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

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

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.

Detaljer

Författare
  • Paul Axelsson
  • Ragnar Johnsson
  • Björn Strömqvist
  • M Arvidsson
  • K Herrlin
Enheter & grupper
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Ortopedi
Originalspråkengelska
Sidor (från-till)309-14
TidskriftActa Orthopaedica Scandinavica
Volym65
Utgivningsnummer3
StatusPublished - 1994
PublikationskategoriForskning
Peer review utfördJa

Relaterad forskningsoutput

Axelsson, P., 1996, Department of Orthopaedics, Lund University. 54 s.

Forskningsoutput: AvhandlingDoktorsavhandling (sammanläggning)

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