adjacent segment disease
Conditions
Interventions
Queue 1 (A laminectomy was performed on the adjacent vertebra):NA
Queue 2 (No laminotomy was performed on the adjacent vertebra):NA
Sponsors
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: ? 20-80 years old. ? Patients who meet the lumbar fusion surgery guidelines and plan to undergo any 1-3 segments of L3/4, L4/5, L5/S1 fusion surgery. ? Volunteer to participate in the study and sign the informed consent.
Exclusion criteria
Exclusion criteria: (1) Systemic disease or inability to tolerate anesthesia or surgery for other reasons, including severe bleeding disorders, severe heart disease, severe respiratory disease, severe coagulation dysfunction, intolerance to the position requirements of spinal surgery. (2) Patients with infection focus or risk of subsequent infection in the fusion segment, including spinal infection, skin infection at the surgical site, and severe infection in other parts of the body. (3) Patients with malignant tumors of the spine or other organs, including primary or secondary malignant tumors of the spine and those at risk of subsequent spinal metastasis with malignant tumors of other organs. (4) There was instability in adjacent segments of the proposed fusion segment, including intervertebral Angle change > 10° and displacement change > 3mm in hyperextension and flexion positions. ? Vulnerable groups, including people with mental illness, cognitive impairment, critically ill patients, minors, pregnant women, illiterates, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reoperation rate;Adjacent segmental spinal canal area; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain and functional scores; | — |
Countries
Chian
Contacts
Public ContactMa Jianjun
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Outcome results
None listed