Document Detail

Pedicle fat grafts for the prevention of scar in low-back surgery. A preliminary report on the first 92 cases.
MedLine Citation:
PMID:  4071275     Owner:  NLM     Status:  MEDLINE    
Encouraged by the results of an experimental study on dogs, the authors performed pedicle fat grafts in 92 patients. The grafts were used in the following groups of patients: following primary disc removal (37 cases); following scar removal in the multiply operated back with definite root findings (37 cases); in patients with spondylolisthesis who had had prior decompressions but developed fifth lumbar nerve root pain after lateral fusion (6 cases); in three patients with spondylolisthesis and simple decompression; in nine patients with spinal stenosis. Pedicle fat grafts were obtained from the subcutaneous layer of fat of the low back in 85 patients and from the buttocks in seven patients. The grafts were brought through openings in the fascia and muscle and were used to cover the dural sac as well as the margins of the nerve root. They were held in position by a fine suture of silk. The results after a minimum follow-up of 1 year and a maximum of 4 years have been excellent or good in 66 percent of the patients who have had lateral fusion with resultant L5 root compression, in 99 percent of patients with spondylolisthesis and decompression only, and in 66 percent of patients with spinal stenosis. The results in the other two groups compare favorably with those reported in the literature.
G G Gill; M Scheck; E T Kelley; J J Rodrigo
Related Documents :
21088465 - Prospective analysis of surgical outcomes in patients undergoing decompressive laminect...
8446435 - Effects and side effects of a percutaneous thermal lesion of the dorsal root ganglion i...
8444485 - Outcome of cold coagulation for the treatment of cervical intraepithelial neoplasia in ...
15145035 - Closed lock (mri fixed disc): a comparison of arthrocentesis and arthroscopy.
18514115 - Arthroscopic treatment of multidirectional shoulder instability with minimum 270 degree...
3344915 - Near-total gastrectomy for gastric cancer.
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Spine     Volume:  10     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1985 Sep 
Date Detail:
Created Date:  1986-01-22     Completed Date:  1986-01-22     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:  662-7     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adipose Tissue / transplantation*
Cicatrix / prevention & control*
Intervertebral Disk / surgery
Intervertebral Disk Displacement / pathology,  surgery
Lumbosacral Region
Spinal Fusion
Spinal Stenosis / surgery
Spine / surgery*
Spondylolisthesis / radiography,  surgery

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

Previous Document:  The relationship between anthropometric, postural, muscular, and mobility characteristics of males a...
Next Document:  Treatment of spondyloptosis by two stage L5 vertebrectomy and reduction of L4 onto S1.