Spondylodesis Augmented by Transpedicular Fixation in the Treatment of Olisthetic and Degenerative Conditions of the Lumbar Spine

Soini, J; Laine, Timo; Pohjolainen, Timo; Hurri, Heikki; Alaranta, Hannu

doi:10.1097/00003086-199312000-00020

Cited by 54 publications

(39 citation statements)

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“…Screw loosening and breakage have been reported in 2-27% and 0-15%, respectively (Marchesi et al 1991, Esses et al 1993, Soini et al 1993, Zdeblick 1993, Pihlajam&i et al 1997). Both complications are closely related to loss of correction and pseudoarthrosis.…”

Section: Discussionmentioning

confidence: 98%

Posterior lumbar interbody fusion: A retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases

Okuyama

Abe

Suzuki

et al. 1999

Acta Orthopaedica Scandinavica

115

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Section: Discussionmentioning

confidence: 98%

Posterior lumbar interbody fusion: A retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases

Okuyama

Abe

Suzuki

et al. 1999

Acta Orthopaedica Scandinavica

115

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“…Pedicular screw placement carries an obvious risk for neural damage -about 5-7% [2,7]. Neurological complications may be either due to the screws or to the decompression procedure.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of pedicle screw insertion: A prospective CT study in 30 low back patients

et al. 1997

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A prospective study of the accuracy of titanium pedicle screw placement in 30 low back operations was performed. The postoperative plain radiographs and CT reformation images were evaluated by two independent radiologists. Thirty-two out of 152 screws (21%) perforated the pedicle cortex. One-tenth of the perforations was detected with conventional radiography. In ten patients (33%) all the screws were located within the pedicle. The clinical significance of this study lies in the finding that pedicle perforations are more frequent than is generally believed and that, in spite of the many malplacements, no screw that perforated by less than 4.0 m m caused neurological problems. Only one nerve root lesion was detected.

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“…Since then, 25-30 operations have been performed annually. In the first few operations, the transpedicular implant used was Dick's fixation device (AO), which was routinely removed 1 year after the operation [4]. A few patients were operated on using F.V.M.…”

Section: Operative Techniquementioning

confidence: 99%

“…However, the usefulness of the procedure remains uncertain. It is known that solid fusion can influence the biomechanics of the spine and thus may cause degeneration, leading within 10 years of the operation to adjacent segment alterations and symptoms in up to 40 % of patients [3][4][5][6][7][8]. Degenerative changes in discs, facet joints and ligaments can cause disc prolapses, stenosis and degenerative spondylolisthesis.…”

Section: Introductionmentioning

confidence: 99%

Lumbar instrumented posterolateral fusion in spondylolisthetic and failed back patients: a long-term follow-up study spanning 11–13 years

et al. 2012

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Introduction and materials We examined lumbar transpedicular instrumented posterolateral fusion patients operated on between 1992 and 1997 presenting: degenerative spondylolisthesis with spinal stenosis; adult isthmic spondylolisthesis; failed back syndrome after one to five discectomies; and failed back syndrome after one to three laminectomy operations (Groups 1-4, respectively). Methods They were examined by an independent orthopedic surgeon, completed the Oswestry Disability Index (ODI) and visual analog scale (VAS) questionnaires and their outcome was evaluated. Results The overall patient satisfaction at follow-up (mean 11.7 years) was 82.1 %. The reoperation rate was 15.1 % (7.5 % due to adjacent segment disease).Conclusion Group 1 showed the greatest improvements in ODI and VAS values, Group 2 the lowest and Group 3 the highest preoperative values, and Group 4 the second highest improvements. Patient satisfaction scores were 90.3, 69.7, 63.6 and 80.0 %, respectively, and unplanned reoperation rates were 6.5, 9.1, 31.8 and 20.0 %. Thus, long-term outcomes of lumbar instrumented posterolateral fusion (rarely previously studied) were satisfactory for [80 % of patients, but varied among groups.

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Spondylodesis Augmented by Transpedicular Fixation in the Treatment of Olisthetic and Degenerative Conditions of the Lumbar Spine

Cited by 54 publications

References 0 publications

Posterior lumbar interbody fusion: A retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases

Posterior lumbar interbody fusion: A retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases

Accuracy of pedicle screw insertion: A prospective CT study in 30 low back patients

Lumbar instrumented posterolateral fusion in spondylolisthetic and failed back patients: a long-term follow-up study spanning 11–13 years

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