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- W2364950410 abstract "[Objective] The present study aimed to compare adjacent segment degeneration( ASD) after improved posterior lumbar interbody fusion( PLIF) with the adjacent vertebral posterior ligamentous complex versus that after traditional PLIF and explore the significance of the posterior ligamentous complex in preventing ASD. [Methods] Between March 2010 and October 2012,178 patients underwent traditional or improved PLIF( 78 and 80 cases,respectively) and were followed up for 12 ~ 36 months( mean,28 months). ASD was evaluated radiographically,while the clinical effects were evaluated using visual analogue scale( VAS) and Oswestry disability index( ODI) scores. [Results] No significant differences in age,gender,clinical diagnosis,or segment were observed between the 2 groups( P 0. 05). The VAS and ODI scores at the time of the last follow-up were significantly lower than the preoperative scores( P 0. 05),but no significant difference in scores was noted between the 2 groups( P 0. 05). At the last follow- up,there were 9 cases( degeneration rate,11. 3%) of radiographic ASD in the improved group including 3 symptomatic cases( degeneration rate,3. 8%) as well as 32 cases( degeneration rate,41. 0%) in the traditional group including 11 symptomatic cases( degeneration rate,14. 1%)( P 0. 05). There were no obvious correlations between radiographic ASD and the clinical effect( P 0. 05),whereas symptomatic ASD was significantly associated with the clinical results( P 0. 05). [Conclusion] Compared with traditional PLIF,improved PLIF has a lower incidence of ASD,which suggests that the posterior ligamentous complex has the important function of preventing ASD." @default.
- W2364950410 created "2016-06-24" @default.
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- W2364950410 date "2014-01-01" @default.
- W2364950410 modified "2023-09-30" @default.
- W2364950410 title "Clinical outcomes of improved PLIF with the adjacent vertebral posterior ligamentous complex" @default.
- W2364950410 hasPublicationYear "2014" @default.
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