2021 Volume 12 Issue 7 Pages 973-978
Introduction: We performed sublaminar taping stabilisation at the proximal adjacent segment to prevent adjacent segmental disease (ASD). The purpose of this study was to examine the effectiveness of sublaminar taping stabilisation.
Methods: Forty-two patients underwent L4/5/S1 interbody fusion with L3 sublaminar taping stabilisation (SLT group), and 73 patients underwent L4/5/S1 interbody fusion alone (control group). We evaluated the clinical findings, including the operation time, volume of blood loss, recovery rate based on the Japanese Orthopaedic Association score, and reoperation rate. Furthermore, we evaluated the patients radiologically to examine the global alignment, Pfirrmann classification, slip distance, disc height, posterior opening angle, and presence or absence of radiological ASD.
Results: Clinical examination revealed no significant differences between the two groups. In contrast, the slip distance and posterior opening angle were significantly reduced in the SLT group. In addition, the rate of radiological ASD was significantly decreased in the SLT group.
Conclusions: These results suggest that sublaminar taping may decrease the risk of radiological ASD. Moreover, sublaminar taping stabilisation may reduce the need for reoperation due to ASD.
