ArticleDiagnostics (Basel, Switzerland)2024
Two-Stage Lumbar Dynamic Stabilization Surgery: A Comprehensive Analysis of Screw Loosening Rates and Functional Outcomes Compared to Single-Stage Approach in Osteopenic and Osteoporotic Patients.
Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Comparative risk of instrumentation failure in dynamic and rigid spinal stabilization: a propensity-matched cohort study.Neurosurgical review · 2026Article
- Factors associated with implant failure in anterior cervical plating: retrospective analysis from a large cohort study.Acta neurochirurgica · 2026Article
- Adult degenerative scoliosis: challenges in diagnosis, pain management, and surgical decision-making.Frontiers in surgery · 2026Review
- Evaluating the performance of a novel double-threaded dynamic stabilization system: a finite element study.Journal of orthopaedic surgery and research · 2025Article
- Dynamic vs. Rigid: Transforming the Treatment Landscape for Multisegmental Lumbar Degeneration.Journal of clinical medicine · 2025Article
- Biomechanical effects of screw loosening after lumbar PEEK rod and titanium rod fixation: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDynamic lumbar stabilization aims to preserve spinal movement, offering stability and controlled motion. However, screw loosening, especially in patients with osteopenia and osteoporosis, remains challenging.
methodBetween 2018 and 2022, a retrospective analysis was conducted on a total of 119 patients diagnosed with osteopenia and osteoporosis who underwent spinal dynamic instrumentation surgery. These patients were categorized into two groups: single-stage surgery (
resultsTotal screw loosening rates were significantly lower in the two-stage group (2.83%) compared to the single-stage group (14.63%,
conclusionsThe two-stage surgical approach significantly reduces screw loosening in patients with osteopenia and osteoporosis undergoing dynamic stabilization surgery, offering enhanced stability and better clinical outcomes.
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