CLINICAL EFFICACY OF SPINAL INSTRUMENTATION IN LUMBAR DEGENERATIVE DISK DISEASE

被引:44
作者
ZUCHERMAN, J
HSU, K
PICETTI, G
WHITE, A
WYNNE, G
TAYLOR, L
机构
[1] St. Mary’s Spine Center, San Francisco, CA
[2] SpincCarc Medical Group, Daly City, CA
关键词
SPINAL INSTRUMENTATION; DISCOGENIC DISEASE; FUSION;
D O I
10.1097/00007632-199207000-00018
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In review of 871 lumbar fusion procedures performed during the last 8 years, the theoretical advantages of lumbar spinal instrumentation are not borne out in simple discogenic disease. Four groups of 30-35 patients without previous surgery who underwent fusion by different techniques were matched for age, sex, length of follow-up, surgeons, number of levels fused, duration of preoperative symptoms, diagnosis, and type of third party payer. At least for the diagnoses of herniated disc with segmental instability and the instrumentation systems used in this study, results were superior with no internal fixation. This is in keeping with the higher complication rates and frequent need for implant removal reported by many authors.
引用
收藏
页码:834 / 837
页数:4
相关论文
共 22 条
[11]  
Lee C., Debari A., Lumbar spinal fusion with Knodt Distraction Rods, Spine, 11, pp. 373-375, (1986)
[12]  
Lee C.K., Gustavino T.D., Clinical Comparison Study for internal fixation systems for lumbosacral spinal stenosis, Orthop Trans, 11, (1987)
[13]  
Louis R., Single staged posterior lumbosacral fusion by internal fixation with screw plates, Proc Int Study Lumbar Spine, (1985)
[14]  
Mackenzie A.B., Spinal fusion using Knodt distraction rods, J Bone Joint Surg, 52B, (1970)
[15]  
Pennel G.F., A method of spinal fusion using internal fixation, Clin Orthop, 35, (1964)
[16]  
Selby D., The Knodt rod: Spare the rod and spoil the fusion, Lumbar Spine Surgery, (1987)
[17]  
Thomas J.C., Wiltse L.L., Widel E.H., Et al., Lumbar fusion with pedicle screws and steel rods, Orthop Trans, 12, pp. 113-114, (1988)
[18]  
White A.H., Von Rogov P., Zucherman J.F., Heiden D.M., Lumbar laminectomy for herniated disc: A prospective controlled comparison with internal fixation fusion, Spine, 12, pp. 305-307, (1987)
[19]  
White A.H., Wynne G., Taylor L.W., Knodt rod distraction fusion lumbar spine, Spine, 8, pp. 434-437, (1983)
[20]  
White A.H., Zucherman J.F., Hsu K.Y., Lumbosacral fusions with Harrington rods and intersegmental wiring, Clin Orthop, (1986)