Abstract
Introduction
The ultimate Clinical goal of Dynamic Stabilization using motion preservation Devices is to relieve Pain and to improve the function of the spinal motion segment (SMS). Essentially it should preserve and restore physiologic motion, while maintaining the balance and stability of the SMS by controlling motion and unloading the disk and or the facet joint. Since the Degenerative cascade cannot be stopped, so the Key is: 1. Try to treat in the early stage with Dynamic stabilization or 2. Try to treat in the late stage with decompression and Dynamic stabilization.
Materials and Methods
Three years nonrandomized prospective follow-up study of dynamic stabilization using IntraSpine for the treatment of early and late degenerative cases. Follow-up: 2 weeks, 1, 2, 3, and 6 months after surgery. The dynamic stabilization using IntraSpine was performed by single surgeon. Assessment by dynamic X-ray, MRI, Ct-scan, and VAS before and after surgery.
Results
In 3 years, 67 cases of 23 males and 44 females, average age 56.9 (27 - 85 years old), were treated using IntraSpine. The variation levels of dynamic stabilization are related to the degenerative levels, from 1 to 5 levels, and from L1-2, until L5-S1. The skin incision is from 3 to 10 cm, the surgical time for 1 level with decompression is 45 to 4 hours for 4 to 5 levels. After 6 months, the result is excellent: VAS from average 8.3 to 1.2, dynamic X-ray stable, patient can do normal daily activity.
Conclusion
This report shows a good result of IntraSpine and match with the goals of Dynamic stabilization: 1. Stabilize the Segmental Instability, 2. Maintain the Sagittal Balance, and 3. Restore the physiologic movement of SMS.
None declared