학술논문

Risk factors for rod fractures in circumferential minimally invasive surgery using multi-rod constructs for adult spinal deformity / 成人脊柱変形に対するmulti-rodを用いたcircumferential minimally invasive surgeryにおけるロッド折損危険因子の検討
Document Type
Journal Article
Source
Journal of Spine Research. 2023, 14(7):1012
Subject
adult spinal deformity
percutaneous pedicle screw
rod fracture
ロッド折損
成人脊柱変形
経皮的椎弓根スクリュー
Language
Japanese
ISSN
1884-7137
2435-1563
Abstract
Results: Thirteen patients experienced RF. The RF levels were L3/4 in one patient, L4/5 in nine patients, and L5/S1 in three patients. Of the nine patients with RF at L4/5, two patients experienced RF after bone fusion. Of the 13 patients who experienced RF, seven patients experienced anterior longitudinal ligament (ALL) rupture. There were no significant differences in age, gender, rod material, rod diameter, and number of rods between the two groups. Patients in the RF group had significantly larger pre- and post-operative PI, pre- and post-LLIF, post-operative PI-LL, pre- and post-LLIF 2/3 PI-LLL, LLL change with PPS (PPSΔLLL), and postoperative PT. Patients in the RF group had significantly smaller preoperative LLL and preoperative TK. Multivariate analysis included seven independent variables with P<0.01, namely pre- and postoperative PI, postoperative PI-LL, pre- and post-LLIF 2/3 PI-LLL, PPSΔLLL, and ALL rupture. PPSΔLLL and ALL rapture were detected as risk factors for RF, and the cut off value for PPSΔLLL was 8 degrees in the ROC analysis.