Table of Contents Author Guidelines Submit a Manuscript
Minimally Invasive Surgery
Volume 2012, Article ID 538697, 5 pages
http://dx.doi.org/10.1155/2012/538697
Research Article

The Interspinous Spacer: A Clinicoanatomical Investigation Using Plastination

1Department of Orthopaedic and Trauma Surgery, University Hospital of Cologne, Joseph-Stelzmann-Strabße. 9, 50931 Cologne, Germany
2Center of Anatomy, Cologne University, Joseph-Stelzmann-Straße 9, 50931 Cologne, Germany

Received 23 January 2012; Accepted 23 April 2012

Academic Editor: Justin S. Smith

Copyright © 2012 Thomas Kaulhausen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. A. Ciol, R. A. Deyo, E. Howell, and S. Kreif, “An assessment of surgery for spinal stenosis: time trends, geographic variations, complications, and reoperations,” Journal of the American Geriatrics Society, vol. 44, no. 3, pp. 285–290, 1996. View at Google Scholar · View at Scopus
  2. R. W. Porter, “Spinal stenosis and neurogenic claudication,” Spine, vol. 21, no. 17, pp. 2046–2052, 1996. View at Publisher · View at Google Scholar · View at Scopus
  3. M. T. Vogt, P. M. Cawthon, J. D. Kang, W. F. Donaldson, J. A. Cauley, and M. C. Nevitt, “Prevalence of symptoms of cervical and lumbar stenosis among participants in the osteoporotic fractures in men study,” Spine, vol. 31, no. 13, pp. 1445–1451, 2006. View at Publisher · View at Google Scholar · View at Scopus
  4. L. G. Hart, R. A. Deyo, and D. C. Cherkin, “Physician office visits for low back pain: frequency, clinical evaluation, and treatment patterns from a U.S. National survey,” Spine, vol. 20, no. 1, pp. 11–19, 1995. View at Google Scholar · View at Scopus
  5. T. L. Schulte, V. Bullmann, T. Lerner et al., “Lumbar spinal stenosis,” Orthopade, vol. 35, no. 6, pp. 675–694, 2006. View at Publisher · View at Google Scholar · View at Scopus
  6. J. F. Zucherman, K. Y. Hsu, C. A. Hartjen et al., “A multicenter, prospective, randomized trial evaluating the X STOP interspinous process decompression system for the treatment of neurogenic intermittent claudication—two-year follow-up results,” Spine, vol. 30, no. 12, pp. 1351–1358, 2005. View at Google Scholar
  7. T. Amundsen, H. Weber, H. J. Nordal, B. Magnaes, M. Abdelnoor, and F. Lilleås, “Lumbar spinal stenosis: conservative or surgical management? A prospective 10-year study,” Spine, vol. 25, no. 11, pp. 1424–1436, 2000. View at Publisher · View at Google Scholar · View at Scopus
  8. J. N. Katz, “Lumbar spinal fusion: surgical rates, costs, and complications,” Spine, vol. 20, no. 24, pp. S78–S83, 1995. View at Google Scholar · View at Scopus
  9. J. N. Katz, S. J. Lipson, L. C. Chang, S. A. Levine, A. H. Fossel, and M. H. Liang, “Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis,” Spine, vol. 21, no. 1, pp. 92–98, 1996. View at Publisher · View at Google Scholar · View at Scopus
  10. K. E. Swanson, D. P. Lindsey, K. Y. Hsu, J. F. Zucherman, and S. A. Yerby, “The effects of an interspinous implant on intervertebral disc pressures,” Spine, vol. 28, no. 1, pp. 26–32, 2003. View at Publisher · View at Google Scholar · View at Scopus
  11. C. M. Wiseman, D. P. Lindsey, A. D. Fredrick, and S. A. Yerby, “The effect of an interspinous process implant on facet loading during extension,” Spine, vol. 30, no. 8, pp. 903–907, 2005. View at Publisher · View at Google Scholar · View at Scopus
