Publications by authors named "G M Malham"
Background: There is a paucity of data examining anterior lumbar interbody fusion (ALIF) with pedicle-screw fixation (ALIF-PSF) or without (standalone, sa-ALIF) for the treatment of low-grade isthmic spondylolisthesis (IS). Treating pathology with sa-ALIF reduces costs, operative times, and posterior access morbidity. This study aimed to investigate the clinical and radiographic outcomes of sa-ALIF for the management of low-grade IS compared with an ALIF-PSF cohort.
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- Anterior lumbar interbody fusion (ALIF) utilizes broad-footprint interbody cages and increasingly incorporates bone graft substitutes to enhance fusion rates and reduce postoperative issues related to autologous bone grafts.
- A systematic review analyzed recent literature from 2012 to 2023, focusing on fusion efficacy and complications associated with these substitutes, particularly recombinant human bone morphogenetic protein-2 (rhBMP-2), which showed high fusion rates but also potential for increased complications.
- Findings reveal inconsistency in methodologies for assessing fusion and complications across studies, indicating a need for standardized evaluation criteria to improve research reliability and comparability.
Article Synopsis
- The article critiques the current focus of spinal robotics on improving pedicle screw placement, arguing that existing methods are already effective and may not need further emphasis.
- It highlights the importance of a broader view in developing spinal surgical robotics, considering factors like quality, cost, and accessibility while pointing out that navigation systems can be equally accurate and more cost-effective.
- The authors advocate for a shift toward enhancing various surgical procedures, such as discectomy and laminectomy, to ultimately improve patient outcomes and call for future spine surgeons to retain skills in traditional surgical techniques.
Article Synopsis
- The research analyzes data from 605 patients and establishes a correlation between TIAO rates and surgical procedures, indicating that single or multilevel total disc replacements (TDR) have higher TIAO rates compared to anterior lumbar interbody fusions (ALIF).
- Key findings reveal that the risk for TIAO is significantly elevated at the L4/5 level, with rates reaching as high as 65.2%, although no patients experienced serious postoperative complications related to thrombosis.