Document Detail


Simultaneous combined anterior and posterior fusion. An independent analysis of a treatment for the disabled low-back pain patient.
MedLine Citation:
PMID:  2141189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixty-nine patients were treated by a simultaneous combined anterior and posterior fusion for disabling low-back pain as directed by discographic pain provocation. They were evaluated independently, with an average follow-up of 2 1/2 years (range, 1.6 to 4.1 years). Fusion rates in excess of 90% were noted in patients who had undergone one- and two-level fusions, whereas the fusion rate for three-level procedures dropped to 77.8%. Acceptable clinical results were seen in approximately 80% of the primary low-back pain and the postlaminectomy patients. Results within the group of patients who had undergone previous fusion procedures were less favorable: two thirds good or fair. The available evidence suggests that this procedure is a valid surgical technique, especially applicable to multilevel lumbar fusions and the postlaminectomy patient. Despite its seemingly radical nature, it can be performed quickly and safely with adequate surgical training.
Authors:
J A Kozak; J P O'Brien
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  15     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-07-16     Completed Date:  1990-07-16     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:  322-8     Citation Subset:  IM    
Affiliation:
London Clinic, England.
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MeSH Terms
Descriptor/Qualifier:
Adult
Back Pain / etiology,  surgery*
Female
Follow-Up Studies
Humans
Laminectomy
Lumbar Vertebrae / surgery*
Male
Middle Aged
Postoperative Complications / surgery
Spinal Fusion / methods*
Time Factors

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


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