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Spinal motion preservation surgery: indications and applications.
- Source :
-
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2018 Apr; Vol. 28 (3), pp. 335-342. Date of Electronic Publication: 2017 Oct 06. - Publication Year :
- 2018
-
Abstract
- Fusion is one of the most commonly performed spinal procedures, indicated for a wide range of spinal problems. Elimination of motion though results in accelerated degeneration of the adjacent level, known as adjacent level disease. Motion preservation surgical methods were developed in order to overcome this complication. These methods include total disc replacement, laminoplasty, interspinous implants and dynamic posterior stabilization systems. The initial enthusiasm about these methods was followed by certain concerns about their clinical usefulness and their results. The main indications for total disc replacement are degenerative disc disease, but the numerous contraindications for this method make it difficult to find the right candidate. Application of interspinous implants has shown good results in patients with spinal stenosis, but a more precise definition is needed regarding the severity of spinal stenosis up to which these implants can be used. Laminoplasty has several advantages and less complications compared to fusion and laminectomy in patients with cervical myelopathy/radiculopathy. Dynamic posterior stabilization could replace conventional fusion in certain cases, but also in this case the results are successful only in mild to moderate cases.
- Subjects :
- Humans
Intervertebral Disc Degeneration surgery
Intervertebral Disc Displacement surgery
Laminectomy instrumentation
Organ Sparing Treatments instrumentation
Organ Sparing Treatments methods
Prostheses and Implants
Reoperation
Spinal Fusion instrumentation
Spinal Stenosis surgery
Spondylolisthesis surgery
Total Disc Replacement instrumentation
Laminectomy methods
Movement physiology
Spinal Fusion methods
Total Disc Replacement methods
Subjects
Details
- Language :
- English
- ISSN :
- 1432-1068
- Volume :
- 28
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
- Publication Type :
- Academic Journal
- Accession number :
- 28986691
- Full Text :
- https://doi.org/10.1007/s00590-017-2052-3