Spinal fusion for lumbar instability: does it have a scientific basis?


Muggleton, Jen M., Kondracki, Michael and Allen, Robert (2000) Spinal fusion for lumbar instability: does it have a scientific basis? Journal of Spinal Disorders & Techniques, 13, (3), 200-204.

Download

Full text not available from this repository.

Description/Abstract

Summary: The validity of spinal fusion for lumbar instability is considered. Some difficulty lies in the interpretation of the term instability. The differing interpretations in the clinical, radiologic, and biomechanical contexts are discussed. These interpretations may only be reconciled if the confusion between hypermobility and instability is removed and some recourse is made to soft tissue integrity. Fusion is considered in the context of the functioning spine as a whole. Although the aim of the surgery is usually to produce a solid arthrodesis, some studies show that this can compromise the functioning of the rest of the spine. Furthermore, there is some evidence that pseudarthrosis itself may not be detrimental. Dynamic imaging offers the potential for improved diagnosis and assessment, but further work is needed to pave the way for better selection criteria and treatment strategies.

Item Type: Article
Related URLs:
Subjects: R Medicine > RD Surgery
R Medicine > RM Therapeutics. Pharmacology
Divisions: University Structure - Pre August 2011 > Institute of Sound and Vibration Research > Dynamics
University Structure - Pre August 2011 > Institute of Sound and Vibration Research > Signal Processing and Control
ePrint ID: 9933
Date Deposited: 15 Nov 2004
Last Modified: 27 Mar 2014 18:02
URI: http://eprints.soton.ac.uk/id/eprint/9933

Actions (login required)

View Item View Item