The Effect of Osteopenia and Osteoporosis on Screw Loosening in MIS-TLIF and Dynamic Stabilization.
Global Spine J
; : 21925682241290747, 2024 Oct 01.
Article
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| MEDLINE
| ID: mdl-39352395
ABSTRACT
STUDY DESIGN:
Retrospective series.OBJECTIVE:
Screw loosening in the surgical treatment of lumbar spine disease is a major complication of osteopenia or osteoporosis. This study investigated the risk of screw loosening following either MIS-TLIF or pedicle screw-based dynamic stabilization (DS) in patients with osteopenia or osteoporosis.METHODS:
We retrospectively enrolled patients receiving 1- or 2-level MIS-TLIF or DS in a single institute. All patients were diagnosed as having lumbar spondylosis without concurrent spondylolisthesis and found by dual-energy X-ray absorptiometry to have osteopenia or osteoporosis. Screw loosening was identified by X-ray and CT. Clinical outcomes were also assessed.RESULTS:
A total of 103 patients (50 MIS-TLIF and 53 DS) were confirmed to have osteopenia (-2.5CONCLUSION:
The screw loosening rate was higher in the MIS-TLIF group in the entire cohort. Osteopenia patients receiving MIS-TLIF were at significantly higher risk of screw loosening, while that risk was not different for osteoporosis patients, compared to DS.
Texto completo:
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Base de datos:
MEDLINE
Idioma:
En
Revista:
Global Spine J
Año:
2024
Tipo del documento:
Article
País de afiliación:
Taiwán