Tratamiento del conducto lumbar estrecho con estabilización dinámica, seguimiento final a 4 años

Abstract

Objective: To evaluate efficacy and safety of the use of dynamic fixation in patients with narrow lumbar through comparing the assessment of two years with 4 years of follow-up. Materials and methods: Prospective, longitudinal, autocontrol deliberately and sequential intervention, in lumbar stenosis patients who attended the spine surgery service of the INR from 2005 to 2008. That they were treated surgically and to those who made dynamic stabilization posterior type Acuflex. An evaluation of the past two years to complete four of final follow-up. Results: 18 patients who completed follow-up two years results as a basis for comparison: 18 patients, 14 female and 4 male, average age 44.05 years. Pain evaluated with numerical visual scale was found in the lower back at 24 months in an average of 2.84 and 48 months in 3.26. The function measured with the functional level of Oswestry to the two-year 24% and at age four 22.44%, with a p = 0.373. In the magnetic resonance for classification of patients 15 Pfirrmann without changes and three with increase of a degree. According to patients 2 Modic changes one of type 0 to type III and another to type I. With regard to the need for retirement and functionality of the system we have observed that five patients has required second surgery for removal of material findings. Conclusions: There is no change between 2 and 4 years in the scale of Oswestry and pain with Visual numerical scale functionality. The average height in discs had change with statistical significance, in the comparative period. The intervertebral discs had changes in 3 patients with direct relationship between scale of Pfirrmann and Modic. The rest of patients keep rehydration and normal disc height.