1996
DOI: 10.1097/00007632-199610150-00012
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Vertebral Body Osteopenia Associated With Posterolateral Spine Fusion in Humans

Abstract: Patients who have undergone instrumented posterolateral lumbar fusions have decreased vertebral body bone mineral density at the level of fusion compared with that of matched controls.

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Cited by 44 publications
(31 citation statements)
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“…Furthermore, in the segments adjacent to the instrumented fusion, the bone mineral density was found to have decreased, 32,33 resulting in an adjacent vertebral fracture. Some studies 2,28 -33 suggested that accelerated degeneration of 1 or 2 segments adjacent to the fusion might occur because of the increased force transmitted to these joints.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, in the segments adjacent to the instrumented fusion, the bone mineral density was found to have decreased, 32,33 resulting in an adjacent vertebral fracture. Some studies 2,28 -33 suggested that accelerated degeneration of 1 or 2 segments adjacent to the fusion might occur because of the increased force transmitted to these joints.…”
Section: Discussionmentioning
confidence: 99%
“…Of these possible complications, the most important concern is the stress-shielding effect of rigid implants. Previous studies have reported that vertebral body osteopenia may occur as a result of an instrumented spinal fusion [10,11]. Both of our cases involved patients who suffered from general osteoporosis, which obviously is unrelated to the implant.…”
Section: Discussionmentioning
confidence: 71%
“…[28][29][30][31] The fact that we measured a dynamic stabilization technique made it essential to include only patients with moderate lumbar pathology, who had somehow retained the segmental mobility of their spine. We then selected Benzel lumbar degenerative bone pathology types 2 and 3, and Pfirmann degenerative disc disease types 3 and 4.…”
Section: Discussionmentioning
confidence: 99%