Spinal fusion for lumbar instability : Does it have a scientific basis?
The validity of spinal fusion for lumbar instability is considered. Some difficulty lies in the interpretation of the term instability. The differing interpretations in the clinical, radiologic, and biomechanical contexts are discussed. These interpretations may only be reconciled if the confusion b...
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| Veröffentlicht in: | Journal of spinal disorders 2000-06, Vol.13 (3), p.200-204 |
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| container_title | Journal of spinal disorders |
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| creator | MUGGLETON, J. M KONDRACKI, M ALLEN, R |
| description | The validity of spinal fusion for lumbar instability is considered. Some difficulty lies in the interpretation of the term instability. The differing interpretations in the clinical, radiologic, and biomechanical contexts are discussed. These interpretations may only be reconciled if the confusion between hypermobility and instability is removed and some recourse is made to soft tissue integrity. Fusion is considered in the context of the functioning spine as a whole. Although the aim of the surgery is usually to produce a solid arthrodesis, some studies show that this can compromise the functioning of the rest of the spine. Furthermore, there is some evidence that pseudarthrosis itself may not be detrimental. Dynamic imaging offers the potential for improved diagnosis and assessment, but further work is needed to pave the way for better selection criteria and treatment strategies. |
| doi_str_mv | 10.1097/00002517-200006000-00002 |
| format | Article |
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Furthermore, there is some evidence that pseudarthrosis itself may not be detrimental. Dynamic imaging offers the potential for improved diagnosis and assessment, but further work is needed to pave the way for better selection criteria and treatment strategies.</description><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Joint Instability - diagnosis</subject><subject>Joint Instability - physiopathology</subject><subject>Joint Instability - surgery</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - physiopathology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Spinal Fusion - adverse effects</subject><subject>Spinal Fusion - standards</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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| identifier | ISSN: 0895-0385 |
| ispartof | Journal of spinal disorders, 2000-06, Vol.13 (3), p.200-204 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Humans Joint Instability - diagnosis Joint Instability - physiopathology Joint Instability - surgery Lumbar Vertebrae - pathology Lumbar Vertebrae - physiopathology Lumbar Vertebrae - surgery Medical sciences Orthopedic surgery Spinal Fusion - adverse effects Spinal Fusion - standards Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Spinal fusion for lumbar instability : Does it have a scientific basis? |
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