Direct current stimulation of allograft in anterior and posterior lumbar interbody fusions.

Abstract:

STUDY DESIGN:Interbody spinal fusion rates were compared in patients with and without direct current stimulation. OBJECTIVE:To determine whether direct current improves interbody fusion rates. BACKGROUND:High pseudarthrosis rates have been reported for anterior lumbar interbody fusions and failure of posterior lumbar interbody fusions pose difficult problems for the surgeon. Use of direct current to enhance interbody fusions is based on prior reports of electrically stimulated posterolateral lumbar fusions. METHODS:A modified Crock surgical technique with allograft was performed and stimulator cathodes, when used, were wrapped around the graft. Fusion was assessed using multiplanar computed tomographic reconstructions, radiographs, and tomograms. RESULTS:Overall fusion rates were significantly higher in stimulated patients (93% vs. 75%). Particularly striking were high risk groups such as smokers (92% vs. 71%), and those with no internal fixation (91% vs. 65%) and L4-L5 fusions (91% vs. 59%). CONCLUSION:Lumbar interbody fusion rates are improved by direct current treatment.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Meril AJ

doi

10.1097/00007632-199411000-00004

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

2393-8

issue

21

eissn

0362-2436

issn

1528-1159

journal_volume

19

pub_type

临床试验,杂志文章,随机对照试验

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