Techniques of internal fixation for degenerative conditions of the lumbar spine
The indications and techniques for internal fixation of the lumbar spine in degenerative conditions have changed drastically since internal fixation was first applied to the spine almost 100 years ago. Anterior instrumentation and fusion may be used for repair of pseudarthrosis after posterolateral...
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Veröffentlicht in: | Clinical orthopaedics and related research 1986-02, Vol.203 (203), p.219-231 |
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creator | Kostuik, J P Errico, T J Gleason, T F |
description | The indications and techniques for internal fixation of the lumbar spine in degenerative conditions have changed drastically since internal fixation was first applied to the spine almost 100 years ago. Anterior instrumentation and fusion may be used for repair of pseudarthrosis after posterolateral fusion; symptomatic lumbar scoliosis associated with degenerative disc disease; late pain secondary to posttraumatic kyphosis; postlaminectomy instability; and lumbar pain secondary to thoracolumbar kyphosis. Posterior instrumentation and fusion has been performed with Luque instrumentation over 3-4 levels in cases of multilevel instability. Combined anterior and posterior instrumentation and fusion are required for lumbosacral fusion in lumbar scoliosis with degenerative disease, and surgical correction of postsurgical lumbar kyphosis (flat-back syndrome). The techniques are demanding but with attention to detail can be performed with acceptably low-complication rates. |
doi_str_mv | 10.1097/00003086-198602000-00028 |
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Anterior instrumentation and fusion may be used for repair of pseudarthrosis after posterolateral fusion; symptomatic lumbar scoliosis associated with degenerative disc disease; late pain secondary to posttraumatic kyphosis; postlaminectomy instability; and lumbar pain secondary to thoracolumbar kyphosis. Posterior instrumentation and fusion has been performed with Luque instrumentation over 3-4 levels in cases of multilevel instability. Combined anterior and posterior instrumentation and fusion are required for lumbosacral fusion in lumbar scoliosis with degenerative disease, and surgical correction of postsurgical lumbar kyphosis (flat-back syndrome). 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The techniques are demanding but with attention to detail can be performed with acceptably low-complication rates.</description><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Kyphosis - surgery</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Orthopedic Fixation Devices</subject><subject>Pseudarthrosis - surgery</subject><subject>Scheuermann Disease - surgery</subject><subject>Scoliosis - surgery</subject><subject>Spinal Diseases - surgery</subject><subject>Spinal Fusion - instrumentation</subject><subject>Spinal Fusion - methods</subject><issn>0009-921X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLAzEUhbNQaq3-BCErd6OZzEweSym-oNBNBXdhktzYyDxqMiP67820tYFwuck5514-hHBO7nIi-T1JpyCCZbkUjNDUZelScYbmqcpM0vz9Al3G-DkJy4rO0KyQVSVFOUfrDZht579GiLh32HcDhK5usPM_9eD7Drs-YAsf0EFID9-ATd9ZP33tDcMWcDO2ug447nwHV-jc1U2E62NdoLenx83yJVutn1-XD6vMlKQa0qpGOwOGWSks4xwoZwU1QIUkjNkSXF5W0smi0FxQ7TQ11llbS5FrZrguFuj2kLsL_bT8oFofDTRN3UE_RsVZChSMJ6E4CE3oYwzg1C74tg6_Kidq4qf--akTP7Xnl6w3xxmjbsGejEd4xR83WG7o</recordid><startdate>19860201</startdate><enddate>19860201</enddate><creator>Kostuik, J P</creator><creator>Errico, T J</creator><creator>Gleason, T F</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19860201</creationdate><title>Techniques of internal fixation for degenerative conditions of the lumbar spine</title><author>Kostuik, J P ; Errico, T J ; Gleason, T F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-19cbfcec6d98d677e27632ce289066d4ef1459f933b782bfb2cdfdda981b6c7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Kyphosis - surgery</topic><topic>Lumbar Vertebrae - injuries</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Orthopedic Fixation Devices</topic><topic>Pseudarthrosis - surgery</topic><topic>Scheuermann Disease - surgery</topic><topic>Scoliosis - surgery</topic><topic>Spinal Diseases - surgery</topic><topic>Spinal Fusion - instrumentation</topic><topic>Spinal Fusion - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kostuik, J P</creatorcontrib><creatorcontrib>Errico, T J</creatorcontrib><creatorcontrib>Gleason, T F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kostuik, J P</au><au>Errico, T J</au><au>Gleason, T F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Techniques of internal fixation for degenerative conditions of the lumbar spine</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1986-02-01</date><risdate>1986</risdate><volume>203</volume><issue>203</issue><spage>219</spage><epage>231</epage><pages>219-231</pages><issn>0009-921X</issn><abstract>The indications and techniques for internal fixation of the lumbar spine in degenerative conditions have changed drastically since internal fixation was first applied to the spine almost 100 years ago. 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subjects | Fractures, Bone - surgery Humans Intervertebral Disc Displacement - surgery Kyphosis - surgery Lumbar Vertebrae - injuries Lumbar Vertebrae - surgery Orthopedic Fixation Devices Pseudarthrosis - surgery Scheuermann Disease - surgery Scoliosis - surgery Spinal Diseases - surgery Spinal Fusion - instrumentation Spinal Fusion - methods |
title | Techniques of internal fixation for degenerative conditions of the lumbar spine |
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