Evaluation of Effect of Posterior Dynamic Stabilization IntraSPINE Systemon Sagittal Spinal Balance using EOS ® X-Ray Imaging System

Aim of this prospective study is to assess the effect of posterior dynamic stabilization IntraSPINE system on sagittal spinal balance, using EOS® X-Ray imaging system. Between March and December 2015, 8 patients affected by lumbar soft stenosis underwent indirect decompression of the lumbar canal by positioning of IntraSPINE® device. Sagittal balance was evaluated considering following parameters: C7 Plum Line (C7PL), Thoracic Kyphosis (TK), Lumbar Lordosis (LL), Pelvic Tilt (PT), Pelvic Index (PI) and Sacral Slope (SS). The EOS® 2D/3D system and corresponding sterEOS 3D software for surface 3D reconstruction has been used to calculate the above mentioned parameters. All patients had neurogenic claudication and low back pain for more than 6 months and resistant to drug treatment. They underwent clinical examination before surgery and 1 month after surgery. Statistical analyses were performed using Stata software. All results were considered significant if p<0.05. C7PL, TK, LL, PI and SS were not modified after surgery. PT increased after surgery. VAS, ODI and JOA significantly increased after surgery. The results show that the posterior dynamic stabilization offered by this device leads to a good symptoms control and does not seems to change the sagittal balance.

[1]  A. Carotenuto,et al.  Evaluation of Effect of Posterior Dynamic Stabilization IntraSPINE Systemon Sagittal Spinal Balance using EOS ® X-Ray Imaging System , 2017 .

[2]  F. Schwab,et al.  Sagittal alignment of the spine: What do you need to know? , 2015, Clinical Neurology and Neurosurgery.

[3]  G. Maislin,et al.  Therapeutic sustainability and durability of coflex interlaminar stabilization after decompression for lumbar spinal stenosis: a four year assessment , 2015, International Journal of Spine Surgery.

[4]  M. Alimi,et al.  Minimally invasive laminectomy for lumbar spinal stenosis in patients with and without preoperative spondylolisthesis: clinical outcome and reoperation rates. , 2015, Journal of neurosurgery. Spine.

[5]  Darwono A. Bambang.  Chapter-38 Novel Interlaminar Dynamic Stabilization Concept and Device (IntraSPINE) for the Treatment of Early and Late Degenerative Problems in the Lumbar Spine , 2015 .

[6]  B. Pan,et al.  Experience with the second-generation Wallis interspinous dynamic stabilization device implanted in degenerative lumbar disease: a case series of 50 patients. , 2014, Turkish neurosurgery.

[7]  Kai-Ming G. Fu,et al.  Change in Classification Grade by the SRS-Schwab Adult Spinal Deformity Classification Predicts Impact on Health-Related Quality of Life Measures: Prospective Analysis of Operative and Nonoperative Treatment , 2013, Spine.

[8]  Oheneba Boachie-Adjei,et al.  Radiographical Spinopelvic Parameters and Disability in the Setting of Adult Spinal Deformity: A Prospective Multicenter Analysis , 2013, Spine.

[9]  K. Ha,et al.  Posterior dynamic stabilization in the treatment of degenerative lumbar stenosis: validity of its rationale. , 2013, Journal of neurosurgery. Spine.

[10]  Steven Glassman,et al.  Impact of magnitude and percentage of global sagittal plane correction on health-related quality of life at 2-years follow-up. , 2012, Neurosurgery.

[11]  Z. Gokaslan,et al.  Implications of spinopelvic alignment for the spine surgeon. , 2012, Neurosurgery.

[12]  M. Sekiguchi,et al.  Effects of long-term corset wearing on chronic low back pain. , 2012, Fukushima journal of medical science.

[13]  Warren D. Yu,et al.  Change in Sagittal Balance With Placement of an Interspinous Spacer , 2011, Spine.

[14]  H. Guérini,et al.  Standardized way for imaging of the sagittal spinal balance , 2011, European Spine Journal.

[15]  F. Schwab,et al.  Adult Spinal Deformity—Postoperative Standing Imbalance: How Much Can You Tolerate? An Overview of Key Parameters in Assessing Alignment and Planning Corrective Surgery , 2010, Spine.

[16]  Constantin Schizas,et al.  Qualitative Grading of Severity of Lumbar Spinal Stenosis Based on the Morphology of the Dural Sac on Magnetic Resonance Images , 2010, Spine.

[17]  D. Sakas,et al.  Predictors of long-term outcome in an elderly group after laminectomy for lumbar stenosis. , 2010, Journal of neurosurgery. Spine.

