Facet fusion in the lumbosacral spine: A 2-year follow-up study

Youn-Kwan Park, Jong Hyun Kim, Jae In Oh, Taek-Hyun Kwon, Hung Seob Chung, Ki Chan Lee, Paul R. Cooper, Edward C. Benzel, Robert G. Watkins, Paul C. McCormick, Andrew T. Dailey, Ronald I. Apfelbaum

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16 Citations (Scopus)

Abstract

OBJECTIVE: A clinical and radiological follow-up study was undertaken to assess the safety, efficacy, and complication rate associated with instrumented facet fusion of the lumbar and lumbosacral spine. METHODS: This study involved 99 patients with degenerative lumbar disorders who were treated surgically at the authors' neurosurgical department and followed for more than 2 years. Eighty-two patients underwent one-level fusion for the treatment of Grade I or II degenerative spondylolisthesis and accompanying spinal canal stenosis (44 patients) or recurrent disc herniation (38 patients). Seventeen patients underwent two-level fusion for the treatment of either double instances of the above indications (seven patients) or concurrent stenosis at the adjacent level (10 patients). RESULTS: There were no technique-related complications. The overall 2-year success rate of fusion was 96%; the success rates by fusion type were 99% in one-level fusions and 88% in two-level fusions. Degenerative spondylolisthesis had the highest success rate at 100%, whereas the success rate in patients who had not responded to previous discectomy was 93%. Patients with concurrent stenosis experienced the lowest success rate: 80%. Excellent or good clinical results were obtained for 85% of patients with one-level fusions and for 65% of patients with two-level fusions. CONCLUSION: Instrumented facet fusion alone is a simple, safe, and effective surgical option for the treatment of patients with single-level disorders, especially patients with degenerative spondylolisthesis.

Original languageEnglish
Pages (from-to)88-96
Number of pages9
JournalNeurosurgery
Volume51
Issue number1
DOIs
Publication statusPublished - 2002 Jul 1

Keywords

  • Degenerative disorder
  • Facet joint
  • Fusion
  • Instrument
  • Lumbar spine

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Park, Y-K., Kim, J. H., Oh, J. I., Kwon, T-H., Chung, H. S., Lee, K. C., Cooper, P. R., Benzel, E. C., Watkins, R. G., McCormick, P. C., Dailey, A. T., & Apfelbaum, R. I. (2002). Facet fusion in the lumbosacral spine: A 2-year follow-up study. Neurosurgery, 51(1), 88-96. https://doi.org/10.1097/00006123-200207000-00014