PMID: 8615106Feb 1, 1996Paper

Posterolateral lumbosacral fusion with transpedicular fixation: 63 consecutive cases followed for 4 (2-6) years

Acta Orthopaedica Scandinavica
H PihlajamäkiE Karaharju

Abstract

We analyzed the clinical, vocational and radiologic outcomes of 63 consecutive posterolateral lumbosacral fusions performed with transpedicular fixation. The indication for surgery was long-standing intractable lumbar and/or radiating pain with spondylolysis-olisthesis in 31 cases, degenerative disc disease and/or facet joint arthrosis in 23 cases and pain after laminectomy/decompression in 9 cases. Radiographic union was finally achieved in 30 out of the 63 cases. Fixation device-related complications, such as screw misplacement, breakage, bending and loosening, occurred in 33 cases. 15 patients underwent refusion. 43 patients obtained good pain relief. There was no correlation between bony healing and a good clinical outcome. 28/49 preoperatively employed patients returned to work. There was no correlation between relief of pain and return to work. 20 patients retired on a full disability pension. The clinical results were best in the spondylolysis-olisthesis group. Only 2/15 patients with markedly reduced spondylolisthesis maintained the reduction. In 3 patients, progressive disc degeneration above the level of fusion was observed. We conclude that posterolateral lumbosacral fusion with transpedicular fixation provides a sat...Continue Reading

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Citations

Jan 1, 1997·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·B DahlE Tøndevold
May 6, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mark ArtsRaph Thomeer
Oct 9, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Tobias L SchulteLars Hackenberg
Jul 16, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Michael PutzierPatrick Strube
Aug 5, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Patrick StrubeMichael Putzier
Feb 14, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Masayuki MiyagiKazuhisa Takahashi
Jul 13, 2004·Spine·Shin'ya OkudaTomio Yamamoto
Sep 6, 2003·Journal of Neurosurgery·Sait NaderiM Nuri Arda
Apr 20, 2006·Journal of Neurosurgery. Spine·Shinya OkudaMotoki Iwasaki
Sep 30, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hikono AikiToshihiko Yamashita
Apr 8, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Hope B PearsonJoel D Boerckel
Nov 30, 2011·Clinical Orthopaedics and Related Research·Eike HoffMichael Putzier
Dec 16, 2000·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·W W LuJ C Leong
Jun 28, 2019·Neurosurgery·Georgios A MaragkosEfstathios Papavassiliou
Mar 11, 2009·Journal of Korean Neurosurgical Society·Jeong Yoon ParkYong Eun Cho
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Jul 15, 2004·The Journal of Bone and Joint Surgery. American Volume·Gary GhiselliEdgar G Dawson
Apr 9, 2013·Journal of Spinal Disorders & Techniques·Minori KatoKota Suda

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