Lumbosacral fusion by standing h-graft technique
| Autor: | Turkka Tunturi, Tapio Tervo, Hannu Pätiälä, Pentti Rokkanen, T. Paakkala |
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| Rok vydání: | 1979 |
| Předmět: |
Adult
Male medicine.medical_specialty Lumbosacral spine medicine.medical_treatment Bed rest Subjective improvement Postoperative Complications Lumbosacral fusion medicine Humans Orthopedics and Sports Medicine Low back Postoperative Care business.industry Lumbosacral Region General Medicine Middle Aged medicine.disease Spondylolisthesis Surgery Radiography Spinal Fusion Anesthesia Orthopedic surgery Female business Lumbosacral joint Intervertebral Disc Displacement Follow-Up Studies |
| Zdroj: | Archives of orthopaedic and traumatic surgery. Archiv fur orthopadische und Unfall-Chirurgie. 93(2) |
| ISSN: | 0344-8444 |
| Popis: | Fusion of the lumbosacral spine was carried out on 44 patients. A modification of the standing H-graft technique was used in 41 of the patients. The operative diagnosis was degeneration of the lumbosacral spine in nearly two-thirds of the cases and spondylolisthesis in about one-third. Operations for low back or sciatic pain had previously been performed on 17 patients. The duration of postoperative bed rest ranged from one to six weeks; a lumbosacral corset was used at least for six weeks postoperatively. The average stay in hospital was 52 days. Complications occurred in five cases. The operative results of 40 patients were evaluated on the basis of a follow-up examination performed on average 3.6 years after operation. Nearly half the patients with radiologically successful fusions had a good subjective improvement and about one-fourth had returned to their previous or corresponding occupations. The operative result was at least fair in about half the patients, assessed by a measure of the patients' subjective improvement and working capacity. In the non-fusion group (six cases) the operative results were exclusively poor. Age over 40 years, long-standing preoperative disability and previous back operations proved prognostic factors for poor results. Assessed from functional radiographs, 63% of two-segment fusions and 95% of one-segment fusions were successful. The operative technique appeared simple and suitable for fusions of one spinal segment, but the value of the lumbosacral fusion in the treatment of low back pain seemed doubtful because of the great proportion of poor clinical results even following technically successful fusions. |
| Databáze: | OpenAIRE |
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