Functional and clinical results after anterior interbody lumbar fusion

1996 ◽  
Vol 5 (5) ◽  
pp. 288-292 ◽  
Author(s):  
H. Tiusanen ◽  
H. Hurri ◽  
S. Seitsalo ◽  
K. �sterman ◽  
R. Harju
Keyword(s):  
Lumbar Fusion ◽  
Clinical Results ◽  
Anterior Interbody Lumbar Fusion

Retrograde ejaculation after anterior interbody lumbar fusion

1995 ◽  
Vol 4 (6) ◽  
pp. 339-342 ◽  
Author(s):  
H. Tiusanen ◽  
S. Seitsalo ◽  
K. �sterman ◽  
J. Soini
Keyword(s):  
Lumbar Fusion ◽  
Retrograde Ejaculation ◽  
Anterior Interbody Lumbar Fusion

Posterolateral Lumbar Fusion — Biomechanical Study and Clinical Results

1998 ◽  
Vol 02 (02) ◽  
pp. 101-107
Author(s):  
Naoya Tajima ◽  
Etsuo Chosa ◽  
Koji Totoribe ◽  
Shinichiro Kubo ◽  
Hiroshi Kuroki
Keyword(s):  
Disc Degeneration ◽  
Lumbar Fusion ◽  
Japanese Orthopaedic Association ◽  
Element Model ◽  
Clinical Results ◽  
Biomechanical Study ◽  
Long Term Results ◽  
Spinal Diseases ◽  
Fusion Model

This paper discusses the biomechanics and long-term results of posterolateral (PL) lumber fusion for degenerative lumbar spinal diseases. In the biomechanical study, the geometry of the finite element model is based on the L4-5 motion segment. The disc degeneration model was simulated by changing the interbody material properties. The behavior of the PL fusion model and the effects of the anterior elements on PL lumber fusion were studied in compression, flexion, and extension. In the clinical study, 40 patients with a mean age of 39 years (19 to 63) were treated with PL fusion and the mean follow-up period was 14 years. Clinical evaluation was made by the Japanese Orthopaedic Association (J.O.A.) score. Fusion success was determined by X-ray radiographs. Stress distribution results indicate that there were high stresses in the upper part of the grafted bone for PL fusion. The axial displacement of the L4 vertebral body and the stress of the grafted bone for PL fusion increased in the disc degeneration model. In flexion, the extension load stress concentrated on the L4 side of PL fusion model between transverse processes. Clinically, the J.O.A. score improved by 24 points postoperatively. Radiographically, the success rate of the fusion was 93%. The long-term results were so good that this technique can be recommended. It is suggested that the instability including the degree of disc degeneration is one of the important factors in PL lumbar fusion.

Selective Posterior Lumbar Fusion (Cobb to Cobb) in Lenke Type 5 Adolescent Idiopathic Scoliosis: Radiographic and Clinical Results

2016 ◽  
Vol 16 (10) ◽  
pp. S242-S243
Author(s):  
Bulent Guneri ◽  
Tunay Sanli ◽  
Sinan Kahraman ◽  
Ozcan Kaya ◽  
Emel Kaya ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Lumbar Fusion ◽  
Clinical Results ◽  
Posterior Lumbar Fusion

scholarly journals Comparison of Incidence of Adjacent Segment Pathology between Anterior Lumbar Interbody Fusion and Transforaminal Lumbar Interbody Fusion Treatments for Lumbosacral Junction

Tomography ◽  
2021 ◽  
Vol 7 (4) ◽  
pp. 855-865
Author(s):  
Po-Kuan Wu ◽  
Meng-Huang Wu ◽  
Cheng-Min Shih ◽  
Yen-Kuang Lin ◽  
Kun-Hui Chen ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Medical Center ◽  
Lumbar Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Adjacent Segment ◽  
Lumbar Interbody Fusion ◽  
Lumbosacral Junction ◽  
The Mean ◽  
Anterior Interbody Lumbar Fusion

This research compared the incidence of adjacent segment pathology (ASP) between anterior interbody lumbar fusion (ALIF) treatment and transforaminal lumbar interbody fusion (TLIF) treatment. Seventy patients were included in this retrospective study: 30 patients received ALIF treatment, and 40 patients received TLIF treatment at a single medical center between 2011 and 2020 with a follow-up of at least 12 months. The outcomes were radiographic adjacent segment pathology (RASP) and clinical adjacent segment pathology (CASP). The mean follow-up period was 42.10 ± 22.61 months in the ALIF group and 56.20 ± 29.91 months in the TLIF group. Following single-level lumbosacral fusion, ALIF is superior to TLIF in maintaining lumbar lordosis, whereas the risk of adjacent instability in the ALIF group is significantly higher. Regarding ASP, the incidence of overall RASP and CASP did not differ significantly between ALIF and TLIF groups.

Effect of previous surgery on clinical outcome following 1-level lumbar arthroplasty

2008 ◽  
Vol 8 (2) ◽  
pp. 108-114 ◽  
Author(s):  
Fred H. Geisler ◽  
Richard D. Guyer ◽  
Scott L. Blumenthal ◽  
Paul C. McAfee ◽  
Andrew Cappuccino ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Clinical Improvement ◽  
Lumbar Fusion ◽  
Total Disc Replacement ◽  
Clinical Results ◽  
Decompressive Surgery ◽  
Previous Surgery ◽  
Surgery Group ◽  
Recruitment Bias ◽  
Prior Surgery

