Abstract:
BACKGROUND:Polyetheretherketone (PEEK) rod system is a novel pedicle-based dynamic stabilization system. This study evaluated clinical and radiographic outcomes of non-fusion surgery by PEEK rod systems for treatment of degenerative lumbar diseases with a 2-year follow-up. METHODS:From February 2012 to October 2012, 38 patients who underwent non-fusion surgery using PEEK rod systems were included in the study. Data on Oswestry Disability Index (ODI) score and Japanese Orthopaedics Association (JOA) score were collected and radiographs were obtained to evaluate disc height index (DHI) and range of motion (ROM) at each interval. RESULTS:Both JOA and ODI scores significantly improved postoperatively. DHI showed a slight increase immediately after the surgery but gradually dropped below preoperative levels. Mean ROM values changed from 8.8° preoperatively to 1.8° at the 2-year follow-up point. Screw loosening occurred in one case at the 2-year follow-up. CONCLUSIONS:The preliminary results indicated a significant improvement in clinical outcomes and advantageous implant safety. The non-fusion procedure using PEEK rod systems might be a viable alternative for treatment of lumbar degenerative diseases. The distraction technique needs to be improved for better postoperative DHI.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Huang W,Chang Z,Song R,Zhou K,Yu Xdoi
10.1186/s12891-016-0913-2subject
Has Abstractpub_date
2016-02-01 00:00:00pages
53issn
1471-2474pii
10.1186/s12891-016-0913-2journal_volume
17pub_type
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pub_type: 杂志文章
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