A Review of the Various Spinal Fusion

概要

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We compared and examined the various kinds of the 43 lumbal spinal fusions which had been performed for the spondyolysis, the spondylolysthesis, the compression fracture of the lumbar spine and the lumbal disc lesion at our hospital from the February 1966 downward. Among our lumbal spinal fusions performed for four diseases above mentioned, the H-graft method was the most in number, and the next was the anterior spinal fusion and the third was the postero- lateral spinal fusion. The H-graft method required the longest medical treatment days after operation. We could not observed the enough change by Y-ray photograph before and after operation to reduce the definite conclusion because the only short intervals had been passed, but we found the tendency that there appeared many narrowness of the lumbal disc in case of the spinal fusion with the laminectomy. Many complications yielded in case of the anterior spinal fusion and especially the thorombophlebitis was seen in the 44% of the cases of the anterior spinal fusion. However, there was not a remarkable difference of the result among these three ways of the spinal fusion and either of them resulted in success.Consequently, we reached the conclusion that there was no remarkable difference among these three ways of the spinal fusion and that either of them could give a satisfactory result provided we would carefully relect the indication before operation.
西日本整形・災害外科学会の論文