Effects of spinal instrumentation on fusion of the lumbosacral spine.


STUDY DESIGN:This study retrospectively, reviewed the effects of pedicle screw fixation on lumbosacral fusion for degenerative conditions. The records and radiographs of a group of patients treated by wide decompression and fusion of the lumbosacral spine and by one surgeon were studied. Two treatment groups were identified by fusion technique; one group received autologous bone graft only, and second group was treated by autologous bone grafting supplemented with pedicle screw fixation. OBJECTIVES:The two study groups were compared to determine the effects of pedicle screw fixation on lumbosacral fusion for degenerative conditions after wide decompression. SUMMARY OF BACKGROUND DATA:The reported success rate of lumbar and lumbosacral fusion in the literature is variable. Although several studies have reported high fusion rates with internal fixation, few controlled studies have been published. A critical review of isolated lumbosacral fusions (for degenerative conditions) and the effects of instrumentation is necessary to determine the effectiveness and complications associated with pedicle screw systems in this setting. METHODS:This study reviewed 215 consecutive patients operated on from 1987 to 1992 for degenerative conditions of the lumbosacral spine. Group 1 included 126 patients who underwent autogenous posterolateral bone graft after decompression. Group 2 included 89 patients treated with Edwards instrumentation and autogenous bone graft. Fusion status was determined via radiographs. Clinical results were based on pain relief after a minimum 2-year follow-up period. RESULTS:In Group 1, an overall fusion rate of 65% was obtained. Clinically, 56% had good or excellent results. Complications included pseudarthroses (35%), dural tears (3.2%), and infection (2.4%). In Group 2, a fusion rate of 91% was achieved. In this group, 89% had a good or excellent clinical result. Complications included pseudarthroses (9%), dural tears (2.2%), and infection (2.2%). CONCLUSIONS:Use of pedicle screw and rod fixation with the Edwards system led to significantly improved results in lumbosacral fusions over autogenous bone graft alone, with a lower complication rate. The use of spinal is a valuable adjunct to achieve lumbosacral fusion in patients who have undergone decompressive surgery for the spine.


Spine (Phila Pa 1976)




Schwab FJ,Nazarian DG,Mahmud F,Michelsen CB




Has Abstract


1995-09-15 00:00:00














  • Orthopaedic implications in the management of pediatric vertebral and spinal cord tumors: a retrospective review.

    abstract:STUDY DESIGN:Retrospective review of pediatric patients with vertebral and spinal cord tumors. OBJECTIVES:To identify clinical and radiographic features of diagnostic importance, and to evaluate the effectiveness of surgical treatment with respect to complications in pediatric patients with vertebral and spinal cord t...


    pub_type: 杂志文章


    authors: Parikh SN,Crawford AH

    更新日期:2003-10-15 00:00:00

  • The frequency and associated factors of low back pain among a younger population in Turkey.

    abstract:STUDY DESIGN:Open design cross-sectional questionnaire. OBJECTIVES:The aims of this study are to determine the frequency of low back pains in the younger population and the factors that have an influence on this frequency. SUMMARY OF BACKGROUND DATA:Low back pain is one of the most important social problems that caus...


    pub_type: 杂志文章


    authors: Cakmak A,Yücel B,Ozyalçn SN,Bayraktar B,Ural HI,Duruöz MT,Genç A

    更新日期:2004-07-15 00:00:00

  • A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part II: Five-year follow-up by an independent observer.

    abstract:STUDY DESIGN:A prospective and consecutive study of surgical results obtained during serial follow-up investigations in patients who underwent surgery for central lumbar spinal stenosis. OBJECTIVES:To evaluate the result after surgical decompression for lumbar spinal stenosis, at regular intervals after surgery, and t...


    pub_type: 杂志文章


    authors: Jönsson B,Annertz M,Sjöberg C,Strömqvist B

    更新日期:1997-12-15 00:00:00

  • Robot-Assisted Posterior C1-2 Transarticular Screw Fixation for Atlantoaxial Instability: A Case Report.

    abstract:STUDY DESIGN:Case report. OBJECTIVES:The aim of this study was to assess the feasibility, safety, and accuracy of a new robotic system for performing posterior C1-2 transarticular screw fixation for atlantoaxial instability. SUMMARY OF BACKGROUND DATA:C1-2 transarticular fixation is a reliable procedure. However, the...


    pub_type: 杂志文章


    authors: Tian W

    更新日期:2016-10-01 00:00:00

  • Internal architecture of the thoracic pedicle. An anatomic study.

    abstract:STUDY DESIGN:In this study, data are presented that provide the surgeon with additional information about the internal structure of the thoracic pedicle, which is especially useful for pedicle screw fixation in the thoracic spine. OBJECTIVES:To quantify the internal structure of the pedicle in the thoracic spine. SUM...


