Radiological and clinical comparisons of the patients with rheumatoid arthritis operated with rigid and dynamic instrumentation systems due to lumbar degenerative spinal diseases

dc.authorscopusid 55941444300
dc.authorscopusid 56909997800
dc.authorscopusid 55181577300
dc.authorscopusid 57217257854
dc.authorscopusid 56406676400
dc.authorscopusid 6506143205
dc.contributor.author Koban, Orkun
dc.contributor.author Ogrenci, Ahmet
dc.contributor.author Akar, Ezgi Aycicek
dc.contributor.author Uyanik, Ahmet Sadik
dc.contributor.author Yilmaz, Mesut
dc.contributor.author Dalbayrak, Sedat
dc.date.accessioned 2024-05-25T11:42:40Z
dc.date.available 2024-05-25T11:42:40Z
dc.date.issued 2021
dc.department Okan University en_US
dc.department-temp [Koban, Orkun; Ogrenci, Ahmet; Dalbayrak, Sedat] Okan Univ, Dept Neurosurg, TR-34947 Istanbul, Turkey; [Akar, Ezgi Aycicek] Haydarpasa Numune Res & Training Hosp, Dept Neurosurg, Istanbul, Turkey; [Uyanik, Ahmet Sadik] Okan Univ, Dept Radiol, Istanbul, Turkey; [Yilmaz, Mesut] Neurospinal Acad, Dept Neurosurg, Istanbul, Turkey en_US
dc.description.abstract Background: It is extremely difficult to treat spine disorders with stabilization in patients with rheumatoid arthritis. Because revision rates are significantly higher in rigid stabilization. To date, there is no data about patients with rheumatoid arthritis treated with dynamic stabilization. Our aim was to compare the radiological and clinical results of patients with rheumatoid arthritis who underwent lumbar rigid stabilization or dynamic stabilization with Polyetheretherketone rod (PEEK). Methods: Patients with degenerative lumbar spine disease with rheumatoid arthritis who underwent dynamic stabilization between 2013 and 2015 and rigid stabilization between 2010 and 2012 were evaluated radiologically for adjacent segment disease, proximal junctional kyphosis, system problem (nonunion, screw loosening, instrumentation failure, pull out). It was also compared according to both the revision rates and the Visual Analog Scale and Oswestry Disability Index scores at the 12th month and 24th month. Results: The difference of decrease in Visual Analog Scale and Oswestry Disability Index scores from preoperative to 12th month between patients who underwent dynamic stabilization and rigid stabilization was statistically insignificant. However, there was a significant difference of increase in Visual Analog Scale and Oswestry Disability Index scores between the 12th month and 24th month of patients who underwent rigid stabilization, compared with patients with dynamic stabilization. In patients with dynamic stabilization, the problems of instrumentation were seen less frequently. Revision rates were high in patients with rigid stabilization when compared the patients with dynamic stabilization. Conclusion: Radiological and clinical outcomes in patients with rheumatoid arthritis operated with dynamic stabilization are more significant when compared to rigid stabilization. These patients have lower pain and disability scores in their follow up periods. Revision rates are lower in patients with dynamic stabilization. (C) 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved. en_US
dc.identifier.citationcount 0
dc.identifier.doi 10.1016/j.jos.2020.05.011
dc.identifier.endpage 374 en_US
dc.identifier.issn 0949-2658
dc.identifier.issn 1436-2023
dc.identifier.issue 3 en_US
dc.identifier.pmid 32600905
dc.identifier.scopus 2-s2.0-85086937317
dc.identifier.scopusquality Q2
dc.identifier.startpage 369 en_US
dc.identifier.uri https://doi.org/10.1016/j.jos.2020.05.011
dc.identifier.uri https://hdl.handle.net/20.500.14517/1626
dc.identifier.volume 26 en_US
dc.identifier.wos WOS:000651122300010
dc.identifier.wosquality Q3
dc.language.iso en
dc.publisher Elsevier en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 1
dc.subject [No Keyword Available] en_US
dc.title Radiological and clinical comparisons of the patients with rheumatoid arthritis operated with rigid and dynamic instrumentation systems due to lumbar degenerative spinal diseases en_US
dc.type Article en_US
dc.wos.citedbyCount 1

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