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Research ArticleDYNAMIC STABILIZATION
Open Access

Early Clinical & Radiographic Results of NFix II Posterior Dynamic Stabilization System

Frank L. Acosta, Finn Bjarke Christensen, Jeffrey D. Coe, Tae-Ahn Jahng, Scott H. Kitchel, Hans Jörg Meisel, Mark Schnöring, Charles H. Wingo and Christopher P. Ames
International Journal of Spine Surgery January 2008, 2 (2) 69-75; DOI: https://doi.org/10.1016/SASJ-2007-0121-NT
Frank L. Acosta Jr.
aDepartment of Neurological Surgery, University of California, San Francisco
MD
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Finn Bjarke Christensen
bUniversity Hospital of Aarhus, Aarhus, Denmark
MD, PhD
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Jeffrey D. Coe
cSilicon Valley Spine Institute, Los Gatos, California
MD
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Tae-Ahn Jahng
dDepartment of Neurosurgery, Seoul National University, Seoul, Korea
MD
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Scott H. Kitchel
eOrthopedic Spine Associates, Eugene, Oregon
MD
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Hans Jörg Meisel
fDepartment of Neurosurgery,BG-Clinic, Bergmannstrost Halle, Germany
MD, PhD
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Mark Schnöring
fDepartment of Neurosurgery,BG-Clinic, Bergmannstrost Halle, Germany
MD
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Charles H. Wingo
gTallahassee Orthopedic Clinic, Tallahassee, Florida
MD
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Christopher P. Ames
aDepartment of Neurological Surgery, University of California, San Francisco
MD
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  • Figure 1
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    Figure 1

    Single-level dynamic construct and 2-level “hybrid” construct.

  • Figure 2
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    Figure 2

    During extension (left) the interpedicular screw distance must decrease, requiring compression of the polycarbonate urethane (PCU) section between the screws. During flexion (right), the interpedicular screw distance must increase, requiring elongation of the device through compression of the opposite PCU section.

  • Figure 3
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    Figure 3

    Summary of number of levels treated with dynamic stabilization.

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    Figure 4

    Summary of number of levels treated with dynamic stabilization.

  • Figure 5
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    Figure 5

    Comparison of improvements in ODI after circumferential fusion, posterolateral fusion, and dynamic stabilization in the current study.

  • Figure 6
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    Figure 6

    Fifty percent retained ROM. Preoperatively L3-L4: 6.8° ROM. Postoperatively L3-4: 3.4° ROM. Note: red dot indicates center of rotation.

  • Figure 7
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    Figure 7

    Thirty-nine-year-old male, 309 pounds. One-year history of lower back and left buttocks discomfort. Single functional spine unit (FSU) involved. Unresponsive to conservative care. Treated with hemi-laminectomy at L4-5 and single-level dynamic stabilization. Axial (A) and saggital (B) T2-weighted MR images showing degeneration of the L4-5 intervertebral disc. Three-month postoperative films of extension (C) and flexion (D) demonstrate motion at the dynamically stabilized level.

Tables

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    Table 1

    Patient Demographics.

    CharacteristicValue (%)
    No. patients40
    Sex
     Male15 (38)
     Female25 (62)
    Age, yrs. (range)55 (21-81)
    Prior lumbar surgeries10
     Discectomy5
     Fusion5
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    Table 2

    Indications for Dynamic Stabilization

    IndicationNo. of Patients (%)
    Degenerative disc disease16 (40%)
    Spondylolisthesis11 (28%)
    Fusion-related sequelae6 (15%)
    Stenosis5 (12%)
    Degenerative scoliosis2 (5%)
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International Journal of Spine Surgery
Vol. 2, Issue 2
1 Jan 2008
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Early Clinical & Radiographic Results of NFix II Posterior Dynamic Stabilization System
Frank L. Acosta, Finn Bjarke Christensen, Jeffrey D. Coe, Tae-Ahn Jahng, Scott H. Kitchel, Hans Jörg Meisel, Mark Schnöring, Charles H. Wingo, Christopher P. Ames
International Journal of Spine Surgery Jan 2008, 2 (2) 69-75; DOI: 10.1016/SASJ-2007-0121-NT

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Early Clinical & Radiographic Results of NFix II Posterior Dynamic Stabilization System
Frank L. Acosta, Finn Bjarke Christensen, Jeffrey D. Coe, Tae-Ahn Jahng, Scott H. Kitchel, Hans Jörg Meisel, Mark Schnöring, Charles H. Wingo, Christopher P. Ames
International Journal of Spine Surgery Jan 2008, 2 (2) 69-75; DOI: 10.1016/SASJ-2007-0121-NT
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  • Hybrid dynamic stabilization with posterior spinal fusion in the lumbar spine
  • Surgical results of dynamic nonfusion stabilization with the Segmental Spinal Correction System for degenerative lumbar spinal diseases with instability: Minimum 2-year follow-up
  • Clinical outcomes of degenerative lumbar spinal stenosis treated with lumbar decompression and the Cosmic “semi-rigid” posterior system
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Keywords

  • lumbar spine
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