{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T12:02:20Z","timestamp":1769601740076,"version":"3.49.0"},"reference-count":15,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Adjacent-segment disease (ASD) proximal to lumbosacral fusion is assumed to result from increased stress and motion that extends above or below the fusion construct. Sublaminar bands (SBs) have been shown to potentially mitigate stresses in deformity constructs. A similar application of SBs in lumbar fusions is not well described yet may potentially mitigate against ASD.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Eight fresh-frozen human cadaveric spine specimens were instrumented with transforaminal lumbar interbody fusion (TLIF) cages at L3\u20134 and L4\u20135, and pedicle screws from L3 to S1. Bilateral SBs were applied at L2 and tightened around the rods extending above the L3 pedicle screws. After being mounted on a testing frame, the spines were loaded at L1 to 6 Nm in all 3 planes, i.e., flexion\/extension, right and left lateral bending, and right and left axial rotation. Motion and intradiscal pressures (IDPs) at L2\u20133 were measured for 5 conditions: intact, instrumentation (L3\u2013S1), band tension (BT) 30%, BT 50%, and BT 100%.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>There was significant increase in motion at L2\u20133 with L3\u2013S1 instrumentation compared with the intact spine in flexion\/extension (median 8.78\u00b0, range 4.07\u00b0\u201310.81\u00b0, vs median 7.27\u00b0, range 1.63\u00b0\u20139.66\u00b0; p = 0.016). When compared with instrumentation, BT 100% reduced motion at L2\u20133 in flexion\/extension (median 8.78\u00b0, range 4.07\u00b0\u201310.81\u00b0, vs median 3.61\u00b0, range 1.11\u00b0\u20139.39\u00b0; p &lt; 0.001) and lateral bending (median 6.58\u00b0, range 3.67\u00b0\u20138.59\u00b0, vs median 5.62\u00b0, range 3.28\u00b0\u20136.74\u00b0; p = 0.001). BT 50% reduced motion at L2\u20133 only in flexion\/extension when compared with instrumentation (median 8.78\u00b0, range 4.07\u00b0\u201310.81\u00b0, vs median 5.91\u00b0, range 2.54\u00b0\u201310.59\u00b0; p = 0.027). There was no significant increase of motion at L1\u20132 with banding when compared with instrumentation, although an increase was seen from the intact spine with BT 100% in flexion\/extension (median 5.14\u00b0, range 2.47\u00b0\u20139.73\u00b0, vs median 7.34\u00b0, range 4.22\u00b0\u20139.89\u00b0; p = 0.005). BT 100% significantly reduced IDP at L2\u20133 from 25.07 psi (range 2.41\u201348.08 psi) before tensioning to 19.46 psi (range \u22122.35 to 29.55 psi) after tensioning (p = 0.016).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>In this model, the addition of L2 SBs reduced motion and IDP at L2\u20133 after the L3\u2013S1 instrumentation. There was no significant increase in motion at L1\u20132 in response to band tensioning compared with instrumentation alone. The application of SBs may have a clinical application in reducing the incidence of ASD.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2022.5.spine22371","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T08:59:13Z","timestamp":1657270753000},"page":"836-842","source":"Crossref","is-referenced-by-count":3,"title":["Biomechanical assessment of the effect of sublaminar band tensioning on lumbar motion"],"prefix":"10.3171","volume":"37","author":[{"given":"Brian J.","family":"Park","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin J.","family":"Gold","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Christianson","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole A.","family":"DeVries Watson","sequence":"additional","affiliation":[{"name":"Orthopedics and Rehabilitation, The University of Iowa Hospitals and Clinics; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirill V.","family":"Nourski","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Iowa Neuroscience Institute, The University of Iowa, Iowa City, Iowa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Royce W.","family":"Woodroffe","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick W.","family":"Hitchon","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"8","key":"b1","series-title":"Orthopedics","first-page":"547","article-title":"Adjacent segment disease","volume":"37","author":"Virk SS","year":"2014","unstructured":"Virk SS, Niedermeier S, Yu E, Khan SN. Adjacent segment disease. Orthopedics. 2014;37(8):547\u2013555.25102498"},{"issue":"1","key":"b2","series-title":"Ochsner J","first-page":"78","article-title":"Adjacent segment disease perspective and review of the literature","volume":"14","author":"Saavedra-Pozo FM","year":"2014","unstructured":"Saavedra-Pozo FM, Deusdara RAM, Benzel EC. Adjacent segment disease perspective and review of the literature. Ochsner J. 2014;14(1):78\u201383.24688337"},{"issue":"1","key":"b3","series-title":"J Neurosurg Spine","first-page":"46","article-title":"Risk of adjacent-segment disease requiring surgery after short lumbar fusion: results of the French Spine Surgery Society Series","volume":"25","author":"Scemama C","year":"2016","unstructured":"Scemama C, Magrino B, Gillet P, Guigui P. Risk of adjacent-segment disease requiring surgery after short lumbar fusion: results of the French Spine Surgery Society Series. J Neurosurg Spine. 