Object A secondary lumbar surgery at a previously surgically treated level is believed to result in minimal clinical improvement. The clinical results of the CHARITÉ Investigational Device Exemption (IDE) study were analyzed to assess the effect of previous surgery on clinical outcomes following either total disc replacement with the CHARITÉ device or anterior lumbar interbody fusion with a BAK cage and iliac crest autograft. Methods Patients with prior microdiscectomy, laminectomy, or minimal medial facetectomy were not excluded from enrollment in the CHARITÉ IDE study. Thus, the following 3 groups were analyzed: all patients treated with the CHARITÉ Artificial Disc, whether randomized or nonrandomized; only patients treated with CHARITÉ devices randomized against patients with BAK devices; and control patients with BAK devices. Each group was further subdivided based on the patients' medical history, whether they had undergone prior surgery (prior surgery group) or had not (no prior surgery group). For all groups, baseline demographics were collected and compared for any potential recruitment bias. Postoperative improvements based on Oswestry Disability Index (ODI), visual analog scale (VAS), and patient satisfaction scores were further collected and statistically analyzed. Results For all 3 groups, there were no statistical differences in clinical improvement from 3 months to 2 years postoperatively as measured using ODI and VAS scores between the subgroups (those who had prior surgery and those who did not). Conclusions Patients indicated for 1-level lumbar arthroplasty with previous lumbar decompressive surgery can be expected to have similar clinical outcomes to patients undergoing arthroplasty without prior lumbar decompressive surgery. Similarly, candidates for anterior lumbar fusion with prior decompressive surgery may experience similar benefits from the surgical procedure as those without.

Anterior Interbody Lumbar Fusion in Severe Low Back Pain

1996 ◽  
Vol 324 ◽  
pp. 153-163 ◽  
Author(s):  
H. Tiusanen ◽  
S. Seitsalo ◽  
K. ??sterman ◽  
J. Soini
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Fusion ◽  
Low Back ◽  
Anterior Interbody Lumbar Fusion

Clinical Results of Lumbar Fusion for Heavy Workers with Lumbar Disk Herniation

1993 ◽  
pp. 78-85
Author(s):  
Shunji Matsunaga ◽  
Takashi Sakou ◽  
Kazunori Yone ◽  
Eiji Taketomi ◽  
Tamotsu Morimoto ◽  
...  
Keyword(s):  
Lumbar Fusion ◽  
Clinical Results ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk

scholarly journals Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: Interbody techniques for lumbar fusion

2014 ◽  
Vol 21 (1) ◽  
pp. 67-74 ◽  
Author(s):  
Praveen V. Mummaneni ◽  
Sanjay S. Dhall ◽  
Jason C. Eck ◽  
Michael W. Groff ◽  
Zoher Ghogawala ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Interbody Fusion ◽  
Lumbar Fusion ◽  
Degenerative Spondylolisthesis ◽  
Conclusive Evidence ◽  
Disc Disease ◽  
Radiographic Outcomes ◽  
Substantial Clinical Benefit ◽  
Freeze Dried ◽  
Anterior Interbody Lumbar Fusion

Interbody fusion techniques have been promoted as an adjunct to lumbar fusion procedures in an effort to enhance fusion rates and potentially improve clinical outcome. The medical evidence continues to suggest that interbody techniques are associated with higher fusion rates compared with posterolateral lumbar fusion (PLF) in patients with degenerative spondylolisthesis who demonstrate preoperative instability. There is no conclusive evidence demonstrating improved clinical or radiographic outcomes based on the different interbody fusion techniques. The addition of a PLF when posterior or anterior interbody lumbar fusion is performed remains an option, although due to increased cost and complications, it is not recommended. No substantial clinical benefit has been demonstrated when a PLF is included with an interbody fusion. For lumbar degenerative disc disease without instability, there is moderate evidence that the standalone anterior lumbar interbody fusion (ALIF) has better clinical outcomes than the ALIF plus instrumented, open PLF. With regard to type of interbody spacer used, frozen allograft is associated with lower pseudarthrosis rates compared with freeze-dried allograft; however, this was not associated with a difference in clinical outcome.

scholarly journals WORKERS' COMPENSATION IS ASSOCIATED WITH WORST CLINICAL RESULTS AFTER LUMBAR FUSION

2017 ◽  
Vol 16 (4) ◽  
pp. 310-313
Author(s):  
Luis Marchi ◽  
Joes Nogueira-Neto ◽  
Vivian Amaral ◽  
Rodrigo Amaral ◽  
Nicholai Faulhaber ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lumbar Spine ◽  
Lumbar Fusion ◽  
Clinical Results ◽  
Physical Constraint ◽  
Worker Compensation ◽  
Pain Scores ◽  
Single Center Study

ABSTRACT Objective: The objective of this study was to evaluate the association of clinical results with preoperative situation of worker compensation (WC) in patients submitted to spine surgery. Methods: This was a retrospective, comparative, single center study. Patients who underwent lumbar spine arthrodesis were included. The outcomes were pain scores (VAS), physical constraint (ODI) and quality of life (EQ-5D). Outcomes were analyzed before surgery and after surgery (minimum follow-up of six months and maximum of 12). Two groups were compared: individuals with or without WC at preoperative visit. Results: A total of 132 cases were analyzed (mean age 54 years and 51% female), 29 (22%) assigned to the WC group. The groups were matched for age, sex, and preoperative depression levels. In the preoperative period, the groups showed equal pain and physical constraint; however the CT group had lower quality of life (p=0.05). Although both groups showed improvement in clinical outcomes after surgery (p<0.05), worse scores were observed for the WC group compared to the non-WC group, respectively: VAS 4.9 vs. 3.2 (p=0.02), ODI 34.7 vs. 23.4 (p=0.002), and EQ-5D 0.56 vs. 0.75 (p=0.01). Conclusion: In this study it was possible to observe that WC is associated with worse clinical results following elective surgical treatment of the lumbar spine.

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