Study for Union of Lumbar Posterolateral Fusion. With or without Transpedicular Fixation.:With or without Transpedicular Fixation

概要

論文の詳細を見る
Posterolateral lumbar fusion is a useful method for stabilization of unstable lumbar spine segments. We reviewed 139 patients who were operated on with posterolateral lumbar fusion and 72 patients with transpedicular fixation. The success rate of posterolateral fusion was studied using postoperative X-rays with a comparison made between the group that received tranpedicular fixation and the group that didn't. Diagnosis of solid fusion was made by the absence of motion with no more than three degrees between vertebrae on lateral bending films. 75.0% of patients with transpedicular fixation were assessed as success, compared to 63.2% without transpedicular fixation. Single level fusion achieved a higher rate of fusion than multilevel fusion. The complication rate was 16.7%, most of which were failure of instruments for multilevel fusion.
西日本整形・災害外科学会の論文