Circumferential fusion of the lumbar and lumbosacral spine.

Abstract:

:Seventy-four patients with circumferential fusion of the lumbosacral spine have been assessed after a mean follow up of 49.8 months. For the ventral procedure, an anterior interbody fusion with tricortical iliac bone graft was performed. The additional dorsal fusion was according to various techniques with mainly transpedicular internal fixation. Forty-six patients underwent a one-stage operation while 28 underwent the ventral and dorsal procedure in different sittings. The results favour the technique of a combined anterior/posterior approach for fusion of the lumbosacral spine in patients with instability and deformity of all three columns, such as fractures and spondylolisthesis of more than 50%. Optimal stability with satisfactory reduction of the deformity may be achieved. The one-stage operation proved to be superior, with less complications and a shorter hospital stay.

authors

Grob D,Scheier HJ,Dvorak J,Siegrist H,Rubeli M,Joller R

doi

10.1007/BF00390187

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

20-5

issue

1

eissn

0936-8051

issn

1434-3916

journal_volume

111

pub_type

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