Low reoperation rate following 336 multilevel lumbar laminectomies with noninstrumented fusions

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Low reoperation rate following 336 multilevel lumbar laminectomies with noninstrumented fusions

BACKGROUND Few reoperations are required in older patients undergoing multilevel lumbar laminectomy with noninstrumented fusions for spinal stenosis with/without spondylolisthesis/instability, and they rarely require instrumentation. METHODS We reviewed 336 patients averaging 66.5 years of age undergoing initial average 4.7 level lumbar laminectomies with average 1.4 level noninstrumented fus...

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A review: Reduced reoperation rate for multilevel lumbar laminectomies with noninstrumented versus instrumented fusions

BACKGROUND The reoperation rate, including for adjacent segment disease (ASD), is lower following multilevel lumbar laminectomy with noninstrumented versus instrumented fusions. METHODS This study reviews selected literature focusing on the reoperation rate, including for ASD, following multilevel laminectomies with noninstrumented versus instrumented fusions. Several prior studies document a...

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Incidence and management of cerebrospinal fluid fistulas in 336 multilevel laminectomies with noninstrumented fusions.

BACKGROUND The incidence (e.g., 3-27%) and the types of cerebrospinal fluid (CSF) fistulas occurring during multilevel lumbar laminectomy with noninstrumented spinal fusions varies. METHODS From 2000 to 2015, we retrospectively evaluated the incidence/etiologies of CSF fistulas occurring for 336 patients undergoing average 4.7 laminectomies with average 1.4 level noninstrumented fusions over ...

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High lumbar noninstrumented fusion rates using lamina autograft and Nanoss/bone marrow aspirate

BACKGROUND Patients with marked osteoporosis and/or obesity/morbid obesity and severe multilevel lumbar stenosis and other pathology often undergo multilevel laminectomies with non instrumented posterolateral fusions (PLF). The other pathology may include combinations of degenerative spondylolisthesis/lysis, foraminal/far lateral discs, and/or synovial cysts requiring more extensive facet resec...

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Preliminary study showing safety/efficacy of nanoss bioactive versus vitoss as bone graft expanders for lumbar noninstrumented fusions

BACKGROUND The lateral fusion mass for multilevel lumbar laminectomies with noninstrumented posterolateral fusions now often utilizes lamina autograft and bone marrow aspirate (BMA) mixed with one of two bone graft expanders: either Vitoss (Orthovita, Malvern, PA, USA) or NanOss Bioactive (Regeneration Technologies Corporation: RTI, Alachua, FL, USA). METHODS Here, we compared two sequential ...

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ژورنال

عنوان ژورنال: Surgical Neurology International

سال: 2016

ISSN: 2152-7806

DOI: 10.4103/2152-7806.182545