Adjacent Segment Disease after the Fractured Lumbar Vertebrae Fusion

  • Ghaffar Shokouhi Neuroscience Research Center, Tabriz University of Medical Sciences
  • Ali Meshkini Department of Neurosurgery, Tabriz University of Medical Sciences
  • Parviz Samad Motlagh Department of Neurosurgery, Tabriz University of Medical Sciences
  • Mohammadhosein Daghighi Department of Radiology, Tabriz University of Medical Sciences
  • Masoud Pourisa Department of Radiology, Tabriz University of Medical Sciences
  • Moslem Shakeri Department of Neurosurgery, Tabriz University of Medical Sciences
  • Mohammad Asghari Department of Neurosurgery, Tabriz University of Medical Sciences
  • Firooz Salehpoor Department of Neurosurgery, Tabriz University of Medical Sciences
  • Javad Aghazade Department of Neurosurgery, Tabriz University of Medical Sciences
  • Farhad Mirzaii Department of Neurosurgery, Tabriz University of Medical Sciences
  • Mohsen Patakchi Moghaddam Department of Neurosurgery, Tabriz University of Medical Sciences
  • Atta Mahdkhah Department of Neurosurgery, Tabriz University of Medical Sciences, Tabriz, Iran
  • Kamkar Aeinfar Department of Neurosurgery, Tabriz University of Medical Sciences
  • Hozan Mohammadi Department of Neurosurgery, Tabriz University of Medical Sciences

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.

Author Biography

Ghaffar Shokouhi, Neuroscience Research Center, Tabriz University of Medical Sciences
Published
2017-01-31
Section
Original Article