2016;25(1):46\u201351.26967992"},{"issue":"1","key":"b4","series-title":"J Orthop Surg Res","first-page":"135","article-title":"Biomechanical study of proximal adjacent segment degeneration after posterior lumbar interbody fusion and fixation: a finite element analysis","volume":"14","author":"Jiang S","year":"2019","unstructured":"Jiang S, Li W. Biomechanical study of proximal adjacent segment degeneration after posterior lumbar interbody fusion and fixation: a finite element analysis. J Orthop Surg Res. 2019;14(1):135.31092257"},{"key":"b5","series-title":"Biomed Res Int","first-page":"4385620","article-title":"Could the topping-off technique be the preventive strategy against adjacent segment disease after pedicle screw-based fusion in lumbar degenerative diseases? A systematic review","volume":"2017","author":"Chou PH","year":"2017","unstructured":"Chou PH, Lin HH, An HS, Liu KY, Su WR, Lin CL. Could the topping-off technique be the preventive strategy against adjacent segment disease after pedicle screw-based fusion in lumbar degenerative diseases? A systematic review. Biomed Res Int. 2017;2017:4385620."},{"issue":"1","key":"b6","series-title":"J Neurosurg Spine","first-page":"125","article-title":"The effect of posterior polyester tethers on the biomechanics of proximal junctional kyphosis: a finite element analysis","volume":"26","author":"Bess S","year":"2017","unstructured":"Bess S, Harris JE, Turner AWL,  The effect of posterior polyester tethers on the biomechanics of proximal junctional kyphosis: a finite element analysis. J Neurosurg Spine. 2017;26(1):125\u2013133.27611508"},{"issue":"2","key":"b7","series-title":"J Neurosurg Spine","first-page":"184","article-title":"Biomechanical assessment of proximal junctional semi-rigid fixation in long-segment thoracolumbar constructs","volume":"30","author":"Viswanathan VK","year":"2018","unstructured":"Viswanathan VK, Ganguly R, Minnema AJ,  Biomechanical assessment of proximal junctional semi-rigid fixation in long-segment thoracolumbar constructs. J Neurosurg Spine. 2018;30(2):184\u2013192.30497219"},{"issue":"6","key":"b8","series-title":"J Neurosurg Spine","first-page":"807","article-title":"Sublaminar banding as an adjunct to pedicle screw-rod constructs: a review and technical note on novel hybrid constructs in spinal deformity surgery","volume":"30","author":"Viswanathan VK","year":"2019","unstructured":"Viswanathan VK, Minnema AJ, Viljoen S, Farhadi HF. Sublaminar banding as an adjunct to pedicle screw-rod constructs: a review and technical note on novel hybrid constructs in spinal deformity surgery. J Neurosurg Spine. 2019;30(6):807\u2013813."},{"issue":"3","key":"b9","series-title":"Radiology","first-page":"499","article-title":"Thoracic bone mineral density derived from cardiac CT is associated with greater fracture rate","volume":"296","author":"Therkildsen J","year":"2020","unstructured":"Therkildsen J, Nissen L, J\u00f8rgensen HS,  Thoracic bone mineral density derived from cardiac CT is associated with greater fracture rate. Radiology. 2020;296(3):499\u2013508.32662758"},{"issue":"5","key":"b10","series-title":"Asian Spine J","first-page":"807","article-title":"Adjacent segment pathology after lumbar spinal fusion","volume":"9","author":"Lee JC","year":"2015","unstructured":"Lee JC, Choi SW. Adjacent segment pathology after lumbar spinal fusion. Asian Spine J. 2015;9(5):807\u2013817.26435804"},{"issue":"3","key":"b11","series-title":"J Neurosurg Pediatr","first-page":"328","article-title":"The feasibility and safety of using sublaminar polyester bands in hybrid spinal constructs in children and transitional adults for neuromuscular scoliosis","volume":"15","author":"Desai SK","year":"2015","unstructured":"Desai SK, Sayama C, Vener D,  The feasibility and safety of using sublaminar polyester bands in hybrid spinal constructs in children and transitional adults for neuromuscular scoliosis. J Neurosurg Pediatr. 2015;15(3):328\u2013337.25555118"},{"issue":"7","key":"b12","series-title":"Eur Spine J","first-page":"1441","article-title":"Sublaminar bands: are they safe?","volume":"24","author":"Polirsztok E","year":"2015","unstructured":"Polirsztok E, Gavaret M, Gsell T,  Sublaminar bands: are they safe?. Eur Spine J. 2015;24(7):1441\u20131449.25291975"},{"issue":"5","key":"b13","series-title":"Clin Spine Surg","first-page":"E496","article-title":"Sublaminar tethers significantly reduce the risk of proximal junctional failure in surgery for severe adult spinal deformity: a propensity score\u2013matched analysis","volume":"35","author":"Yagi M","year":"2022","unstructured":"Yagi M, Suzuki S, Okada E,  Sublaminar tethers significantly reduce the risk of proximal junctional failure in surgery for severe adult spinal deformity: a propensity score\u2013matched analysis. Clin Spine Surg. 2022;35(5):E496\u2013E503."},{"issue":"5","key":"b14","series-title":"Medicine (Baltimore)","first-page":"e6032","article-title":"Incidence and risk factors of adjacent segment disease following posterior decompression and instrumented fusion for degenerative lumbar disorders","volume":"96","author":"Wang H","year":"2017","unstructured":"Wang H, Ma L, Yang D,  Incidence and risk factors of adjacent segment disease following posterior decompression and instrumented fusion for degenerative lumbar disorders. Medicine (Baltimore). 2017;96(5):e6032.28151909"},{"issue":"4","key":"b15","series-title":"J Clin Neurosci","first-page":"651","article-title":"Spinal motion and intradiscal pressure measurements before and after lumbar spine instrumentation with titanium or PEEK rods","volume":"21","author":"Abode-Iyamah K","year":"2014","unstructured":"Abode-Iyamah K, Kim SB, Grosland N,  Spinal motion and intradiscal pressure measurements before and after lumbar spine instrumentation with titanium or PEEK rods. 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