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65th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

11 - 14 May 2014, Dresden

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Dynamic stabilisation in the treatment of degenerative disc disease with Modic changes

Meeting Abstract

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  • Tunc Oktenoglu - American Hospital, Department of Neurosurgery, Istanbul, Turkey
  • Olcay Eser - Afyon Kocatepe University, School of Medicine, Department of Neurosurgery, Afyonkarahisar, Turkey
  • Cengiz Gomleksiz - Erzincan University, School of Medicine, Mengücek Gazi Training and Research Hospital, Neurosurgery Department, Erzincan, Turkey
  • Mehdi Sasani - American Hospital, Department of Neurosurgery, Istanbul, Turkey
  • Ahmet Levent Aydin - Istanbul Physical Therapy and Rehabilitation Hospital, Neurosurgery Department, Istanbul, Turkey
  • Yaprak Ataker - American Hospital, Physical Therapy and Rehabilitation Department, Istanbul, Turkey
  • Tuncer Suzer - American Hospital, Department of Neurosurgery, Istanbul, Turkey
  • Ali Fahir Ozer - Koc University, School of Medicine, Department of Neurosurgery, Istanbul, Turkey

Deutsche Gesellschaft für Neurochirurgie. 65. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Dresden, 11.-14.05.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. DocDI.13.05

doi: 10.3205/14dgnc190, urn:nbn:de:0183-14dgnc1900

Published: May 13, 2014

© 2014 Oktenoglu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: Posterior dynamic stabilization is an effective alternative to fusion in the treatment of chronic instability and degenerative disc disease (DDD) of the lumbar spine. This study was undertaken to investigate the efficacy of dynamic stabilization in chronic degenerative disc disease with Modic types 1 and 2.

Method: A total of 88 DDD patients with Modic types 1 and 2 were selected for this study and operated via posterior dynamic stabilisation between 2004 and 2010. Lordosis of the lumbar spine, segmental lordosis, and ratio of the height of the intervertebral disc spaces (IVSs) were measured preoperatively and at 3, 12, and 24 months after surgery. The grade of disc degeneration was classified with Magnetic Resonance Imaging (MRI). The quality of life and pain scores were evaluated by visual analog scale (VAS) score and Oswestry Disability Index (ODI) preoperatively and at 3, 12, and 24 months after surgery.

Results: The mean 3 and 12 months postoperative IVS ratio was significantly greater than that of the preoperative Group (p< 0.001). The mean VAS score and ODI, 3, 12, and 24 months after surgery, decreased significantly, when compared with the preoperative scores in the groups (p = 0.000).

Conclusions: Dynamic stabilization in chronic degenerative disc disease with Modic types 1 and 2 was found to be effective.