Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years

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Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years. / Axelsson, Paul; Johnsson, Ragnar; Strömqvist, Björn; Arvidsson, M; Herrlin, K.

In: Acta Orthopaedica Scandinavica, Vol. 65, No. 3, 1994, p. 309-14.

Research output: Contribution to journalArticle

Harvard

Axelsson, P, Johnsson, R, Strömqvist, B, Arvidsson, M & Herrlin, K 1994, 'Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years', Acta Orthopaedica Scandinavica, vol. 65, no. 3, pp. 309-14.

APA

Axelsson, P., Johnsson, R., Strömqvist, B., Arvidsson, M., & Herrlin, K. (1994). Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years. Acta Orthopaedica Scandinavica, 65(3), 309-14.

CBE

Axelsson P, Johnsson R, Strömqvist B, Arvidsson M, Herrlin K. 1994. Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years. Acta Orthopaedica Scandinavica. 65(3):309-14.

MLA

Vancouver

Axelsson P, Johnsson R, Strömqvist B, Arvidsson M, Herrlin K. Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years. Acta Orthopaedica Scandinavica. 1994;65(3):309-14.

Author

Axelsson, Paul ; Johnsson, Ragnar ; Strömqvist, Björn ; Arvidsson, M ; Herrlin, K. / Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years. In: Acta Orthopaedica Scandinavica. 1994 ; Vol. 65, No. 3. pp. 309-14.

RIS

TY - JOUR

T1 - Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years

AU - Axelsson, Paul

AU - Johnsson, Ragnar

AU - Strömqvist, Björn

AU - Arvidsson, M

AU - Herrlin, K

PY - 1994

Y1 - 1994

N2 - We report the outcome of 71 consecutive posterolateral lumbar fusions without spinal instrumentation. The indication for the operation was spondylolysis-olisthesis, degenerative disc disease/facet joint arthrosis, or pain after prior laminectomy. Concerning pain relief, 29/43 patients with spondylolysis-olisthesis were classified as good. The corresponding figures in the group with degenerative disc disease and/or facet joint arthrosis were 8/16 patients and in the group with pain post-laminectomy, 6/12 patients. No surgical complications were noted. In the total material 54 patients had a solid fusion, as defined by radiographic osseous trabecular bridging at all intended levels. One-level fusions tended to heal solidly in a higher frequency than two-level fusions. For the spondylolysis-olisthesis group, healed fusion correlated with a good clinical result. Such a correlation could not be verified for the other diagnostic groups. We conclude that non-instrumented posterolateral lumbar fusion is a valid method for treating low-grade spondylolysis-olisthesis, especially when the aim is to fuse a single level. Improved patient selection methods are required in fusion for degenerative disc disease and pain after laminectomy.

AB - We report the outcome of 71 consecutive posterolateral lumbar fusions without spinal instrumentation. The indication for the operation was spondylolysis-olisthesis, degenerative disc disease/facet joint arthrosis, or pain after prior laminectomy. Concerning pain relief, 29/43 patients with spondylolysis-olisthesis were classified as good. The corresponding figures in the group with degenerative disc disease and/or facet joint arthrosis were 8/16 patients and in the group with pain post-laminectomy, 6/12 patients. No surgical complications were noted. In the total material 54 patients had a solid fusion, as defined by radiographic osseous trabecular bridging at all intended levels. One-level fusions tended to heal solidly in a higher frequency than two-level fusions. For the spondylolysis-olisthesis group, healed fusion correlated with a good clinical result. Such a correlation could not be verified for the other diagnostic groups. We conclude that non-instrumented posterolateral lumbar fusion is a valid method for treating low-grade spondylolysis-olisthesis, especially when the aim is to fuse a single level. Improved patient selection methods are required in fusion for degenerative disc disease and pain after laminectomy.

M3 - Article

VL - 65

SP - 309

EP - 314

JO - Acta Orthopaedica

JF - Acta Orthopaedica

SN - 1745-3682

IS - 3

ER -