Search Results

You are looking at 1 - 10 of 953 items for :

  • "lumbar fusion" x
Clear All
Restricted access

Rajender Agarwal, Kendal Williams, Craig A. Umscheid and William C. Welch

T he use of lumbar fusion procedures in the US has rapidly increased over the last decade, 14 , 34 and a large number of these procedures involve the use of bone grafts. 2 , 36 Successful fusion depends on a number of surgical and host factors including the selection of a bone graft or bone graft substitute with adequate osteoconductive and osteoinductive properties. “Osteoconduction” refers to the scaffolding properties of a graft that support bone growth; “osteoinduction” refers to the stimulation of new bone formation. 36 Autografting has been

Restricted access

Mladen Djurasovic, Steven Glassman, Jeffrey L. Gum, Charles H. Crawford III, R. Kirk Owens II and Leah Y. Carreon

T he aging of the US population has been associated with a significant increase in musculoskeletal disease burden. Nearly 10,000 members of the “baby boomer” cohort reach retirement age every day, 1 and with their aging there will be continued growth in the treatment of both lumbar spine and lower-extremity degenerative disease. Lumbar spinal stenosis with or without spondylolisthesis is the most common cause for lumbar surgery in the US, with nearly 200,000 elective lumbar fusions performed in 2015. 2 This represents a growth of 62% over the previous decade

Free access

Chloe O’Connell, Tej Deepak Azad, Vaishali Mittal, Daniel Vail, Eli Johnson, Atman Desai, Eric Sun, John K. Ratliff and Anand Veeravagu

M ajor depressive disorder is the leading cause of disability among people between the ages of 15 and 44 years, with a 12-month prevalence of 6.6% and a lifetime prevalence of 16.2%. 7 , 16 The relationship between depression and low-back pain is well established, 7 with depressive symptomatology linked to a more than 2-fold increase in the odds of low-back pain in 1 study. 25 Despite this association, as well as the link between depression and adverse outcomes after many types of surgery, 5 , 21 the impact of depression on outcomes following lumbar fusion

Free access

Patrick C. Reid, Simon Morr and Michael G. Kaiser

—both disability and cost—will rise with it. Lumbar surgery rates have increased steadily over time. 90 A clear benefit of lumbar fusion surgery has been demonstrated in many patients as evidenced by lowered pain and disability scores and the ability to return to work. However, fusion procedures have not been effective for all patients, and as rates of both disease and treatments have risen, the number of patients undergoing unsuccessful fusion operations has increased as well. 55 , 162 Indications for lumbar fusion continue to evolve, in part due to new techniques

Restricted access

Manish P. Lambat, Steven D. Glassman and Leah Y. Carreon

.291 TABLE 5: Number of patients reaching MCID values for HRQOL measures Variable No Comp Minor Comp Major Comp p Value total no. of patients 78 78 78 MCID for  NRS back pain 56 63 58 0.358  NRS leg pain 41 50 34 0.038  ODI 51 40 24 <0.001  SF-36 PCS 31 42 33 0.163 Discussion Complications are an inevitable risk of lumbar fusion surgery in adults. Prior studies have identified parameters that increase the complication rate, such as an advanced age, medical

Free access

Anuj Singla, Scott Yang, Brian C. Werner, Jourdan M. Cancienne, Ali Nourbakhsh, Adam L. Shimer, Hamid Hassanzadeh and Francis H. Shen

. Patients who underwent 1- or 2-level lumbar spinal fusions after LESI were then identified using Boolean coding within the database and were divided into 3 separate cohorts: 1) lumbar fusion performed within 1 month after LESI, 2) lumbar fusion performed between 1 and 3 months after LESI, and 3) lumbar fusion performed between 3 and 6 months after LESI. A control group was created for comparison purposes, which included all patients meeting the above procedural criteria without a previous documented LESI. The control group was then matched to the 3 study cohorts by using

Restricted access

Mladen Djurasovic, Steven D. Glassman, John R. Dimar II, Charles H. Crawford III, Kelly R. Bratcher and Leah Y. Carreon

. Methods The current study is a retrospective analysis of a clinical database of prospectively collected health outcomes data in patients undergoing lumbar fusion. A single-center surgical database of patients undergoing lumbar fusion surgery at a tertiary spine care center was reviewed from 2001 to the present. All patients undergoing lumbar decompression and instrumented fusion who had complete preoperative and 2-year postoperative outcomes data were included. Inclusion criteria were single- or multilevel lumbar decompression and fusion for standard lumbar

Restricted access

Leah Y. Carreon, Kelly R. Bratcher, Chelsea E. Canan, Lauren O. Burke, Mladen Djurasovic and Steven D. Glassman

improvement. Thus, the purpose of this study is to determine if MCID values for ODI, SF-36, and back and leg pain are different between patients undergoing primary and revision lumbar fusion procedures. Methods After the present study received Institutional Review Board approval, patients who had decompression and instrumented lumbar fusion for lumbar degenerative spine disorders who had complete baseline and 1-year postoperative ODI, 7 SF-36, 24 and numeric rating scales (0–10) for back and leg pain 15 were identified. All questionnaires were completed by the

Restricted access

Haichun Liu, Wenliang Wu, Yi Li, Jinwei Liu, Kaiyun Yang and Yunzhen Chen

L umbar fusion has increasingly become a standard treatment for spinal disorders during the past decades. 3 , 12 Degenerative lumbar disorders, including lumbar disc herniation, lumbar spinal stenosis, and spondylolisthesis, 13 have been noted as the most common indication for spinal fusion. 15 Although lumbar fusion results in high union rates and has yielded good clinical results in decreasing pain and paralysis, 5–8 it has also been associated with an increased incidence of ASD. 9 This pathology is now considered a potential late complication of

Free access

Jason C. Eck, Alok Sharan, Zoher Ghogawala, Daniel K. Resnick, William C. Watters III, Praveen V. Mummaneni, Andrew T. Dailey, Tanvir F. Choudhri, Michael W. Groff, Jeffrey C. Wang, Sanjay S. Dhall and Michael G. Kaiser

Recommendations There is no evidence that conflicts with the previous recommendations published in the original version of the Lumbar Fusion Guidelines (“Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine”). Grade B Lumbar fusion or a comprehensive rehabilitation program incorporating cognitive therapy are recommended as treatment alternatives for patients with chronic low-back pain that is refractory to traditional conservative treatment, such as physical therapy, and is due to 1- or 2-level degenerative