Complications of 2-Level Dynamic Stabilization: A Correlative Clinical and Radiological Analysis at Two-Year Follow-up on 103 Patients

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dc.contributor.authorCiplak, Necati Mert
dc.contributor.authorSuzer, Tuncer
dc.contributor.authorSenturk, Salim
dc.contributor.authorYaman, Onur
dc.contributor.authorSasani, Mehdi
dc.contributor.authorOktenoglu, Tunc
dc.contributor.authorYilmaz, Atilla
dc.date.accessioned2024-09-18T20:16:35Z
dc.date.available2024-09-18T20:16:35Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAIM: To investigate the postoperative complications, such as screw loosening, screw breakage and adjacent segment disease (ASD), in patients who underwent surgery with 2-level dynamic stabilization systems. MATERIAL and METHODS: Postoperative complications, clinical improvements and radiological parameters in patients who underwent surgery using a dynamic system for 2-level lumbar stabilization were retrospectively reviewed. A total of 103 patients with lumbar degenerative spinal instability underwent 2-level dynamic stabilization. Clinical findings were reviewed at 2-year follow-up. Screw breakage and loosening were evaluated during this duration together with clinical findings. RESULTS: Visual analog scale (VAS) and Oswestry Disability Index (ODI) scores were significantly decreased at the four-month evaluation, and they were also decreased at the 1-year follow up and at the 24th postoperative month. ASD was diagnosed in twelve (8 females, 4 males) of the 103 patients in the follow-up radiological and clinical controls. There were 9 screw breakages and 4 screw loosening cases. The complication rate of 2-level dynamic stabilization was high in this study. CONCLUSION: Our results showed that complications (screw loosening or breakage and adjacent segment disease) are not rare after 2-level dynamic stabilization, unlike the acceptable results with the single-level dynamic system. The most probable explanation is that the instrument system behaves more rigidly with every additional segment.en_US
dc.identifier.doi10.5137/1019-5149.JTN.21036-17.1
dc.identifier.endpage762en_US
dc.identifier.issn1019-5149
dc.identifier.issue5en_US
dc.identifier.pmid30192368en_US
dc.identifier.scopus2-s2.0-85052949921en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage756en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.21036-17.1
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9613
dc.identifier.volume28en_US
dc.identifier.wosWOS:000443444000010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDynamic roden_US
dc.subjectDynamic stabilizationen_US
dc.subjectDynamic systemen_US
dc.subjectHinged screwen_US
dc.subjectLumbar degenerative diseaseen_US
dc.titleComplications of 2-Level Dynamic Stabilization: A Correlative Clinical and Radiological Analysis at Two-Year Follow-up on 103 Patientsen_US
dc.typeArticleen_US

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