A Prospective Randomized Comparison of 270° Fusions to 360° Fusions (Circumferential Fusions)

Schofferman, Jerome; Slosar, Paul; Reynolds, James B.; Goldthwaite, Noel; Koestler, Mary

doi:10.1097/00007632-200105150-00019

Cited by 70 publications

(55 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unilateral TLIF is supposed to represent a less invasive surgical alternative without requiring an anterior approach or a direct approach to the spinal canal as in posterior lumbar interbody fusion. A currently increasing number of papers reporting on TLIF results reflect that the technique is gaining in popularity, and the authors see TLIF as an excellent alternative to the above-mentioned combined procedures [6,[10][11][12]20].…”

Section: Discussionmentioning

confidence: 99%

Post-discectomy syndrome treated with lumbar interbody fusion

Niemeyer

Halm

Hackenberg

et al. 2006

International Orthopaedics (SICO

View full text Add to dashboard Cite

We studied 27 patients with post-discectomy syndrome. All patients had Lumbar Interbody Fusion with titanium cages and pedicle screw fixation either as Anterior (ALIF, n=18) or as Transforaminal Lumbar Interbody Fusion (TLIF, n=9). Follow-up ranged from 24 to 94 months. The clinical and radiological data were compared. The outcome was evaluated using the Oswestry low back pain disability score and the visual analogue pain intensity scale. Outcomes were similar for all patients regardless of surgical technique and showed a significant improvement at final follow-up.Resumé Nous avons étudié 27 malades présentant un syndrome post-discectomie. Dix-huit malades ont été traités par une fusion vertébrale lombaire antérieure et neuf par une fusion transforaminale avec fixation par vis pédiculaire. Le suivi était de 24 à 94 mois. Les données clinique et radiologiques ont été comparées et le résultat évalué en utilisant les Scores d'Oswestry et l'échelle visuelle analogique pour la douleur. Le résultat était semblable pour tous les malades sans influence de la technique chirurgicale et a montré une amélioration significative au suivi final.

show abstract

Section: Discussionmentioning

confidence: 99%

Post-discectomy syndrome treated with lumbar interbody fusion

Niemeyer

Halm

Hackenberg

et al. 2006

International Orthopaedics (SICO

View full text Add to dashboard Cite

show abstract

“…Radiographically, fusion was considered as sound when there was bony bridge with trabeculation of the density equal to the adjacent vertebrae, radiolucent zones were absent, and no abnormal mobility (less than 5°o f movement) was seen at the fused segment on postoperative flexion-extension radiographs. These criteria were described earlier by Schofferman et al [10] and Kim et al [11].…”

Section: Methodsmentioning

confidence: 99%

Isolated posterior instrumentation for selected cases of thoraco-lumbar spinal tuberculosis without anterior instrumentation and without anterior or posterior bone grafting

Kumar¹,

Joseph²,

Manur³

2012

Eur Spine J

View full text Add to dashboard Cite

Purpose The aim of this prospective study is the analysis of the clinical and radiological outcomes of active thoracolumbar spinal tuberculosis treated with isolated posterior instrumentation without any posterior bone grafting or anterior inter-body bone grafting or anterior instrumentation. Methods The study was a prospective follow-up of 25 patients with active thoraco-lumbar spinal tuberculosis who underwent posterior spinal instrumentation with pedicle screws and rods. These patients had posterior stabilization of the involved segment of the spine without anterior or posterior bone grafting. The mean duration of follow-up was 3.3 years and the minimum duration of follow-up was 2 years. Results The mean kyphotic angle improved from 32.4°p re-operatively to 7.2°in the early follow-up period. Following a minor loss of correction during follow-up, the mean kyphotic angle settled at 11.5°at the time of final follow-up. Inter-body bony fusion was noticed at the final follow-up in all patients despite the absence of anterior bone grafting or cages. Conclusion Posterior instrumented stabilization followed by chemotherapy seems to be adequate for obtaining satisfactory healing of the lesions. Anterior inter-body bony arthrodesis occurs despite the absence of anterior bone grafts or cages. Careful patient selection is critical for successful outcome with this technique.

show abstract

“…Four trials compared various combinations of anterior, posterior or combined fusion [17,51,80,81]. One trial found no difference in the clinical outcomes between anterior lumbar interbody fusion (ALIF) plus pedicle screws plus instrumented posterolateral fusion (360°) vs ALIF plus pedicle screws without graft (270°) [81].…”

Section: Effectiveness For Chronic Low Back Painmentioning

confidence: 99%

“…One trial found no difference in the clinical outcomes between anterior lumbar interbody fusion (ALIF) plus pedicle screws plus instrumented posterolateral fusion (360°) vs ALIF plus pedicle screws without graft (270°) [81]. Another trial found no difference in the outcomes with the addition of a posterior lumbar interbody fusion in degenerative spondylolisthesis (Grade I/II) to a posterolateral instrumented fusion for patients over 60 years of age, but significantly longer surgery time, higher blood loss and complication rate in this group [51].…”

Section: Effectiveness For Chronic Low Back Painmentioning

confidence: 99%