ArticleJournal of spine surgery (Hong Kong)2023
Multi-rod fixation in spinal neuroarthropathy: a novel surgical technique.
Article in Journal of spine surgery (Hong Kong), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 3 citations in OpenAlex.
- The SUPER reporting guideline suggested for reporting of surgical technique: explanation and elaboration.Gland surgery · 2023Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spinal cord injury (SCI) leads to compromised biomechanical stability due to impaired neuroprotection. This may trigger deformity and destruction of multiple segments of the spine which is known as spinal neuroarthropathy (SNA) or Charcot arthropathy. Surgical treatment of SNA is highly demanding in terms of reconstruction, realignment, and stabilization. In particular, construct failure due to the combination of high shear forces and reduced bone mineral density in the lumbosacral transition zone is a frequent complication in SNA. Notably, up to 75% of SNA patients need multiple revisions within the first year after surgery in order to achieve successful bony fusion. The purpose of this technical report is to present a novel surgical approach with higher overall construct stability to efficiently treat SNA and avoiding repetitive revisions. The new technique of triple rod stabilisation of the lumbosacral transition zone in combination with the introduction of tricortical laminovertebral (TLV) screws is demonstrated in three patients with complete SCI of the thoracic spinal cord. After surgery all patients reported an improvement of the Spinal Cord Independence Measure III (SCIM III) and none of the reported cases showed construct failure within an at least 9 months follow up period. Although TLV screws violate the integrity of the spinal canal, there were no complications with regard to cerebral spinal fluid fistulas and/or arachnopathies so far. The new concept of triple rod stabilization in combination with TLV screws provides improved construct stability in patients with SNA and thus could help to reduce revision and complications rates and improve patient outcome in this disabling degenerative disease.
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