This study reports on 92 patients treated with circumferential lumbar fusions for degenerative conditions. The elected procedure was a circumferential fusion using transpedicular stabilization. Two groups were examined depending on whether they were stabilized anteriorly with autogenous bicortical iliac crest graft (n = 38) or with an ALIF carbon fiber cage implant (n = 54). The patients were evaluated for clinical and radiographic outcome. The minimum follow-up interval was at least 12 months. Fusion rates, postoperative loss of correction, and clinical results, including pain at the bone donor site, neurologic function, satisfaction, depression, and consumption of analgesics, were not significantly different between patients with autogenous bone graft and patients with carbon cage. This study failed to prove major advantages of the carbon cages in the clinical and radiologic outcome.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/00024720-200210000-00005 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Segmental Interbody, Muscle-Preserving, Ligamentotaxis-Enabled Reduction: "SIMPLER" Technique for cMIS Correction of ASD.
Int J Spine Surg
January 2025
Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Background: Correction of adult spinal deformity (ASD) through minimally invasive techniques is a challenging endeavor and has typically been reserved for experienced surgeons. This publication aims to be the first high-resolution technique guide to demonstrate a reproducible technique for ASD correction utilizing circumferential minimally invasive surgery (cMIS) without an osteotomy. The Segmental Interbody, Muscle-Preserving, Ligamentotaxis-Enabled Reduction (SIMPLER) technique is a novel ligamentotaxis-based scoliosis surgery that represents a paradigm shift from traditional osteotomies toward patient-specific correction.
View Article and Find Full Text PDFThe impact of lower thoracic versus upper lumbar upper instrumented vertebra in minimally invasive correction of adult spinal deformity.
J Neurosurg Spine
January 2025
15Department of Neurological Surgery, University of California, San Francisco, California.
Objective: The goal of this study was to compare the impact of using a lower thoracic (LT) versus upper lumbar (UL) level as the upper instrumented vertebra (UIV) on clinical and radiographic outcomes following minimally invasive surgery for adult spinal deformity.
Methods: A multicenter retrospective study design was used. Inclusion criteria were age ≥ 18 years, and one of the following: coronal Cobb angle > 20°, sagittal vertical axis > 50 mm, pelvic tilt > 20°, pelvic incidence-lumbar lordosis mismatch > 10°.
Prevalence and Prognosis of Coronal Malalignment Following Lateral Lumbar Interbody Fusion for Minimally Invasive Treatment of Adult Spinal Deformity.
Spine (Phila Pa 1976)
November 2024
Department of Neurological Surgery, Columbia University, New York, NY, USA.
Study Design: Retrospective analysis of prospective multicenter adult spinal deformity (ASD) database.
Objective: To determine the prevalence and prognosis of postoperative coronal malalignment following LLIF for ASD with Qiu type A coronal alignment.
Summary Of Background Data: Qiu Type A coronal alignment is defined as coronal vertical axis (CVA) <30mm.
Prevalence and Clinical Impact of Coronal Malalignment Following Circumferential Minimally Invasive Surgery (CMIS) for Adult Spinal Deformity Correction.
Global Spine J
October 2024
Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Article Synopsis
- The study is a retrospective analysis aimed at investigating the prevalence and clinical significance of coronal malalignment (CM) in patients who underwent corrective spinal surgery for adult spinal deformity (ASD) using the Constrained Minimally Invasive Surgery (CMIS) technique.
- It included 120 patients who met specific criteria related to spinal alignment and were followed for at least one year after surgery, with assessments made based on various radiographic and clinical measures.
- Results showed significant improvement in both radiographic and clinical outcomes post-surgery; however, rates of postoperative CM varied by patient type, with higher incidences in types B and C, although overall long-term outcomes between coronal aligned (CA) and CM patients were mostly similar,
[Distribution pattern of the rectal circumferential fascia and its clinical significance: An anatomical study].
Zhonghua Wei Chang Wai Ke Za Zhi
September 2024
Department of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China.
Article Synopsis
- The study aimed to analyze the circumferential fascia of the rectum to understand its anatomy and clinical significance, specifically using four cadaver specimens and 16 postoperative samples from rectal cancer patients.
- Key findings include the triangular structure of the mesorectum at the peritoneal reflection, the precise attachment points of Denonvilliers' fascia, and its relationship to surrounding structures like the seminal vesicles and prostate.
- The research highlighted the merging of the pre-hypogastric fascia with Denonvilliers' fascia and the formation of rectosacral fascia, contributing to our understanding of rectal innervation and surgical implications.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!