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
Hauptverfasser: Kostuik, J P, Errico, T J, Gleason, T F
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container_title Clinical orthopaedics and related research
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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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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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