{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T06:39:57Z","timestamp":1782887997561,"version":"3.54.5"},"reference-count":37,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Advances in Orthopedics"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. Posterior dynamic stabilization is an effective alternative to fusion in the treatment of chronic instability and degenerative disc disease (DDD) of the lumbar spine. This study was undertaken to investigate the efficacy of dynamic stabilization in chronic degenerative disc disease with Modic types 1 and 2. Modic types 1 and 2 degeneration can be painful. Classic approach in such cases is spine fusion. We operated 88 DDD patients with Modic types 1 and 2 via posterior dynamic stabilization. Good results were obtained after 2 years of followup.<jats:italic>Methods<\/jats:italic>. A total of 88 DDD patients with Modic types 1 and 2 were selected for this study. The patients were included in the study between 2004 and 2010. All of them were examined with lumbar anteroposterior (AP) and lateral X-rays. Lordosis of the lumbar spine, segmental lordosis, and ratio of the height of the intervertebral disc spaces (IVSs) were measured preoperatively and at 3, 12, and 24 months after surgery. Magnetic resonance imaging (MRI) analysis was carried out, and according to the data obtained, the grade of disc degeneration was classified. The quality of life and pain scores were evaluated by visual analog scale (VAS) score and Oswestry Disability Index (ODI) preoperatively and at 3, 12, and 24 months after surgery. Appropriate statistical method was chosen.<jats:italic>Results<\/jats:italic>. The mean 3- and 12-month postoperative IVS ratio was significantly greater than that of the preoperative group (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:math>). However, the mean 1 and 2 postoperative IVS ratio was not significantly different (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>P<\/mml:mi><mml:mo>&gt;<\/mml:mo><mml:mn>0.05<\/mml:mn><\/mml:math>). Furthermore, the mean preoperative and 1 and 2 postoperative angles of lumbar lordosis and segmental lordosis were not significantly different (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>P<\/mml:mi><mml:mo>&gt;<\/mml:mo><mml:mn>0.05<\/mml:mn><\/mml:math>). The mean VAS score and ODI, 3, 12, and 24 months after surgery, decreased significantly, when compared with the preoperative scores in the groups (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.000<\/mml:mn><\/mml:math>).<jats:italic>Conclusion<\/jats:italic>. Dynamic stabilization in chronic degenerative disc disease with Modic types 1 and 2 was effective.<\/jats:p>","DOI":"10.1155\/2013\/806267","type":"journal-article","created":{"date-parts":[[2013,5,20]],"date-time":"2013-05-20T21:06:14Z","timestamp":1369083974000},"page":"1-6","source":"Crossref","is-referenced-by-count":17,"title":["Dynamic Stabilisation in the Treatment of Degenerative Disc Disease with Modic Changes"],"prefix":"10.1155","volume":"2013","author":[{"given":"Olcay","family":"Eser","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cengiz","family":"Gomleksiz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ordu Medical Park Hospital, Ordu, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Sasani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, American Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tunc","family":"Oktenoglu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, American Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Levent","family":"Aydin","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Istanbul Physical Therapy and Rehabilitation Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaprak","family":"Ataker","sequence":"additional","affiliation":[{"name":"Physical Therapy and Rehabilitation Department, American Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuncer","family":"Suzer","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, American Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Fahir","family":"Ozer","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, School of Medicine, Koc University, Rumelifeneri Yolu Sar\u0131yer, Istanbul 34450, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"issue":"3","key":"1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.2214\/ajr.149.3.531","volume":"149","year":"1987","journal-title":"The American Journal of Roentgenology"},{"issue":"1","key":"2","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1148\/radiology.166.1.3336678","volume":"166","year":"1988","journal-title":"Radiology"},{"issue":"1","key":"3","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1148\/radiology.168.1.3289089","volume":"168","year":"1988","journal-title":"Radiology"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s005860050091"},{"issue":"5","key":"5","first-page":"757","volume":"76","year":"1994","journal-title":"Journal of Bone and Joint Surgery B"},{"issue":"2","key":"6","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1148\/radiology.218.2.r01fe15420","volume":"218","year":"2001","journal-title":"Radiology"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-004-2314-4"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2312021708"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-004-0886-3"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000162396.97739.76"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000224167.18483.14"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000261561.12944.ff"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0336-8"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-006-0185-x"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1007\/BF01358743"},{"issue":"7","key":"16","first-page":"583","volume":"84","year":"1998","journal-title":"Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112010-00002"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2009.46.4.322"},{"issue":"5","key":"19","first-page":"392","volume":"9","year":"1996","journal-title":"Journal of Spinal Disorders"},{"issue":"7","key":"20","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1097\/00007632-199207000-00018","volume":"17","year":"1992","journal-title":"Spine"},{"issue":"5","key":"21","doi-asserted-by":"crossref","first-page":"E109","DOI":"10.1097\/01.brs.0000154630.79887.ef","volume":"30","year":"2005","journal-title":"Spine"},{"issue":"9","key":"22","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1097\/00007632-199505000-00012","volume":"20","year":"1995","journal-title":"Spine"},{"issue":"4","key":"23","doi-asserted-by":"crossref","first-page":"466","DOI":"10.4103\/0028-3886.22614","volume":"53","year":"2005","journal-title":"Neurology India"},{"issue":"4","key":"24","first-page":"319","volume":"19","year":"2009","journal-title":"Turkish Neurosurgery"},{"issue":"10","key":"25","doi-asserted-by":"crossref","first-page":"859","DOI":"10.3928\/01477447-20071001-18","volume":"30","year":"2007","journal-title":"Orthopedics"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/j.rco.2008.04.015"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-006-0301-y"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-200010000-00012"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000215027.87102.7c"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B1.6814"},{"issue":"6","key":"31","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1097\/00007632-199006000-00028","volume":"15","year":"1990","journal-title":"Spine"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200304010-00017"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1620-6"},{"issue":"4","key":"34","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/00024720-200308000-00015","volume":"16","year":"2003","journal-title":"Journal of Spinal Disorders and Techniques"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.3171\/2009.9.SPINE0951"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001004010137"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1262810"}],"container-title":["Advances in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/aorth\/2013\/806267.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/aorth\/2013\/806267.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/aorth\/2013\/806267.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,26]],"date-time":"2020-07-26T23:12:22Z","timestamp":1595805142000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/aorth\/2013\/806267\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":37,"alternative-id":["806267","806267"],"URL":"https:\/\/doi.org\/10.1155\/2013\/806267","relation":{},"ISSN":["2090-3464","2090-3472"],"issn-type":[{"value":"2090-3464","type":"print"},{"value":"2090-3472","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}