A Prospective, Randomized Study of Lumbar Fusion: Preliminary Results

Baker, Alexander D. L.

doi:10.1007/978-1-4471-5451-8_69

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…9 The theoretical advantages of TLIF over PLF include anterior spine support, indirect foraminal decompression, removal of the disc as a pain generator, and restoration of lumbar lordosis. 9 To perform vertebral fusion, bone graft sums traditionally obtained from the patient's iliac crest, 10,11 considered the gold standard, which provides mineral architecture for the orientation of bone growth and osteogenic factors. 12 In this sense, this study aims to analyze clinical and radiographic parameters of patients submitted to lumbar arthrodesis by transforaminal technique using structured iliac autograft, as well as to compare postoperative clinical and radiographic results after lumbar intersomatic arthrodesis using structured iliac autograft and the PEEK device.…”

Section: Introductionmentioning

confidence: 99%

Transforaminal Intersomatic Lumbar Arthrodesis: Comparison Between Autograft and Cage in Peek

et al. 2020

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Objective: To compare the postoperative outcomes of transforaminal intersomatic lumbar arthrodesis with structured iliac bone autograft and PEEK device. Methods: The total of 93 medical records of patients undergoing transforaminal intersomatic fusion between January 2012 and July 2017 with at least 1 year of postoperative follow-up, with complete medical record, containing clinical file and radiological exams, were reviewed. Results: From the medical records evaluated, 48 patients underwent the procedure with structured iliac autograft (group 1) and 45 with PEEK device (group 2). There was an improvement in functional capacity in both groups (p < 0.001), however there was no difference when comparing them (p = 0.591). Conclusion: The postoperative clinical and radiological results of lumbar arthrodesis with TLIF technique, using a structured iliac bone autograft compared to a PEEK device, were similar. Level of Evidence II, Retrospective study.

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Section: Introductionmentioning

confidence: 99%

Transforaminal Intersomatic Lumbar Arthrodesis: Comparison Between Autograft and Cage in Peek

et al. 2020

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Postoperative bracing after lumbar surgery: a survey amongst spinal surgeons in Belgium

et al. 2018

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Bracing is frequently prescribed following lumbar surgery for degenerative conditions. However, previous studies failed to demonstrate advantage of postoperative lumbar bracing in both short and long term outcome in terms of pain, quality of life and fusion rate. The purpose of this study was to assess the prescription patterns and rationale for postoperative bracing among spinal surgeons in Belgium.Methods: A 16-item online-survey was distributed by email to spinal surgeons affiliated to the Spine Society of Belgium (N= 252).Results: A total of 105 surgeons (42%) completed the survey. The overall bracing frequency following lumbar surgery was 38%. A brace was more often prescribed following fusion procedures (52%) than after non-fusion procedures (21%) (p< 0.0001). The majority of surgeons (59%) considered bracing after at least one type of lumbar surgery. Orthopaedic surgeons (73%) reported a significantly higher rate of prescribing postoperative bracing compared to neurosurgeons (44%) (p= 0.003). Pain alleviation (67%) was the main goal for prescribing a postoperative brace. A total of 42% of the surgeons aimed to improve fusion rate by bracing after lumbar fusion procedures. A quasi-equal level of the scientific literature (29%), personal experience (35%) and teaching from peers (36%) was reported to contribute on the attitudes towards prescribing bracing. Conclusions:Postoperative bracing was prescribed by Belgian spinal surgeons following more than one third of lumbar procedures. This was underpinned by beliefs regarding pain alleviation and higher fusion rate. Interestingly, based on the scientific literature these beliefs have been demonstrated to be false.

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A Prospective, Randomized Study of Lumbar Fusion: Preliminary Results

Cited by 2 publications

References 10 publications

Transforaminal Intersomatic Lumbar Arthrodesis: Comparison Between Autograft and Cage in Peek

Transforaminal Intersomatic Lumbar Arthrodesis: Comparison Between Autograft and Cage in Peek

Postoperative bracing after lumbar surgery: a survey amongst spinal surgeons in Belgium

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