Instrumented facet fusion for the degenerative lumbar disorders

Youn-Kwan Park, H. S. Chung

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

A new, simple, minimally morbid procedure used to treat degenerative lumbar spinal disorders is described. The authors based their treatment on the McBride technique of facet fusion, which was modified and supplemented with pedicle screw fixation. The first 32 consecutive patients with degenerative spondylolisthesis and failed back surgery syndrome were treated, and followed for more than a year. Surgically, 26 patients had a single level fusion, and 6 patients had a two level fusion. Postoperative radiographs and computed tomography (CT) scans were evaluated to determine the fusion status. There were no specific complications related with the facet fusion. Thirty of 32 (93.8%) had solid fusions according to the computed tomographic criteria. Two patients showed a questionable union on CT scan but motion was less than 5 degrees on dynamic films. While 96.2% (25/26) of patients with a single level procedure had solid fusion, rate of union in the patients with two level procedures was 83.3% (5/6). This preliminary study of 32 patients shows that instrumented facet fusion appears to be a safe and effective procedure for lumbar spine fusions, demonstrating a high fusion rate with rarely serious complications.

Original languageEnglish
Pages (from-to)915-920
Number of pages6
JournalActa Neurochirurgica
Volume141
Issue number9
DOIs
Publication statusPublished - 1999 Oct 13

Fingerprint

Failed Back Surgery Syndrome
Tomography
Spondylolisthesis
Spine
Therapeutics
Pedicle Screws

Keywords

  • Degenerative lumbar disorders
  • Facet fusion
  • Pedicle screw fixation

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Instrumented facet fusion for the degenerative lumbar disorders. / Park, Youn-Kwan; Chung, H. S.

In: Acta Neurochirurgica, Vol. 141, No. 9, 13.10.1999, p. 915-920.

Research output: Contribution to journalArticle

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