[18]  P. Kramer,et al.  Vertebral Bodies or Discs: Which Contributes More to Human-like Lumbar Lordosis? , 2010, Clinical orthopaedics and related research.

[19]  Anna Tosteson,et al.  Surgical Versus Nonoperative Treatment for Lumbar Spinal Stenosis Four-Year Results of the Spine Patient Outcomes Research Trial , 2010, Spine.

[20]  Hubert Labelle,et al.  Diagnostic Imaging of Spinal Deformities: Reducing Patients Radiation Dose With a New Slot-Scanning X-ray Imager , 2010, Spine.

[21]  Jeffrey G Jarvik,et al.  Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. , 2010, JAMA.

[22]  Ashish Patel,et al.  Pelvic Tilt and Truncal Inclination: Two Key Radiographic Parameters in the Setting of Adults With Spinal Deformity , 2009, Spine.

[23]  K. Bridwell,et al.  Predicting Outcome and Complications in the Surgical Treatment of Adult Scoliosis , 2008, Spine.

[24]  Ulf-Dietrich Reips,et al.  Interval-level measurement with visual analogue scales in Internet-based research: VAS Generator , 2008, Behavior research methods.

[25]  R. Vialle,et al.  Lumbar disc degeneration below a long arthrodesis (performed for scoliosis in adults) to L4 or L5 , 2008, European Spine Journal.

[26]  J Dubousset,et al.  [EOS stereo-radiography system: whole-body simultaneous anteroposterior and lateral radiographs with very low radiation dose]. , 2007, Revue de chirurgie orthopedique et reparatrice de l'appareil moteur.

[27]  David S. Rosen,et al.  MINIMALLY INVASIVE LUMBAR SPINAL DECOMPRESSION IN THE ELDERLY: OUTCOMES OF 50 PATIENTS AGED 75 YEARS AND OLDER , 2007, Neurosurgery.

[28]  K. Bridwell.  Decision Making Regarding Smith-Petersen vs. Pedicle Subtraction Osteotomy vs. Vertebral Column Resection for Spinal Deformity , 2006, Spine.

[29]  H. Labelle,et al.  Sagittal alignment of the spine and pelvis in the presence of L5-s1 isthmic lysis and low-grade spondylolisthesis. , 2004, Spine.

[30]  C. Schmidt,et al.  A barycentremetric study of the sagittal shape of spine and pelvis: The conditions required for an economic standing position , 2006, Annals of Biomedical Engineering.

[31]  William Horton,et al.  The Impact of Positive Sagittal Balance in Adult Spinal Deformity , 2005, Spine.

[32]  William Horton,et al.  Correlation of Radiographic Parameters and Clinical Symptoms in Adult Scoliosis , 2005, Spine.

[33]  Wafa Skalli,et al.  Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. , 2005, The Journal of bone and joint surgery. American volume.

[34]  P. Roussouly,et al.  Classification of the Normal Variation in the Sagittal Alignment of the Human Lumbar Spine and Pelvis in the Standing Position , 2005, Spine.

[35]  W. Skalli,et al.  [A new 2D and 3D imaging approach to musculoskeletal physiology and pathology with low-dose radiation and the standing position: the EOS system]. , 2005, Bulletin de l'Academie nationale de medecine.

[36]  Hendrik Witt,et al.  Preface , 2004, Molecular and Cellular Endocrinology.

[37]  Hubert Labelle,et al.  Sagittal Alignment of the Spine and Pelvis During Growth , 2004, Spine.

[38]  S. Yerby,et al.  The Effects of an Interspinous Implant on the Kinematics of the Instrumented and Adjacent Levels in the Lumbar Spine , 2003, Spine.

[39]  F. Schwab,et al.  Adult Scoliosis: A Quantitative Radiographic and Clinical Analysis , 2002, Spine.

[40]  P. Pynsent,et al.  The Oswestry Disability Index. , 2000, Spine.

[41]  塩津 達也.  腰痛患者における脊柱 Sagittal alignment の検討 , 2000 .

[42]  S. Hansen,et al.  Sagittal alignment in lumbosacral fusion: relations between radiological parameters and pain , 2000, European spine journal.

[43]  J. Hecquet,et al.  Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves , 1998, European Spine Journal.

[44]  C. Chung.  Surgery for lumbar spinal stenosis. , 1995, Journal of neurosurgery.

[45]  R. Jackson,et al.  Radiographic Analysis of Sagittal Plane Alignment and Balance in Standing Volunteers and Patients with Low Back Pain Matched for Age, Sex, and Size: A Prospective Controlled Clinical Study , 1994, Spine.

[46]  R. Deyo,et al.  Surgery for Lumbar Spinal Stenosis: Attempted Meta‐Analysis of the Literature , 1992, Spine.