Adjacent Segment Disease after the Fractured Lumbar Vertebrae Fusion

Ghaffar Shokouhi, Ali Meshkini, Parviz Samad Motlagh, Mohammadhosein Daghighi, Masoud Pourisa, Moslem Shakeri, Mohammad Asghari, Firooz Salehpoor, Javad Aghazade, Farhad Mirzaii, Mohsen Patakchi Moghaddam, Atta Mahdkhah, Kamkar Aeinfar, Hozan Mohammadi

Abstract


Objective: Lumbar spine fracture is one of the most common disorders in neurosurgery departments of all around the world due to high rates of trauma from car accidents and falling. About 150,000 cases of spinal fractures are reported in the United States each year, among which 11,000 are associated with Spinal Cord Injury (SCI).

Material and Methods: 50 trauma patients aged between 18 to 50 years old who suffered from lumbar vertebral fracture L1-L4 (lumbosacral) were divided into two 25 patients groups; the first group underwent Short Segment Fusion (SSF) surgery and the others underwent Long Segment Fusion (LSF) surgery.

Results: Intervertebral space was 0.73±0.13 in LSF group and 0.68±0.10 in SSF group (p= 0.656), and also mean lower intervertebral space was 0.63±0.07 in LSF group and 0.67±0.08 in SSF group (p = 0.183), differences were not statistically significant between two groups.

Conclusion: None of the spine stabilization methods (LSF or SSF) were preferred to other one and both can be used according to the patients' condition.


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DOI: http://dx.doi.org/10.13183/jecns.v4i1.59

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