Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis
Objectives: To assess the properties of facet fixation with the Facet Wedge system in patients affected by lumbar spinal stenosis (LSS). Summary of Background Data: Implant of intra-articular spacers is an emerging technique for lumbar degenerative disease. Methods: This study included forty patient...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2017;volume=8;issue=3;spage=193;epage=198;aulast=Grasso |
| _version_ | 1818700584948072448 |
|---|---|
| author | Giovanni Grasso Alessandro Landi |
| author_facet | Giovanni Grasso Alessandro Landi |
| author_sort | Giovanni Grasso |
| collection | DOAJ |
| description | Objectives: To assess the properties of facet fixation with the Facet Wedge system in patients affected by lumbar spinal stenosis (LSS).
Summary of Background Data: Implant of intra-articular spacers is an emerging technique for lumbar degenerative disease.
Methods: This study included forty patients (Group 1) with symptomatic LSS in whom intra-articular spacers have been implanted along with microdecompression (MD) of the neural structures. Group 1 has been compared with a homogeneous group of patients with LSS treated with MD without intra-articular spacers implant (Group 2). Clinical findings have been observed preoperatively and 3, 6, 12 months postoperatively using dedicated questionnaires (Zurich Claudication Questionnaire, visual analog scale, and Oswestry disability index).
Results: One year following surgical treatment, 87% of the patients presented with good improvement of symptoms and 97% referred satisfaction for surgery. Overall, patients of Group 1 presented with significantly better clinical outcome when compared with the control group (P < 0.01).
Conclusions: Intra-articular spacers showed significant and clinically meaningful improvements in pain and disability for up to 1 year. These findings need further studies and a longer follow-up. |
| first_indexed | 2024-12-17T15:07:17Z |
| format | Article |
| id | doaj.art-d6ac00049e6a4718a5318f000a0169e6 |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-12-17T15:07:17Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-d6ac00049e6a4718a5318f000a0169e62022-12-21T21:43:46ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372017-01-018319319810.4103/jcvjs.JCVJS_56_17Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosisGiovanni GrassoAlessandro LandiObjectives: To assess the properties of facet fixation with the Facet Wedge system in patients affected by lumbar spinal stenosis (LSS). Summary of Background Data: Implant of intra-articular spacers is an emerging technique for lumbar degenerative disease. Methods: This study included forty patients (Group 1) with symptomatic LSS in whom intra-articular spacers have been implanted along with microdecompression (MD) of the neural structures. Group 1 has been compared with a homogeneous group of patients with LSS treated with MD without intra-articular spacers implant (Group 2). Clinical findings have been observed preoperatively and 3, 6, 12 months postoperatively using dedicated questionnaires (Zurich Claudication Questionnaire, visual analog scale, and Oswestry disability index). Results: One year following surgical treatment, 87% of the patients presented with good improvement of symptoms and 97% referred satisfaction for surgery. Overall, patients of Group 1 presented with significantly better clinical outcome when compared with the control group (P < 0.01). Conclusions: Intra-articular spacers showed significant and clinically meaningful improvements in pain and disability for up to 1 year. These findings need further studies and a longer follow-up.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2017;volume=8;issue=3;spage=193;epage=198;aulast=GrassoFacet wedgeneurogenic intermittent claudicationspinal stenosis |
| spellingShingle | Giovanni Grasso Alessandro Landi Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis Journal of Craniovertebral Junction and Spine Facet wedge neurogenic intermittent claudication spinal stenosis |
| title | Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis |
| title_full | Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis |
| title_fullStr | Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis |
| title_full_unstemmed | Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis |
| title_short | Preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis |
| title_sort | preliminary experience with lumbar facet distraction and fixation as treatment for lumbar spinal stenosis |
| topic | Facet wedge neurogenic intermittent claudication spinal stenosis |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2017;volume=8;issue=3;spage=193;epage=198;aulast=Grasso |
| work_keys_str_mv | AT giovannigrasso preliminaryexperiencewithlumbarfacetdistractionandfixationastreatmentforlumbarspinalstenosis AT alessandrolandi preliminaryexperiencewithlumbarfacetdistractionandfixationastreatmentforlumbarspinalstenosis |