scholarly journals Introduction: Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine

2014 ◽  
Vol 21 (1) ◽  
pp. 1 ◽  
Author(s):  
Michael W. Groff
Keyword(s):  
Lumbar Spine ◽  
Degenerative Disease

scholarly journals Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: Assessment of functional outcome following lumbar fusion

2014 ◽  
Vol 21 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Zoher Ghogawala ◽  
Daniel K. Resnick ◽  
William C. Watters ◽  
Praveen V. Mummaneni ◽  
Andrew T. Dailey ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Functional Outcome ◽  
Spinal Fusion ◽  
Lumbar Fusion ◽  
Minimum Clinically Important Difference ◽  
Degenerative Disease ◽  
Psychological State ◽  
Lumbar Spinal Fusion ◽  
Patient Reported ◽  
Lumbar Spinal

Assessment of functional patient-reported outcome following lumbar spinal fusion continues to be essential for comparing the effectiveness of different treatments for patients presenting with degenerative disease of the lumbar spine. When assessing functional outcome in patients being treated with lumbar spinal fusion, a reliable, valid, and responsive outcomes instrument such as the Oswestry Disability Index should be used. The SF-36 and the SF-12 have emerged as dominant measures of general health-related quality of life. Research has established the minimum clinically important difference for major functional outcomes measures, and this should be considered when assessing clinical outcome. The results of recent studies suggest that a patient's pretreatment psychological state is a major independent variable that affects the ability to detect change in functional outcome.

Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 5: correlation between radiographic and functional outcome

2005 ◽  
Vol 2 (6) ◽  
pp. 658-661 ◽  
Author(s):  
Daniel K. Resnick ◽  
Tanvir F. Choudhri ◽  
Andrew T. Dailey ◽  
Michael W. Groff ◽  
Larry Khoo ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Functional Outcome ◽  
Degenerative Disease

Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: intractable low-back pain without stenosis or spondylolisthesis

2005 ◽  
Vol 2 (6) ◽  
pp. 670-672 ◽  
Author(s):  
Daniel K. Resnick ◽  
Tanvir F. Choudhri ◽  
Andrew T. Dailey ◽  
Michael W. Groff ◽  
Larry Khoo ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Degenerative Disease ◽  
Low Back

The Pathophysiology of Degenerative Disease of the Lumbar Spine

1983 ◽  
Vol 14 (3) ◽  
pp. 491-504 ◽  
Author(s):  
Ken Yong-Hing ◽  
William H. Kirkaldy-Willis
Keyword(s):  
Lumbar Spine ◽  
Degenerative Disease

Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: brace therapy as an adjunct to or substitute for lumbar fusion

2005 ◽  
Vol 2 (6) ◽  
pp. 716-724 ◽  
Author(s):  
Daniel K. Resnick ◽  
Tanvir F. Choudhri ◽  
Andrew T. Dailey ◽  
Michael W. Groff ◽  
Larry Khoo ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Lumbar Fusion ◽  
Degenerative Disease

Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 9: fusion in patients with stenosis and spondylolisthesis

2005 ◽  
Vol 2 (6) ◽  
pp. 679-685 ◽  
Author(s):  
Daniel K. Resnick ◽  
Tanvir F. Choudhri ◽  
Andrew T. Dailey ◽  
Michael W. Groff ◽  
Larry Khoo ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Degenerative Disease

Nonfusion stabilization of the degenerative lumbar spine

2011 ◽  
Vol 15 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Alberto Maleci ◽  
Rafael Donatus Sambale ◽  
Michele Schiavone ◽  
Franz Lamp ◽  
Fahir Özer ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Donor Site ◽  
Visual Analog Scale Score ◽  
Clinical Results ◽  
Degenerative Disease ◽  
Operative Trauma ◽  
Implant Complications ◽  
Rod System ◽  
Adjacent Disc

Object The goal of this study was to assess whether a stable but nonrigid nonfusion implant can stabilize the spine in degenerative diseases and also prevent instability following decompression. Instrumented spondylodesis is a recognized surgical treatment in degenerative disease of the lumbar spine. However, pain can develop at the bone graft donor site and the operative trauma can be very stressful in elderly patients, and it is suspected that there may be increased degenerative changes in the adjacent segments. In 2002, a nonrigid but rotationally stable pedicle screw and rod system was introduced, which could be used without additional fusion (referred to hereafter as the Cosmic system). Methods A total of 139 patients with degenerative disease of the lumbar spine underwent spinal stabilization with the Cosmic system without additional spondylodesis. Seventy patients had an additional decompression. The minimum follow-up was 2 years. The perioperative course, the clinical results, and the erect anteroposterior and lateral radiographs were recorded and compared with the preoperative data. The data were obtained from 6 different spine centers in Europe and documented on an Internet platform. Results The Oswestry Disability Index score improved from 48.9% to 22.5%, and the visual analog scale score decreased from 7.3 to 2.5. Lumbar lordosis did not change, nor did the adjacent disc height. Eleven patients underwent revision, 4 of them for implant failure. Of the 139 patients, 110 assessed the result as excellent, very good, or good; 24 as fair; and 5 as poor. A total of 122 patients would undergo surgery again. There were no significant differences between patients with or without an additional decompression. Conclusions The Cosmic system is a stable but nonrigid posterior nonfusion system. Implant complications are low and the clinical outcome is good. Longer follow-up is necessary to confirm the 2-year results.

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