PMID- 36777906
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231031
IS  - 0974-8237 (Print)
IS  - 0976-9285 (Electronic)
IS  - 0974-8237 (Linking)
VI  - 13
IP  - 4
DP  - 2022 Oct-Dec
TI  - Lumbar facet joint stabilization for symptomatic spinal degenerative disease: A 
      systematic review of the literature.
PG  - 401-409
LID - 10.4103/jcvjs.jcvjs_112_22 [doi]
AB  - OBJECTIVE: Lumbar spinal degenerative disease (LSDD), unresponsive to 
      conservative therapy, is commonly treated by surgical decompression and interbody 
      fusion. Since facet joint incompetence has been suggested as responsible for the 
      entire phenomenon of spinal degeneration, facet stabilization can be considered 
      as an alternative technique to treat symptomatic spinal degenerative disease. The 
      purpose of this study was to systematically review the literature for studies 
      utilizing lumbar facet joint fixation techniques for LSDD to assess their safety 
      and efficacy. METHODS: A systematic literature review was performed following the 
      preferred reporting items for systematic reviews and meta-analyses statement, 
      with no limits in terms of date of publication. Demographic data, inclusion 
      criteria, clinical and radiological outcome, frequency of adverse events (AEs), 
      and follow-up time were evaluated. RESULTS: A total of 19 studies were included 
      with a total of 1577 patients. The techniques used for facet arthrodesis were 
      Goel intra-articular spacers in 21 patients (5.3%), Facet Wedge in 198 patients 
      (15.8%), facet screws fixation techniques in 1062 patients (52.6%), and facet 
      joints arthroplasty in 296 patients (26.3%). Clinical outcomes were assessed 
      through the evaluation of pain relief and improvement in functional outcome. 
      Radiological outcomes were assessed by the evaluation of proper positioning of 
      instrumentation, solid bony fusion rate, and preservation of disk height. AE's 
      mainly observed were pseudoarthrosis, reoperation, instrumentation 
      displacement/malpositioning/migration, neurological impairment, deep vein 
      thrombosis, and infections. The mean follow-up time ranged from 6 months to 11.7 
      years. CONCLUSION: Our data demonstrate that facet joint arthrodesis appears to 
      be effective in managing LSDD. These findings, however, are limited by the small 
      sample size of patients. Accordingly, larger series are needed before formal 
      recommendations can be made.
CI  - Copyright: (c) 2022 Journal of Craniovertebral Junction and Spine.
FAU - Musso, Sofia
AU  - Musso S
AD  - Department of Biomedicine, Neurosurgical Unit, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, Palermo, Italy.
FAU - Buscemi, Felice
AU  - Buscemi F
AD  - Department of Biomedicine, Neurosurgical Unit, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, Palermo, Italy.
FAU - Bonossi, Lapo
AU  - Bonossi L
AD  - Department of Biomedicine, Neurosurgical Unit, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, Palermo, Italy.
FAU - Silven, Manikon Poulley
AU  - Silven MP
AD  - Department of Biomedicine, Neurosurgical Unit, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, Palermo, Italy.
FAU - Torregrossa, Fabio
AU  - Torregrossa F
AD  - Department of Biomedicine, Neurosurgical Unit, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, Palermo, Italy.
FAU - Iacopino, Domenico Gerardo
AU  - Iacopino DG
AD  - Department of Biomedicine, Neurosurgical Unit, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, Palermo, Italy.
FAU - Grasso, Giovanni
AU  - Grasso G
AD  - Department of Biomedicine, Neurosurgical Unit, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, Palermo, Italy.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20221207
PL  - India
TA  - J Craniovertebr Junction Spine
JT  - Journal of craniovertebral junction & spine
JID - 101536746
PMC - PMC9910129
OTO - NOTNLM
OT  - Facet fixation
OT  - lumbar spinal degenerative disease
OT  - neurogenic intermittent claudication
OT  - spinal stenosis
COIS- There are no conflicts of interest.
EDAT- 2023/02/14 06:00
MHDA- 2023/02/14 06:01
PMCR- 2022/10/01
CRDT- 2023/02/13 03:41
PHST- 2022/09/07 00:00 [received]
PHST- 2022/10/30 00:00 [accepted]
PHST- 2023/02/13 03:41 [entrez]
PHST- 2023/02/14 06:00 [pubmed]
PHST- 2023/02/14 06:01 [medline]
PHST- 2022/10/01 00:00 [pmc-release]
AID - JCVJS-13-401 [pii]
AID - 10.4103/jcvjs.jcvjs_112_22 [doi]
PST - ppublish
SO  - J Craniovertebr Junction Spine. 2022 Oct-Dec;13(4):401-409. doi: 
      10.4103/jcvjs.jcvjs_112_22. Epub 2022 Dec 7.