    pub_type: 杂志文章


    authors: Kothe R,O'Holleran JD,Liu W,Panjabi MM

    更新日期:1996-02-01 00:00:00

  • The development of the Dallas Pain Questionnaire. An assessment of the impact of spinal pain on behavior.

    abstract::The Dallas Pain Questionnaire (DPQ) was developed to assess the amount of chronic spinal pain that affects four aspects (daily and work-leisure activities, anxiety-depression, and social interest) of the patients' lives. Results of the DPQ's statistical properties suggest that the DPQ is an externally reliable instrum...


    pub_type: 杂志文章


    authors: Lawlis GF,Cuencas R,Selby D,McCoy CE

    更新日期:1989-05-01 00:00:00

  • Morphologic and histochemical characteristics of skeletal muscle after long-term intramuscular electrical stimulation.

    abstract::The purpose of this investigation was to examine the morphologic and histochemical characteristics of paraspinal muscles in patients with scoliosis after long-term electrical stimulation. Thirty-six children with idiopathic scoliosis, who had been treated with implantable muscle stimulators, had paraspinal muscle biop...


    pub_type: 杂志文章


    authors: Wright J,Herbert MA,Velazquez R,Bobechko WP

    更新日期:1992-07-01 00:00:00

  • Axis fractures resulting from motor vehicle accidents. The need for occupant restraints.

    abstract::A total of 625 patients who sustained acute cervical spine fractures were evaluated by the Spinal Cord Injury Service at Barrow Neurological Institute, Phoenix, Arizona, between January 1976 and January 1984. Of them, 107 had fractures of the second cervical vertebra. In a retrospective review, motor vehicle accidents...


    pub_type: 杂志文章


    authors: Hadley MN,Sonntag VK,Grahm TW,Masferrer R,Browner C

    更新日期:1986-11-01 00:00:00

  • Isolation of mesenchymal stem cells from human ligamentum flavum: implicating etiology of ligamentum flavum hypertrophy.

    abstract:STUDY DESIGN:To demonstrate the existence of mesenchymal stem cells (MSCs) in ligamentum flavum (LF) and their pathogenic role in LF hypertrophy. OBJECTIVE:To isolate and characterize LF-derived MSCs and their response to transforming growth factor-beta 1 (TGF-β1) and trichostatin A (TSA), a histone deacetylase inhibi...


    pub_type: 杂志文章


    authors: Chen YT,Wei JD,Wang JP,Lee HH,Chiang ER,Lai HC,Chen LL,Lee YT,Tsai CC,Liu CL,Hung SC

    更新日期:2011-08-15 00:00:00

  • Dual Time-Point 18F-FDG PET/CT in Spinal Sarcoidosis: A Single Institution Case Series.

    abstract:STUDY DESIGN:A case series of dual time-point F-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography (F-FDG PET/CT) for the diagnosis of spinal cord sarcoidosis. OBJECTIVE:The aim of this study was to illustrate three cases of spinal sarcoidosis with occult presentation and subsequent identificati...


    pub_type: 杂志文章


    authors: Ordóñez-Rubiano EG,Solano-Noguera DF,Row W,Weinberg J,Tatsui CE,Johnson JM,Gule-Monroe MK

    更新日期:2019-11-01 00:00:00

  • Spinal disabilities in military and civil aviators.

    abstract:OBJECTIVE:The purpose of this study was to analyze the nature and cause of spinal disabilities among military and civil aircrew in India. SUMMARY OF BACKGROUND DATA:Studies suggest that military aircrew may be more prone than nonaviators to develop spinal disabilities. An in-depth analysis of such disabilities can ena...


    pub_type: 杂志文章


    authors: Taneja N

    更新日期:2008-12-01 00:00:00

  • Postoperative changes in the spinal cord in cervical myelopathy demonstrated by magnetic resonance imaging.

    abstract::The relation between improvement of myelopathy achieved by surgery and postoperative spinal cord morphologic changes was investigated by magnetic resonance imaging in 51 patients with cervical myelopathy. In 22 patients, the cord indentation disappeared completely (Type I), in 23 it partially disappeared (Type II), an...


    pub_type: 杂志文章


    authors: Harada A,Mimatsu K

    更新日期:1992-11-01 00:00:00

  • Bilateral pedicle stress fractures in a female athlete: case report and review of the literature.

    abstract:STUDY DESIGN:Clinical case report of bilateral stress fractures of the pedicle in a female athlete presenting with back pain. OBJECTIVES:To report this unusual case and surgical treatment and to review the relevant literature. SUMMARY OF BACKGROUND DATA:Low back pain is a frequent complaint in athletes, with the majo...


    pub_type: 杂志文章


    authors: Parvataneni HK,Nicholas SJ,McCance SE

    更新日期:2004-01-15 00:00:00

  • Comparison of disc space heights after anterior lumbar interbody fusion.

