Loading...
Please wait, while we are loading the content...
Similar Documents
A prospective, cohort study comparing translaminar screw fixation with transforaminal lumbar interbody fusion and pedicle screw fixation for fusion of the degenerative lumbar spine.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Grob, Dieter Bartanusz, Viktor Jeszenszky, Deszö Kleinstueck, Frank S. Lattig, Friederike O'riordan, D. Mannion, A. F. |
| Copyright Year | 2009 |
| Abstract | In a prospective observational study we compared the two-year outcome of lumbar fusion by a simple technique using translaminar screws (n = 57) with a more extensive method using transforaminal lumbar interbody fusion and pedicular screw fixation (n = 63) in consecutive patients with degenerative disease of the lumbar spine. Outcome was assessed using the validated multidimensional Core Outcome Measures Index. Blood loss and operating time were significantly lower in the translaminar screw group (p < 0.01). The complication rates were similar in each group (2% to 4%). In all, 91% of the patients returned their questionnaire at two-years. The groups did not differ in Core Outcome Measures Index score reduction, 3.6 (sd 2.5) (translaminar screws) vs 4.0 (sd 2.8) (transforaminal lumbar interbody fusion) (p = 0.39); 'good' global outcomes, 78% (translaminar screws) vs 78% (transforaminal lumbar interbody fusion) (p = 0.99) or satisfaction with treatment, 82% (translaminar screws) vs 86% (transforaminal lumbar interbody fusion) (p = 0.52). The two fusion techniques differed markedly in their extent and the cost of the implants, but were associated with almost identical patient-orientated outcomes. Extensive three-point stabilisation is not always required to achieve satisfactory patient-orientated results at two years. |
| File Format | PDF HTM / HTML |
| DOI | 10.1302/0301-620X.91B10.22195 |
| PubMed reference number | 19794171 |
| Journal | Medline |
| Volume Number | 91 |
| Issue Number | 10 |
| Alternate Webpage(s) | http://www.bjj.boneandjoint.org.uk/content/jbjsbr/91-B/10/1347.full.pdf |
| Alternate Webpage(s) | http://neurosurgery.uthscsa.edu/journal_club/journals/JOURNAL%20ARTICLES/Bartanusz_2009_degenerative_lumbar_spine.pdf |
| Alternate Webpage(s) | https://doi.org/10.1302/0301-620X.91B10.22195 |
| Journal | The Journal of bone and joint surgery. British volume |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
