Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years
(1994) In Acta Orthopaedica Scandinavica 65(3). p.14-309- Abstract
- We report the outcome of 71 consecutive posterolateral lumbar fusions without spinal instrumentation. The indication for the operation was spondylolysis-olisthesis, degenerative disc disease/facet joint arthrosis, or pain after prior laminectomy. Concerning pain relief, 29/43 patients with spondylolysis-olisthesis were classified as good. The corresponding figures in the group with degenerative disc disease and/or facet joint arthrosis were 8/16 patients and in the group with pain post-laminectomy, 6/12 patients. No surgical complications were noted. In the total material 54 patients had a solid fusion, as defined by radiographic osseous trabecular bridging at all intended levels. One-level fusions tended to heal solidly in a higher... (More)
- We report the outcome of 71 consecutive posterolateral lumbar fusions without spinal instrumentation. The indication for the operation was spondylolysis-olisthesis, degenerative disc disease/facet joint arthrosis, or pain after prior laminectomy. Concerning pain relief, 29/43 patients with spondylolysis-olisthesis were classified as good. The corresponding figures in the group with degenerative disc disease and/or facet joint arthrosis were 8/16 patients and in the group with pain post-laminectomy, 6/12 patients. No surgical complications were noted. In the total material 54 patients had a solid fusion, as defined by radiographic osseous trabecular bridging at all intended levels. One-level fusions tended to heal solidly in a higher frequency than two-level fusions. For the spondylolysis-olisthesis group, healed fusion correlated with a good clinical result. Such a correlation could not be verified for the other diagnostic groups. We conclude that non-instrumented posterolateral lumbar fusion is a valid method for treating low-grade spondylolysis-olisthesis, especially when the aim is to fuse a single level. Improved patient selection methods are required in fusion for degenerative disc disease and pain after laminectomy. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/32397
- author
- Axelsson, Paul ; Johnsson, Ragnar LU ; Strömqvist, Björn LU ; Arvidsson, M and Herrlin, K
- organization
- publishing date
- 1994
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Orthopaedica Scandinavica
- volume
- 65
- issue
- 3
- pages
- 14 - 309
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:0028201091
- ISSN
- 0001-6470
- language
- English
- LU publication?
- yes
- id
- 0aed0bee-71cf-40b4-a37d-37a8bc196150 (old id 32397)
- date added to LUP
- 2016-04-01 15:33:28
- date last changed
- 2021-01-31 06:06:29
@article{0aed0bee-71cf-40b4-a37d-37a8bc196150,
abstract = {{We report the outcome of 71 consecutive posterolateral lumbar fusions without spinal instrumentation. The indication for the operation was spondylolysis-olisthesis, degenerative disc disease/facet joint arthrosis, or pain after prior laminectomy. Concerning pain relief, 29/43 patients with spondylolysis-olisthesis were classified as good. The corresponding figures in the group with degenerative disc disease and/or facet joint arthrosis were 8/16 patients and in the group with pain post-laminectomy, 6/12 patients. No surgical complications were noted. In the total material 54 patients had a solid fusion, as defined by radiographic osseous trabecular bridging at all intended levels. One-level fusions tended to heal solidly in a higher frequency than two-level fusions. For the spondylolysis-olisthesis group, healed fusion correlated with a good clinical result. Such a correlation could not be verified for the other diagnostic groups. We conclude that non-instrumented posterolateral lumbar fusion is a valid method for treating low-grade spondylolysis-olisthesis, especially when the aim is to fuse a single level. Improved patient selection methods are required in fusion for degenerative disc disease and pain after laminectomy.}},
author = {{Axelsson, Paul and Johnsson, Ragnar and Strömqvist, Björn and Arvidsson, M and Herrlin, K}},
issn = {{0001-6470}},
language = {{eng}},
number = {{3}},
pages = {{14--309}},
publisher = {{Taylor & Francis}},
series = {{Acta Orthopaedica Scandinavica}},
title = {{Posterolateral lumbar fusion. Outcome of 71 consecutive operations after 4 (2-7) years}},
volume = {{65}},
year = {{1994}},
}