Adjacent Segment Degeneration, Spinal Fusion
Conditions
Keywords
GAP-score, Schwab score, Proximal Junctional Failure, Spinal Fusion
Brief summary
The predictive value of two different score-systems with regard to failure rate following long extent spinal fusion is subject of evaluation.
Detailed description
The multilevel spinal fusion is associated with high rate of failure. This results from insufficient adaptation of the fused spine to the proper individual spinal alignment. In the recent years, comprehensive understanding of spinal alignment and definition of several parameters contributed to develop score systems to evaluate the alignment of the multilevel spinal fusion and to predict failure. In the following study the results of multilevel spinal fusion were evaluated retrospectively according to two scoring systems: GAP-score und Schwab-score. The predictive value of each score system is analyzed by the correlation of the failure rate with its corresponding score value.
Interventions
Spinal alignment was evaluated according to two different score-systems
Sponsors
Study design
Eligibility
Inclusion criteria
* 3 and more fusion levels
Exclusion criteria
* Neuromuscular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiological Evaluation | 2 months | Pelvic tilt in degree, Pelvic incidence in degree, Sacral slope in degree, Lumbar lordosis in degree, L5-S1 lordosis in degree, Thoracic kyphosis in degree, Sagittal vertical axis in degree, Thoracolumbar kyphosis in degree, Global tilt in degree, Cobb angle in degree |
Countries
Germany