Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process Procedures
Study DesignRetrospective case-control study.PurposeTo determine whether kissing spine is a risk factor for recurrence of sciatica after lumbar posterior decompression using a spinous process floating approach.Overview of LiteratureKissing spine is defined by apposition and sclerotic change of the f...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2016-12-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-10-1085.pdf |
| _version_ | 1811303092998635520 |
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| author | Masao Koda Chikato Mannoji Masazumi Murakami Tomoaki Kinoshita Jiro Hirayama Tomohiro Miyashita Yawara Eguchi Masashi Yamazaki Takane Suzuki Masaaki Aramomi Mitsutoshi Ota Satoshi Maki Kazuhisa Takahashi Takeo Furuya |
| author_facet | Masao Koda Chikato Mannoji Masazumi Murakami Tomoaki Kinoshita Jiro Hirayama Tomohiro Miyashita Yawara Eguchi Masashi Yamazaki Takane Suzuki Masaaki Aramomi Mitsutoshi Ota Satoshi Maki Kazuhisa Takahashi Takeo Furuya |
| author_sort | Masao Koda |
| collection | DOAJ |
| description | Study DesignRetrospective case-control study.PurposeTo determine whether kissing spine is a risk factor for recurrence of sciatica after lumbar posterior decompression using a spinous process floating approach.Overview of LiteratureKissing spine is defined by apposition and sclerotic change of the facing spinous processes as shown in X-ray images, and is often accompanied by marked disc degeneration and decrement of disc height. If kissing spine significantly contributes to weight bearing and the stability of the lumbar spine, trauma to the spinous process might induce a breakdown of lumbar spine stability after posterior decompression surgery in cases of kissing spine.MethodsThe present study included 161 patients who had undergone posterior decompression surgery for lumbar canal stenosis using a spinous process floating approaches. We defined recurrence of sciatica as that resolved after initial surgery and then recurred. Kissing spine was defined as sclerotic change and the apposition of the spinous process in a plain radiogram. Preoperative foraminal stenosis was determined by the decrease of perineural fat intensity detected by parasagittal T1-weighted magnetic resonance imaging. Preoperative percentage slip, segmental range of motion, and segmental scoliosis were analyzed in preoperative radiographs. Univariate analysis followed by stepwise logistic regression analysis determined factors independently associated with recurrence of sciatica.ResultsStepwise logistic regression revealed kissing spine (p=0.024; odds ratio, 3.80) and foraminal stenosis (p<0.01; odds ratio, 17.89) as independent risk factors for the recurrence of sciatica after posterior lumbar spinal decompression with spinous process floating procedures for lumbar spinal canal stenosis.ConclusionsWhen a patient shows kissing spine and concomitant subclinical foraminal stenosis at the affected level, we should sufficiently discuss the selection of an appropriate surgical procedure. |
| first_indexed | 2024-04-13T07:40:24Z |
| format | Article |
| id | doaj.art-974b43bd796b43519423e18cd354a086 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-04-13T07:40:24Z |
| publishDate | 2016-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-974b43bd796b43519423e18cd354a0862022-12-22T02:55:54ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462016-12-011061085109010.4184/asj.2016.10.6.108533Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process ProceduresMasao Koda0Chikato Mannoji1Masazumi Murakami2Tomoaki Kinoshita3Jiro Hirayama4Tomohiro Miyashita5Yawara Eguchi6Masashi Yamazaki7Takane Suzuki8Masaaki Aramomi9Mitsutoshi Ota10Satoshi Maki11Kazuhisa Takahashi12Takeo Furuya13Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.Department of Orthopedic Surgery, Chiba Aoba Municipal Hospital, Chiba, Japan.Department of Orthopedic Surgery, Chiba Aoba Municipal Hospital, Chiba, Japan.Department of Orthopedic Surgery, Narashino Dai-ichi Hospital, Narashino, Japan.Department of Orthopedic Surgery, Chiba Medical Center, Chiba, Japan.Department of Orthopedic Surgery, Matsudo City Hospital, Matsudo, Japan.Department of Orthopedic Surgery, Matsudo City Hospital, Matsudo, Japan.Department of Orthopedic Surgery, University of Tsukuba, Tsukuba, Japan.Department of Bioenvironmental Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.Study DesignRetrospective case-control study.PurposeTo determine whether kissing spine is a risk factor for recurrence of sciatica after lumbar posterior decompression using a spinous process floating approach.Overview of LiteratureKissing spine is defined by apposition and sclerotic change of the facing spinous processes as shown in X-ray images, and is often accompanied by marked disc degeneration and decrement of disc height. If kissing spine significantly contributes to weight bearing and the stability of the lumbar spine, trauma to the spinous process might induce a breakdown of lumbar spine stability after posterior decompression surgery in cases of kissing spine.MethodsThe present study included 161 patients who had undergone posterior decompression surgery for lumbar canal stenosis using a spinous process floating approaches. We defined recurrence of sciatica as that resolved after initial surgery and then recurred. Kissing spine was defined as sclerotic change and the apposition of the spinous process in a plain radiogram. Preoperative foraminal stenosis was determined by the decrease of perineural fat intensity detected by parasagittal T1-weighted magnetic resonance imaging. Preoperative percentage slip, segmental range of motion, and segmental scoliosis were analyzed in preoperative radiographs. Univariate analysis followed by stepwise logistic regression analysis determined factors independently associated with recurrence of sciatica.ResultsStepwise logistic regression revealed kissing spine (p=0.024; odds ratio, 3.80) and foraminal stenosis (p<0.01; odds ratio, 17.89) as independent risk factors for the recurrence of sciatica after posterior lumbar spinal decompression with spinous process floating procedures for lumbar spinal canal stenosis.ConclusionsWhen a patient shows kissing spine and concomitant subclinical foraminal stenosis at the affected level, we should sufficiently discuss the selection of an appropriate surgical procedure.http://www.asianspinejournal.org/upload/pdf/asj-10-1085.pdfLumbar stenosisPostoperative complicationsSciatica |
| spellingShingle | Masao Koda Chikato Mannoji Masazumi Murakami Tomoaki Kinoshita Jiro Hirayama Tomohiro Miyashita Yawara Eguchi Masashi Yamazaki Takane Suzuki Masaaki Aramomi Mitsutoshi Ota Satoshi Maki Kazuhisa Takahashi Takeo Furuya Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process Procedures Asian Spine Journal Lumbar stenosis Postoperative complications Sciatica |
| title | Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process Procedures |
| title_full | Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process Procedures |
| title_fullStr | Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process Procedures |
| title_full_unstemmed | Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process Procedures |
| title_short | Baastrup's Disease Is Associated with Recurrent of Sciatica after Posterior Lumbar Spinal Decompressions Utilizing Floating Spinous Process Procedures |
| title_sort | baastrup s disease is associated with recurrent of sciatica after posterior lumbar spinal decompressions utilizing floating spinous process procedures |
| topic | Lumbar stenosis Postoperative complications Sciatica |
| url | http://www.asianspinejournal.org/upload/pdf/asj-10-1085.pdf |
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