Is it possible to preserve lumbar lordosis after hybrid stabilization? Preliminary results of a novel rigid–dynamic stabilization system in degenerative lumbar pathologies

Matteo Formica, Luca Cavagnaro, Marco Basso, Andrea Zanirato, Lamberto Felli, Carlo Formica

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose of the study: To evaluate the results of a novel rigid–dynamic stabilization technique in lumbar degenerative segment diseases (DSD), expressly pointing out the preservation of postoperative lumbar lordosis (LL). Materials and methods: Forty-one patients with one level lumbar DSD and initial disc degeneration at the adjacent level were treated. Circumferential lumbar arthrodesis and posterior hybrid instrumentation were performed to preserve an initial disc degeneration above the segment that has to be fused. Clinical and spino-pelvic parameters were evaluated pre- and postoperatively. Results: At 2-year follow-up, a significant improvement of clinical outcomes was reported. No statistically significant difference was noted between postoperative and 2-year follow-up in LL and in disc/vertebral body height ratio at the upper adjacent fusion level. Conclusions: When properly selected, this technique leads to good results. A proper LL should be achieved after any hybrid stabilization to preserve the segment above the fusion.

Original languageEnglish
Pages (from-to)849-854
Number of pages6
JournalEuropean Spine Journal
Volume24
DOIs
Publication statusPublished - Nov 1 2015

Keywords

  • Degenerative lumbar diseases
  • Dynamic stabilization
  • Hybrid stabilization
  • Interbody fusion
  • Lumbar lordosis
  • Sagittal balance

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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