| Operative treatment of the degenerated segment adjacent to a lumbar fusion. | |
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MedLine Citation:
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PMID: 8184346 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fourteen patients with a previous lumbosacral fusion underwent neural decompression and fusion of degenerated adjacent motion segment. The most common level was L3-L4, and there was an average of 3.2 (range 1-7) previous lumbosacral surgical procedures. The average interval from the first fusion until operative intervention on the degenerated adjacent segment was 11.5 years (range 3-29 years). Five patients had an uninstrumented fusion, of which only one progressed to arthrodesis. Three of these five patients with pseudarthrosis after uninstrumented fusion--and the remaining nine patients--had fusions with instrumentation. Ten of twelve instrumented fusions progressed to solid arthrodesis. The pseudoarthrosis rate of 80% was decreased to 17% with the use of supplemental instrumentation. There was a significant number of complications and poor results, especially in patients with advanced osteoporosis and those with a short interval between adjacent segment degeneration, respectively. Eleven of 14 patients reported some postoperative pain relief. |
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Authors:
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T S Whitecloud; J M Davis; P M Olive |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Spine Volume: 19 ISSN: 0362-2436 ISO Abbreviation: Spine Publication Date: 1994 Mar |
Date Detail:
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Created Date: 1994-06-16 Completed Date: 1994-06-16 Revised Date: 2009-07-09 |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 531-6 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Follow-Up Studies Humans Internal Fixators Intervertebral Disk Displacement / surgery* Lumbar Vertebrae / surgery* Male Middle Aged Osteoporosis / epidemiology Postoperative Complications / epidemiology, surgery* Reoperation Retrospective Studies Sacrum / surgery* Spinal Fusion* Time Factors |
| Comments/Corrections | |
Comment In:
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Spine (Phila Pa 1976). 1994 Oct 1;19(19):2244-5
[PMID:
7809763
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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