Document Detail


Operative treatment of the degenerated segment adjacent to a lumbar fusion.
MedLine Citation:
PMID:  8184346     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
T S Whitecloud; J M Davis; P M Olive
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  19     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-06-16     Completed Date:  1994-06-16     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  531-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
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MeSH Terms
Descriptor/Qualifier:
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:
Spine (Phila Pa 1976). 1994 Oct 1;19(19):2244-5   [PMID:  7809763 ]

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


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