Letters to the Editor

Gardner, Alan

doi:10.1097/00007632-200001150-00026

Cited by 6 publications

(2 citation statements)

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“…This was important, because we wanted to define the true role of Graf ligament stabilisation in low back surgery. We were somewhat surprised that some patients whose disc degeneration would perhaps be classified as "severe" by others [7] did well with stabilisation. There is perhaps a time when the instability becomes too advanced, and the collapse of the disc space so severe that the facet joints and the posterior spinal ligaments and muscles decompensate to such an extent that any soft system stabilisation would fail.…”

Section: Discussionmentioning

confidence: 98%

“…Gardner et al [7] have reported that the prime indication for the Graf technique is mild to moderate degenerative disc disease that is highly symptomatic, with chronic back pain punctuated by acute and disabling episodes, which they called "the lumbar instability syndrome". They stated that Graf ligamentoplasty is generally not appropriate for advanced disc degeneration.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of the Graf ligamentoplasty procedure compared with anterior lumbar interbody fusion with the Hartshill horseshoe cage

Madan¹,

Boeree²

2003

Eur Spine J

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Outcome of the Graf ligamentoplasty procedure compared with anterior lumbar interbody fusion with the Hartshill horseshoe cage

Madan¹,

Boeree²

2003

Eur Spine J

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Overview of Pedicle Screw-Based Posterior Dynamic Stabilization Systems

Guyer

Ohnmeiss²,

Strauss³

2010

Surgery for Low Back Pain

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Correlation between inter-vertebral disc morphology and the results in patients undergoing Graf ligament stabilisation

et al. 2004

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Background. Previous studies have shown Graf ligament stabilisation procedure to give mixed results in the short to medium term. The aim of this study was to correlate the pre-operative state of the disc, multifidus muscles, age of the patient, levels operated and the clinical outcome after a mean follow-up of 47 months. Methods. Graf ligament stabilisationprocedure was carried out in 38 patients between 1996 and1999. Their post-operative status was assessed using MacNab criteria. The postoperative follow-up was by postal questionnaires and review of the clinical notes. Disc morphology and multifidus muscle wasting was graded blindly and independently. The intra-and interobserver reliability was measured with kappa score and classified using the kappa classification of Landis and Koch. Correlation was measured with the help of Spearman correlation coefficient. Results. Thirty-eight patients (100%)returned the questionnaires. Mean follow-up time was 47.55 months. Fifty-nine levels were operated on. Mean age was 39.68 years. The overall re-operation rate was 15.8%. The intra-and interobserver reliability was graded as good to substantial. Twenty-two patients (57.89%) were satisfied with the procedure. There was no statistically significant correlation between disc morphology, multifidus muscle wasting, sex, age, number of levels operated, the levels operated, and the satisfaction rate.Conclusions. The indications of Graf ligament stabilisation procedure are not clear. Further work is necessary to clearly identify the indication for the procedure.

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Letters to the Editor

Cited by 6 publications

References 0 publications

Outcome of the Graf ligamentoplasty procedure compared with anterior lumbar interbody fusion with the Hartshill horseshoe cage

Outcome of the Graf ligamentoplasty procedure compared with anterior lumbar interbody fusion with the Hartshill horseshoe cage

Overview of Pedicle Screw-Based Posterior Dynamic Stabilization Systems

Correlation between inter-vertebral disc morphology and the results in patients undergoing Graf ligament stabilisation

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