    abstract::Thirty-one consecutive patients underwent anterior interbody fusion of 40 levels of the lumbar spine using autogenous, autologous, or mixed iliac crest graft. Each patient's disc space height was measured preoperatively, immediately postoperatively, and an average of 29 months postoperatively. The immediate postoperat...


    pub_type: 杂志文章


    authors: Dennis S,Watkins R,Landaker S,Dillin W,Springer D

    更新日期:1989-08-01 00:00:00

  • Lymphangiomatosis of the spine: two cases requiring surgical intervention.

    abstract:STUDY DESIGN:Two cases of lymphangiomatosis of the spine are presented. OBJECTIVES:To report two cases of lymphangiomatosis of the spine requiring surgical intervention and to review the literature. SUMMARY OF BACKGROUND INFORMATION:Lymphangiomatosis is a rare childhood disease characterized by abnormal lymph tissue ...


    pub_type: 杂志文章


    authors: Watkins RG 4th,Reynolds RA,McComb JG,Tolo VT

    更新日期:2003-02-01 00:00:00

  • Effect of the increase in the height of lumbar disc space on facet joint articulation area in sagittal plane.

    abstract:STUDY DESIGN:Computerized tomography (CT) of the lumbar spine cadaveric specimens was used to evaluate the effect of increasing the height of the disc space in the lumbar spine to the facet joint articulation in the sagittal plane. OBJECTIVE:To show how the facet joint articulation is affected by increasing the height...


    pub_type: 杂志文章


    authors: Liu J,Ebraheim NA,Haman SP,Shafiq Q,Karkare N,Biyani A,Goel VK,Woldenberg L

    更新日期:2006-04-01 00:00:00

  • Quantitative dynamic measures of physical exposure predict low back functional impairment.

    abstract:STUDY DESIGN:Prospective field study of work exposure and changes in back function. OBJECTIVE:Quantify dynamic physical exposures in the workplace and their association with decreases in kinematic back function (indicative of low back pain [LBP]). SUMMARY OF BACKGROUND DATA:Previous epidemiologic studies of work have...


    pub_type: 杂志文章


    authors: Marras WS,Lavender SA,Ferguson SA,Splittstoesser RE,Yang G

    更新日期:2010-04-15 00:00:00

  • Rapid progression of destructive spondyloarthropathy.

    abstract:STUDY DESIGN:A case of destructive spondyloarthropathy was reported. OBJECTIVES:To describe the rapid destruction of intervertebral disc and vertebral body as a consequence of destructive spondyloarthropathy in a patients with end-stage renal disease receiving hemodialysis. SUMMARY OF BACKGROUND DATA:An important fac...


    pub_type: 杂志文章


    authors: Chow KM,Griffith JF,Fung KY,Szeto CC

    更新日期:2005-01-01 00:00:00

  • Bone metabolism in postmenopausal women with lumbar spinal stenosis: analysis of bone mineral density and bone turnover markers.

    abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:To investigate bone mineral density (BMD) and the change of bone turnover rate in postmenopausal women with lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA:Symptomatic LSS prevents elderly patients from performing daily activities because of back pain and neuro...


    pub_type: 杂志文章


    authors: Kim HJ,Lee HM,Kim HS,Park JO,Moon ES,Park H,Park SY,Moon SH

    更新日期:2008-10-15 00:00:00

  • Anatomic consideration in the anterior approach to the sacro-iliac joint.

    abstract::Anatomical study of L4 nerve branch, L5 nerve root, and bony stock in the sacroiliac region was performed in cadaveric specimens to provide anatomical references for anterior fixation of the sacroiliac joint. At 1 cm intervals along the sacro-iliac joint, the distance to the lateral border of the L4 nerve branch (to t...


    pub_type: 杂志文章


    authors: Ebraheim NA,Padanilam TG,Waldrop JT,Yeasting RA

    更新日期:1994-03-15 00:00:00

  • Adverse events in patients re-exposed to bone morphogenetic protein for spine surgery.

    abstract:STUDY DESIGN:Case series from a single spine specialty clinic. OBJECTIVE:This study analyzed wound related or anaphylactic adverse events in patients re-exposed to rhBMP-2. SUMMARY OF BACKGROUND DATA:The use of recombinant bone morphogenetic protein (rhBMP-2) as a bone graft substitute is increasing. There is concern...


    pub_type: 杂志文章


    authors: Carreon LY,Glassman SD,Brock DC,Dimar JR,Puno RM,Campbell MJ

    更新日期:2008-02-15 00:00:00

  • Progression of idiopathic thoracolumbar scoliosis after breast reconstruction with a latissimus dorsi flap: a case report.