  12. J. F. Zucherman, K. Y. Hsu, C. A. Hartjen et al., “A prospective randomized multi-center study for the treatment of lumbar spinal stenosis with the X STOP interspinous implant: 1-Year results,” European Spine Journal, vol. 13, no. 1, pp. 22–31, 2004. View at Publisher · View at Google Scholar · View at Scopus
  13. R. Sobottke, K. Schlüter-Brust, T. Kaulhausen et al., “Interspinous implants (X Stop (R), Wallis (R), Diam (R)) for the treatment of LSS: is there a correlation between radiological parameters and clinical outcome?” European Spine Journal, vol. 18, no. 10, pp. 1494–1503, 2009. View at Publisher · View at Google Scholar · View at Scopus
  14. T. L. Schulte, C. Hurschler, M. Haversath et al., “The effect of dynamic, semi-rigid implants on the range of motion of lumbar motion segments after decompression,” European Spine Journal, vol. 17, no. 8, pp. 1057–1065, 2008. View at Publisher · View at Google Scholar · View at Scopus
  15. M. Siddiqui, E. Karadimas, M. Nicol, F. W. Smith, and D. Wardlaw, “Influence of X stop on neural foramina and spinal canal area in spinal stenosis,” Spine, vol. 31, no. 25, pp. 2958–2962, 2006. View at Publisher · View at Google Scholar · View at Scopus
  16. D. P. Lindsey, K. E. Swanson, P. Fuchs, K. Y. Hsu, J. F. Zucherman, and S. A. Yerby, “The effects of an interspinous implant on the kinematics of the instrumented and adjacent levels in the lumbar spine,” Spine, vol. 28, no. 19, pp. 2192–2197, 2003. View at Publisher · View at Google Scholar · View at Scopus
  17. J. C. Richards, S. Majumdar, D. P. Lindsey, G. S. Beaupré, and S. A. Yerby, “The treatment mechanism of an interspinous process implant for lumbar neurogenic intermittent claudication,” Spine, vol. 30, no. 7, pp. 744–749, 2005. View at Publisher · View at Google Scholar · View at Scopus
  18. R. Assietti and R. De Falco, “The first multicenter, prospective 6 month follow-up study of 21 patients treated with the Aperius (TM) PercLID (TM) system,” in Proceedings of the 13th European Congress of Neurosurgery, pp. 607–613, 2007.
  19. P. Nardi, D. Cabezas, G. Rea, and B. L. Pettorini, “Aperius PercLID stand alone interspinous system for the treatment of degenerative lumbar stenosis: experience on 152 cases,” Journal of Spinal Disorders and Techniques, vol. 23, no. 3, pp. 203–207, 2010. View at Publisher · View at Google Scholar · View at Scopus
  20. F. Collignon and P. Fransen, “Treatment of symptomatic degenerative lumbar spinal stenosis by a percutaneous stand-alone lumbar interspinous implant. Preliminary experience with the Aperius device,” Neurochirurgie, vol. 56, no. 1, pp. 3–7, 2010. View at Publisher · View at Google Scholar · View at Scopus
  21. M. Galarza, A. P. Fabrizi, R. Maina, R. Gazzeri, and J. F. Martínez-Lage, “Degenerative lumbar spinal stenosis with neurogenic intermittent claudication and treatment with the Aperius PercLID System: a preliminary report,” Neurosurgical Focus, vol. 28, no. 6, pp. 1–6, 2010. View at Publisher · View at Google Scholar · View at Scopus
  22. F. Heuer, H. Schmidt, L. Claes, and H. J. Wilke, “Stepwise reduction of functional spinal structures increase vertebral translation and intradiscal pressure,” Journal of Biomechanics, vol. 40, no. 4, pp. 795–803, 2007. View at Publisher · View at Google Scholar · View at Scopus
