Study Design. A retrospective study. Purpose. Posterolateral fusion with pedicle screw instrumentation used for degenerative lumbar scoliosis can lead to several complications. In elderly patients without sagittal imbalance, dynamic stabilization could represent an option to avoid these adverse events. Methods. 57 patients treated by dynamic stabilization without fusion were included. All patie...

Spinal fusion surgery techniques develop together with technologic advancements. New complications are seen as the result of new techniques and these may be very severe due to spinal cord and vascular structures in the lumbar region. The posterior lumbar interbody fusion cage (PLIFC) was shown to enhance spinal fusion and to prevent pseudoarthrosis due to its basic dynamic characteristics. PLIF...

Study Design A retrospective cohort study. Objective The aim of this study is to assess the association of demographic and perioperative factors with clinical outcomes of lumbar interbody fusion with a porous nitinol (TiNi) implant for degenerative disc disease. Methods Forty-one patients with degenerative lumbar disease were prospectively followed for a mean of 4.8 years. All patients were...

Objective. The authors present the clinical results obtained in patients who underwent interspinous fusion device (IFD) implantation following posterior lumbar interbody fusion (PLIF). The purpose of this study is investigating the feasibility of IFD with PLIF in the treatment of lumbar spondylolisthesis. Methods. Between September 2013 and November 2014, 39 patients underwent PLIF and subseque...

Discuss challenges in designing post-surgical lumbar spine rehab program for home health patients. Describe common post-surgical lumbar spine fusion (LSF) functional precautions and activities prescribed by the surgeon. Identify the most common approaches to the LSF procedures and main types of lumbar fusions. Identify surgical LSF risk factors related to increased risk of non-union of the fusi...

S instability, spondylolisthesis, and degenerative disc disease have long been recognized as surgically treatable causes of lower back and radicular leg pain.7,18 Since Cloward introduced the posterior lumbar interbody fusion in 1952, minimally invasive alternatives to lumbar spine fusion have been sought in hopes of offering a less invasive alternative that achieves comparable outcomes to open...

INTRODUCTION The rate of fusion surgery of the lumbar spine has remarkably increased over the past 30 years. SOURCES OF DATA We performed a comprehensive search of studies addressing the assessment of sacroiliac joint (SIJ) after lumbar spinal fusion surgery on PubMed, OVID/Medline, Cochrane, CINAHL, Google scholar and Embase. AREAS OF AGREEMENT The fusion of spinal segments leads to degene...

This prospective, randomized study compared postoperative pain scores, morphine consumption and length of stay in 95 adults who underwent elective lumbar spine surgery via a posterior incision. Immediately prior to closure the wound was irrigated with triamcinolone 40, 20 or 0 mg. Visual analogue scale pain scores at 24 h after surgery were median 12 (interquartile range 3-24), 15 (6-34) and 33...

The aim of this study was to compare the clinical efficacy between transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) in treatment of lumbar spondylolisthesis. A total of 62 patients with lumbar spondylolisthesis were treated at our hospital from 2010 to 2013. These patients were divided into a TLIF group that included 36 patients (mean age: 60 years) and...

BACKGROUND Open and minimally invasive lumbar fusion procedures have inherent procedural risks, with posterior and transforaminal approaches resulting in significant soft-tissue injury and the anterior approach endangering organs and major blood vessels. An alternative lumbar fusion technique uses a small paracoccygeal incision and a presacral approach to the L5-S1 intervertebral space, which a...