Journal of Spine

Kottas GD

Publications

• Research Article
  Combined Dynamic and Rigid Multilevel Posterolateral Lumbar Fixation Systems in Prevention of Adjacent Segment Disease
  Author(s): Lyras DN and Kottas GDLyras DN and Kottas GD
  
  Introduction: The gold standard in the treatment of lumbar degenerative spinal diseases is the posterolateral fusion with rod and screws. Semi-rigid systems were first designed to stabilize the abnormal segment and to unload degenerated discs and facet joints. One commonly observed consequence of fusing spinal motion levels has been adjacent segment disease (ASD). Due to prevention of ASD is a complicated and controversial topic, the aim of this study was to assess the role of combined dynamic and rigid posterolateral fixation systems in prevention of ASD. Patients and Methods: A total of 76 adult patients with various lumbar spine pathologies, treated with posterior fusion and pedicle screw fixation between T12 and sacrum were included in this study. The prevalence of radiological and clinical ASD was measured and the functional outcome of .. Read More»
  DOI: 10.4172/2165-7939.1000198

  Abstract PDF