  23. R. Scapinelli, C. Stecco, A. Pozzuoli, A. Porzionato, V. Macchi, and R. De Caro, “The lumbar interspinous ligaments in humans: anatomical study and review of the literature,” Cells Tissues Organs, vol. 183, no. 1, pp. 1–11, 2006. View at Publisher · View at Google Scholar · View at Scopus
  24. G. Von Hagens, K. Tiedemann, and W. Kriz, “The current potential of plastination,” Anatomy and Embryology, vol. 175, no. 4, pp. 411–421, 1987. View at Google Scholar · View at Scopus
  25. H. Kosaka, K. Sairyo, A. Biyani et al., “Pathomechanism of loss of elasticity and hypertrophy of lumbar ligamentum flavum in elderly patients with lumbar spinal canal stenosis,” Spine, vol. 32, no. 25, pp. 2805–2811, 2007. View at Publisher · View at Google Scholar · View at Scopus
  26. J. Kuchta, R. Sobottke, P. Eysel, and P. Simons, “Two-year results of interspinous spacer (X-Stop) implantation in 175 patients with neurologic intermittent claudication due to lumbar spinal stenosis,” European Spine Journal, vol. 18, no. 6, pp. 823–829, 2009. View at Publisher · View at Google Scholar · View at Scopus
  27. Y. Kawaguchi, H. Matsui, and H. Tsuji, “Back muscle injury after posterior lumbar spine surgery: part 1: histologic and histochemical analyses in rats,” Spine, vol. 19, no. 22, pp. 2590–2597, 1994. View at Google Scholar · View at Scopus
  28. Y. Kawaguchi, H. Matsui, and H. Tsuji, “Back muscle injury after posterior lumbar spine surgery: part 2: histologic and histochemical analyses in humans,” Spine, vol. 19, no. 22, pp. 2598–2602, 1994. View at Google Scholar · View at Scopus
  29. Y. Kawaguchi, H. Matsui, and H. Tsuji, “Changes in serum creatine phosphokinase MM isoenzyme after lumbar spine surgery,” Spine, vol. 22, no. 9, pp. 1018–1023, 1997. View at Publisher · View at Google Scholar · View at Scopus
  30. Y. Kawaguchi, S. Yabuki, J. Styf et al., “Back muscle injury after posterior lumbar spine surgery: topographic evaluation of intramuscular pressure and blood flow in the porcine back muscle during surgery,” Spine, vol. 21, no. 22, pp. 2683–2688, 1996. View at Publisher · View at Google Scholar · View at Scopus
  31. G. A. Dumas, L. Beaudoin, and G. Drouin, “In situ mechanical behavior of posterior spinal ligaments in the lumbar region. An in vitro study,” Journal of Biomechanics, vol. 20, no. 3, pp. 301–310, 1987. View at Google Scholar · View at Scopus
  32. K. A. Gillespie and J. P. Dickey, “Biomechanical role of lumbar spine ligaments in flexion and extension: determination using a parallel linkage robot and a porcine model,” Spine, vol. 29, no. 11, pp. 1208–1216, 2004. View at Publisher · View at Google Scholar · View at Scopus
  33. R. M. Aspden, N. H. Bornstein, and D. W. L. Hukins, “Collagen organisation in the interspinous ligament and its relationship to tissue function,” Journal of Anatomy, vol. 155, pp. 141–151, 1987. View at Google Scholar · View at Scopus
  34. G. M. Johnson and M. Zhang, “Regional differences within the human supraspinous and interspinous ligaments: a sheet plastination study,” European Spine Journal, vol. 11, no. 4, pp. 382–388, 2002. View at Publisher · View at Google Scholar · View at Scopus
  35. Y. Kotani, B. W. Cunningham, A. Cappuccino, K. Kaneda, and P. C. McAfee, “The effects of spinal fixation and destabilization on the biomechanical and histologic properties of spinal ligaments: an in vivo study,” Spine, vol. 23, no. 6, pp. 672–683, 1998. View at Publisher · View at Google Scholar · View at Scopus