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. 2012 Jan;53(1):42-6.
doi: 10.4103/0300-1652.99832.

Posterior spinal decompression, stabilization and arthrodesis in Nigerian adults: Profile and outcome

O E Idowu  1 , O A Adewole, A A Majekodunmi
Affiliations

Posterior spinal decompression, stabilization and arthrodesis in Nigerian adults: Profile and outcome

O E Idowu et al. Niger Med J. 2012 Jan.

Abstract

Background: The availability of intraoperative fluoroscopy and improved access to varieties of spinal titanium implants has revived posterior spinal stabilization techniques with their distinct advantages. Our aim is to describe the profile of various spine pathologies requiring subaxial posterior spinal decompression, stabilization (using titanium implants), and arthrodesis, and to determine the rate of postoperative complications and factors affecting outcome.

Materials and methods: This is a prospective single institution study of consecutive adult patients seen during the study period. Data collected included the patients' demographics, radiological findings, indication for surgery, surgical procedure, operation time, intraoperative blood loss, and postoperative complications.

Results: There were 26 patients (15 males and 11 females). Their ages ranged between 24 and 78 years (median = 42 years). The most common indications for surgery were spinal trauma and degenerative spine disease (24 patients). The region that was most commonly stabilized was the lumbar- 12 cases (46.2%). No patients experienced neural or vascular injury as a result of screw position; likewise no patient had screw loosening. There was a case each of superficial surgical site infection and transient cerebrospinal fluid leak but no case of implant failure was encountered. The outcome was significantly associated with the etiology (0.030) of the indication for surgery and preoperative power grade (0.000).

Conclusion: Spinal trauma and degenerative spine disease are the two most common indications for posterior spinal decompression, stabilization and fusion in our center. It is associated with acceptable postoperative complication rate when done under fluoroscopic guidance. Outcome is related more to the preoperative neurological deficit and etiology of the indication for surgical stabilization.

Keywords: Expansive laminoplasty; lateral mass screw; pedicle screws.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Relationship between age and surgical outcome
Figure 2
Figure 2
Fluoroscopic picture of lumbar pedicle screws in situ
See this image and copyright information in PMC

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References

    1. Denis F. Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop Relat Res. 1984;189:65–76. - PubMed
    1. Mobbs RJ, Sivabalan P, Li J. Techniques, challenges and indications for percitaneous pedicle screw fixation. J Clin Neurosci. 2011;18:741–9. - PubMed
    1. Jeanneret B, Magerl F, Ward EH, Ward JC. Posterior stabilization of the cervical spine with hook plates. Spine (Phila Pa 1976) 1991;16(3 Suppl):S56–63. - PubMed
    1. Coe JD, Warden KE, Sutterlin CE, 3rd, McAfee PC. Biomechanical evaluation of cervical spinal stabilization methods in a human cadaveric model. Spine (Phila Pa 1976) 1989;14:1122–31. - PubMed
    1. Deen HG, Birch BD, Wharen RE, Reimer R. Lateral mass screw-rod fixation of the cervical spine: A prospective clinical series with 1-year follow-up. Spine J. 2003;3:489–95. - PubMed