Abstract
Multilevel degenerative lumbar spine disease is one of the most difficult problems in lumbar spine surgery. We all know of patients with poor outcomes after surgery performed in an attempt to relieve pain. Too often we discover that the wrong intervention has been performed. We also recognize the functional and long-term disadvantages of multisegmental lumbar fusions [1], especially when they include the lumbosacral junction or induce a flatback [2].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Balderston RK, Winter RB, Moe JH (1986) Fusion to the sacrum for non-paralytic scoliosis in the adult. Spine 11: 824–829
LaGrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, Ogilvie JW (1988) Treatment of symptomatic flatback after spinal fusion. J Bone Joint Surg [Am] 70: 569–580
Bigos SJ, Battie MC, Spengler DM, Fischer LD, Fordyce WE, Hansson TH, Nachemson AL, Wortley MD (1991) A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 16: 1–6
Hazard RG, Fenwick JW, Kaiisch SM, Redmond J, Reeves V, Reid S, Frymoyer JW (1989) Functional restoration with behavioral support. A 1-year prospective study of patients with chronic low back pain. Spine 14: 157–161
Brant-Zawadzki M, Norman E (1982) Magnetic resonance imaging of the central nervous system. Raven, New York
Millette PC, Raymond J, Fontaine S (1990) Comparison of high-resolution CT with diskography in the evaluation of lumbar disk herniations. Spine 15: 525–533
Hoffman RM, Kent DL, Deyo RA (1991) Diagnostic accuracy and clinical utility of thermography for lumbar radiculopathy: A meta-analysis. Spine 16: 623–628
Esses ST, Botsford DG, Kostuik YP (1989) The role of external skeletal fixation in the assessment of low back disorders. Spine 14: 594–601
Magerl F (1982) External skeletal fixation of the lower thoracic and lumbar spine. In: Uhthoff HK (ed) Current concepts of external fixation of fractures. Springer, Berlin, pp 353–366
Olerud S, Sjöström L, Karlstrom G, Hamberg M (1986) Spontaneous effect of increased stability of the lower lumbar spine in cases of severe chronic back pain: The answer of an external transpedicular fixation test. Clin Orthop 203: 67–74
Dick W (1987) The “Fixateur interne” as a versatile implant for spine surgery. Spine 12: 882–900
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Tokyo
About this chapter
Cite this chapter
Dick, W., Widmer, H., Leone, V.J. (1993). Patient Selection for Stabilization of Multisegmental Spondylosis. In: Yonenobu, K., Ono, K., Takemitsu, Y. (eds) Lumbar Fusion and Stabilization. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68234-9_12
Download citation
DOI: https://doi.org/10.1007/978-4-431-68234-9_12
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68236-3
Online ISBN: 978-4-431-68234-9
eBook Packages: Springer Book Archive