Yıl: 2022 Cilt: 33 Sayı: 1 Sayfa Aralığı: 11 - 16 Metin Dili: İngilizce DOI: 10.4274/jtss.galenos.2022.47966 İndeks Tarihi: 16-06-2022

BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION

Öz:
Objective: The aim of this study is to determine the biomechanical changes in cervical spine parameters following the surgical correction of lumbar deformity with dynamic stabilization, and to evaluate how the preoperative parameters are related to these changes. Materials and Methods: Anteroposterior and lateral scoliosis radiographs of 20 patients were obtained, who underwent a dynamic stabilization (DynesysR, Zimmer, USA) and Safinaz screw peek rod placement procedures for lumbar deformity. The cervical spine parameters in the radiographs were measured in Surgimap program by an independent researcher, and they were classified into 5 categories and compared by using the Wilcoxon test in preoperative and early postoperative periods. The data were collected and analyzed using IBM SPSS Statistics 25th Edition. Results: Between all the parameters examined, the changes in the patients’ T1 Slop Angle were found to be statistically significant (p value<0.05). Depending on this, it was concluded that dynamic stabilization of lomber deformity could change the biomechanical loads in the postoperative cervical spine alignment. Conclusion: Dynamic stabilization surgery for spinal deformity, which is conducted to restore sagittal balance, can also lead to biomechanical improvement in the cervical spine alignment.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Boulay C, Tardieu C, Hecquet J, Benaim C, Mouilleseaux B, Marty C, et al. Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J. 2006;15:415-22.
  • 2. Hilibrand AS, Tannenbaum DA, Graziano GP, Loder RT, Hensinger RN. The sagittal alignment of the cervical spine in adolescent idiopathic scoliosis. J Pediatr Orthop. 1995;15:627-32.
  • 3. Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976). 2005;30:2024-29.
  • 4. Klineberg E, Schwab F, Ames C, Hostin R, Bess S, Smith JS, et al. Acute reciprocal changes distant from the site of spinal osteotomies affect global postoperative alignment. Adv Orthop. 2011;2011:415946.
  • 5. Ha Y, Schwab F, Lafage V, Mundis G, Shaffrey C, Smith J, et al. Reciprocal changes in cervical spine alignment after corrective thoracolumbar deformity surgery. Eur Spine J. 2014;23:552-59.
  • 6. Miyazaki M, Hymanson HJ, Morishita Y, He W, Zhang H, Wu G, et al. Kinematic analysis of the relationship between sagittal alignment and disc degeneration in the cervical spine. Spine (Phila Pa 1976). 2008;33:E870-E76.
  • 7. Niemitz C. The evolution of the upright posture and gait-a review and a new synthesis. Naturwissenscahaften. 2010;97:241-63. 8. Ozer AF, Kaner T, Bozdogan C. Sagittal Balance in the Spine. Turkish Neurosurgery. 2014;24:13-19.
  • 9. Roussouly P, Gollogly S, Berthonnaud E, Labelle H, Weidenbaum M. Sagittal alignment of the spine and pelvis in the presence of L5-S1 isthmic lysis and low-grade spondylolisthesis. Spine. 2006;31:2484-90.
  • 10. Özer AF, Ateş Ö, Çerezci Ö, Hekimoğlu M, Aydın AL, Öktenoğlu T, et al. Changes in cervical sagittal alignment and the effects on cervical parameters in patients with cervical spondylotic myelopathy after laminoplasty. J Craniovertebr Junction. 2021;12:183-90.
  • 11. Özer AF. Servikal Balans. Chapter 4. In: Özer AF(ed) Servikal Omurga Cerrahisi. US Akademi, İzmir. 2021; pp. 31-7.
  • 12. Hann S, Chalouhi N, Madineni R, Vaccaro AR, Albert TJ, Harrop J, et al. An algorithmic strategy for selecting a surgical approach in cervical deformity correction. Neurosurg Focus. 2014;36:E5.
  • 13. Roussouly P, Pinheiro- Franco JL. Sagittal parameters of the spine: biomechanical approach. Eur Spine J. 2011;20:578-85.
APA Başak A, Özbek M, Ozer A (2022). BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . , 11 - 16. 10.4274/jtss.galenos.2022.47966
Chicago Başak Ahmet Tulgar,Özbek Muhammet Arif,Ozer Ali Fahir BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . (2022): 11 - 16. 10.4274/jtss.galenos.2022.47966
MLA Başak Ahmet Tulgar,Özbek Muhammet Arif,Ozer Ali Fahir BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . , 2022, ss.11 - 16. 10.4274/jtss.galenos.2022.47966
AMA Başak A,Özbek M,Ozer A BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . . 2022; 11 - 16. 10.4274/jtss.galenos.2022.47966
Vancouver Başak A,Özbek M,Ozer A BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . . 2022; 11 - 16. 10.4274/jtss.galenos.2022.47966
IEEE Başak A,Özbek M,Ozer A "BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION ." , ss.11 - 16, 2022. 10.4274/jtss.galenos.2022.47966
ISNAD Başak, Ahmet Tulgar vd. "BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION ". (2022), 11-16. https://doi.org/10.4274/jtss.galenos.2022.47966
APA Başak A, Özbek M, Ozer A (2022). BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . Journal of Turkish Spinal Surgery, 33(1), 11 - 16. 10.4274/jtss.galenos.2022.47966
Chicago Başak Ahmet Tulgar,Özbek Muhammet Arif,Ozer Ali Fahir BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . Journal of Turkish Spinal Surgery 33, no.1 (2022): 11 - 16. 10.4274/jtss.galenos.2022.47966
MLA Başak Ahmet Tulgar,Özbek Muhammet Arif,Ozer Ali Fahir BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . Journal of Turkish Spinal Surgery, vol.33, no.1, 2022, ss.11 - 16. 10.4274/jtss.galenos.2022.47966
AMA Başak A,Özbek M,Ozer A BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . Journal of Turkish Spinal Surgery. 2022; 33(1): 11 - 16. 10.4274/jtss.galenos.2022.47966
Vancouver Başak A,Özbek M,Ozer A BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION . Journal of Turkish Spinal Surgery. 2022; 33(1): 11 - 16. 10.4274/jtss.galenos.2022.47966
IEEE Başak A,Özbek M,Ozer A "BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION ." Journal of Turkish Spinal Surgery, 33, ss.11 - 16, 2022. 10.4274/jtss.galenos.2022.47966
ISNAD Başak, Ahmet Tulgar vd. "BIOMECHANICAL CHANGES IN THE CERVICAL SPINE ALIGNMENT AFTER LUMBAR DYNAMIC STABILIZATION ". Journal of Turkish Spinal Surgery 33/1 (2022), 11-16. https://doi.org/10.4274/jtss.galenos.2022.47966