    abstract:STUDY DESIGN:A report of a patient in whom progressive symptomatic thoracolumbar scoliosis developed after breast reconstruction with a latissimus dorsi myocutaneous flap. OBJECTIVES:To present the first reported case of progressive symptomatic scoliosis after breast reconstruction with a latissimus dorsi myocutaneous...


    pub_type: 杂志文章


    authors: Kim DH,Glazer PA

    更新日期:2000-03-01 00:00:00

  • Beliefs about low back pain in the Norwegian general population: are they related to pain experiences and health professionals?

    abstract:STUDY DESIGN:A baseline study of the general population and the health care providers in 3 Norwegian counties. OBJECTIVE:To investigate if beliefs about low back pain (LBP) are related to personal experiences and profession sought for care. SUMMARY OF BACKGROUND DATA:Myths about LBP that are abandoned by health profe...


    pub_type: 杂志文章


    authors: Werner EL,Ihlebaek C,Skouen JS,Laerum E

    更新日期:2005-08-01 00:00:00

  • Variation in reported safety of lumbar interbody fusion: influence of industrial sponsorship and other study characteristics.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To quantify variability in undesirable outcomes among studies of lumbar interbody fusion using stand-alone cage devices, and to determine whether author conflicts of interest contribute to variability. SUMMARY OF BACKGROUND DATA:Promising early studies of lumbar fusion with s...


    pub_type: 杂志文章,meta分析


    authors: Fenton JJ,Mirza SK,Lahad A,Stern BD,Deyo RA

    更新日期:2007-02-15 00:00:00

  • Elderly as a Predictor for Perioperative Complications in Patients Undergoing Multilevel Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Regression Modeling Study.

    abstract:STUDY DESIGN:This was a single-institute retrospective study. OBJECTIVE:To describe perioperative and postoperative complications in elderly who underwent multilevel minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) while identifying predictors of complications. SUMMARY OF BACKGROUND DATA:The numbe...


    pub_type: 杂志文章


    authors: Claus CF,Lytle E,Tong D,Bahoura M,Garmo L,Yoon E,Jasinski J,Kaufmann A,Richards B,Soo TM

    更新日期:2020-06-01 00:00:00

  • Incidence of intravascular penetration in transforaminal cervical epidural steroid injections.

    abstract::STUDY DESIGN A prospective, observational, human, study was conducted. OBJECTIVES To evaluate the incidence of vascular penetration during fluoroscopically guided, contrast-enhanced transforaminal cervical epidural steroid injections, and to determine whether the observation of blood in the needle hub can be used to p...


    pub_type: 杂志文章


    authors: Furman MB,Giovanniello MT,O'Brien EM

    更新日期:2003-01-01 00:00:00

  • Effect of intensive training on the isokinetic strength and structure of lumbar muscles in patients with chronic low back pain.

    abstract:STUDY DESIGN:This study investigated the effects of the intensive physical rehabilitation program on the trunk and knee extensor muscles in patients with chronic low back pain. At baseline and after 3 months, strength was measured and muscle biopsies were taken. OBJECTIVES:To evaluate the effects of strength exercises...


    pub_type: 杂志文章


    authors: Rissanen A,Kalimo H,Alaranta H

    更新日期:1995-02-01 00:00:00

  • Risk Factors for Facial Pressure Ulcers in Patients Underwent Prolonged Prone Orthopedic Spine Surgery.

    abstract:STUDY DESIGN:Retro-prospective study. OBJECTIVES:To identify the incidence and the risk factors associated with the development of Facial pressure ulcers (FPU) in patients underwent spine surgery in prone position for at least 3 hours. SUMMARY OF BACKGROUND DATA:FPU is a serious complication that can occur after prol...


    pub_type: 杂志文章


    authors: Techanivate A,Athibai N,Siripongsaporn S,Singhatanadgige W

    更新日期:2020-12-17 00:00:00

  • Long scoliosis fusion to the sacrum in adults with nonparalytic scoliosis. An improved method.

    abstract::The first 17 adults with nonparalytic scoliosis having long fusion to the sacrum treated with the Luque-Galveston technique were reviewed. There were 3 men and 14 women. Their average age at the time of surgery was 47 years and the mean follow-up period was 42 months. There were no neurologic complications and no pati...


    pub_type: 杂志文章


    authors: Saer EH 3rd,Winter RB,Lonstein JE

    更新日期:1990-07-01 00:00:00

  • Lumbar spine fusion for chronic low back pain due to degenerative disc disease: a systematic review.

    abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To categorize published evidence systematically for lumbar fusion for chronic low back pain (LBP) in order to provide an updated and comprehensive analysis of the clinical outcomes. SUMMARY OF BACKGROUND DATA:Despite a large number of publications of outcomes of sp...


    pub_type: 杂志文章,评审


    authors: Phillips FM,Slosar PJ,Youssef JA,Andersson G,Papatheofanis F

    更新日期:2013-04-01 00:00:00