research Society questionnaire (revised) scores between the DI and non-DI groups. The patients with iliac screw loosening showed significantly greater values of preoperative pelvic incidence, pelvic tilt (PT) and postoperative PT, and T1-pelvic angle. In patients with rod breakage at S1/IL, five patients (31%) who had associated mechanical complications showed an alignment change between pre and post rod breakage. They showed significantly higher and lower rates of high-grade osteotomies and L5/S interbody fusion, respectively. Conclusion: The incidence rate of iliac screw-related complications was relatively high. However, they had a little effect on sagittal alignment deterioration and there were few cases that required revision surgery. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Mini abstract: Long fusion surgery with pelvic fixation using iliac screw resulted in higher incidence rates of iliac screw-related complications; however, the cases that required revision surgery were limited (7.3%). Iliac screw loosening and rod breakage at S1/IL had little effect on sagittal alignment deterioration. |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0362-2436 | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1528-1159 | |||||
NII書誌ID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA0084801X | |||||
PubMed番号 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | PMID | |||||
関連識別子 | 34798648 | |||||
出版社DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1097/BRS.0000000000004276 | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa |