title: [Clinical application of Wallis interspinous dynamic stabilization in treating adjacent segment degeneration (ASD) after lumbar spinal fusion].
abstract: OBJECTIVE
  To evaluate therapeutic effects of Wallis interspinous dynamic stabilization in treating ASD after lumbar spinal fusion.
  
  
  METHODS
  Totally 40 patients (included 16 males and 24 females, aged 25 to 60 years old) with degenerative disc disease were treated with posterior interbody fusion. Among them, 20 cases (treatment group) were treated with posterior interbody fusion combined with Wallis interspinous dynamic stabilization, while other 20 cases (control group) only treated with posterior interbody fusion. JOA score and VAS score were compared after inserted Wallis interspinous dynamic stabilization at 1 month and 3 years, and changes of intervertebral disc height of adjacent segment and cross-sectional area of the canal were tested and compared.
  
  
  RESULTS
  All patients were followed up from 3 to 5 years with an average of 3.6 years. All injuries were healed at stage I and the pain were released after treatment. There were no significant meaning in JOA score and VAS score at 1 month after treatment between two groups (P>0.05), while had meaning at 3 years (P<0.05). There were no statistical significane in intervertebral disc height of adjacent segment and cross-sectional area of the canal at 1 month after treatment (P>0.05), while had statistical meaning at 3 years (P<0.05).
  
  
  CONCLUSIONS
  There is no difference in immediate effects between two groups. Both of them can obtain good results for effective decompression. Medial-term effectiveness of treatment group is obviously better than control group, which depends on Wallis interspinous dynamic stabilization to plays good biology effects and effective accelerate adjacent degeneration caused by lumbar fusion.
authors.forename: Jian-ping
authors.initials: JP
authors.lastname: Xu
authors.forename: Hong-lei
authors.initials: HL
authors.lastname: Yi
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.forename: Zhi-cai
authors.initials: ZC
authors.lastname: Shi
authors.forename: Jing-feng
authors.initials: JF
authors.lastname: Li
authors.forename: Ying-chuan
authors.initials: YC
authors.lastname: Zhao
authors.forename: Guo-bing
authors.initials: GB
authors.lastname: Lin
authors.forename: Huai-yun
authors.initials: HY
authors.lastname: Wang
authors.forename: Feng
authors.initials: F
authors.lastname: Shen
mesh_terms: D000328:Adult; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013123:Spinal Fusion; D016896:Treatment Outcome