| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-12-01 |
| タイトル |
|
|
タイトル |
The Incidence of Iliac Screw-Related Complications After Long Fusion Surgery in Patients with Adult Spinal Deformity |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
adult spinal deformity |
| キーワード |
|
|
主題 |
complication |
| キーワード |
|
|
主題 |
surgery |
| キーワード |
|
|
主題 |
sagittal alignment |
| キーワード |
|
|
主題 |
iliac screw |
| キーワード |
|
|
主題 |
loosening |
| キーワード |
|
|
主題 |
rod breakage |
| キーワード |
|
|
主題 |
incidence rate |
| キーワード |
|
|
主題 |
osteotomy |
| キーワード |
|
|
主題 |
pelvic tilt |
| キーワード |
|
|
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
Hasegawa, Tomohiko
Yamato, Yu
Yoshida, Go
Arima, Hideyuki
Oe, Shin
Mihara, Yuki
Ide, Koichiro
Watanabe, Yuh
Kurosu, Kenta
Nakai, Keiichi
Matsuyama, Yukihiro
|
| 書誌情報 |
Spine
巻 47,
号 7,
p. 539-547,
発行日 2022-04-01
|
| 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. |
| 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. |
| 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 |
Spine-47-539.pdf (1.1 MB)
