Document Detail

Anterior fusion of the lumbar spine. End-result study with long-term follow-up.
MedLine Citation:
PMID:  389928     Owner:  NLM     Status:  MEDLINE    
We reviewed the cases of fifty patients who underwent anterior lumbar-spine fusion with autogenous fibular and iliac-bone grafts and were followed for two to fifteen years. Their diagnoses were instability of the spine, degenerative disc disease, pseudarthrosis, and spondylolisthesis. Fifty-six per cent had union and 44 per cent, non-union. Those who had iliac grafts healed in an average of 2.5 years and those who had fibular grafts, in 5.2 years. The clinical result was successful in twenty-six patients (52 per cent) and unsuccessful in twenty-four patients (48 per cent). Paradoxically, about one-half of the patients with clinical successes had a non-union and one-half of the failures had union. Retrograde ejaculation (sterility) did not develop in any of the men, and a survey of world authorities on anterior spine fusion revealed only sixteen patients with the sequela of retrograde ejaculation. The incidence of that complication has been exaggerated.
J C Flynn; M A Hoque
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  61     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1979 Dec 
Date Detail:
Created Date:  1980-02-15     Completed Date:  1980-02-15     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1143-50     Citation Subset:  AIM; IM    
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MeSH Terms
Bone Transplantation
Follow-Up Studies
Intervertebral Disk
Lumbar Vertebrae / surgery*
Middle Aged
Postoperative Complications
Pseudarthrosis / surgery
Spinal Diseases / surgery*
Spinal Fusion / methods*
Spondylolisthesis / surgery
Transplantation, Autologous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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