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Posterior Lumbar Interbody Fusion Combined Auto- and Allograft Technique

  • Prem S. Ramani

Abstract

The Surgical treatment of ruptured lumbar intervertebral disk with or without lumbar instability, or association of lumbar instability without prolapsed lumbar intervertebral disk is controversial in terms of the necessity of spinal fusion. Even today with more accurate diagnostic methods it has not been possible to lay down specific criteria for lumbar stabilization. The subject has been further shrouded in controversy because many patients remain asymptomatic for long periods just with excision of the prolapsed lumbar intervertebral disk. It has not been possible to differentiate rigid criteria for patients requiring fusion and those who do not need it.

Keywords

Iliac Crest Cancellous Bone Pedicle Screw Interbody Fusion Total Disk Replacement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Cloward RB (1953) The treatment of ruptured intervertebral disk by vertebral body fusion. J Neurosurg 10: 154–168PubMedCrossRefGoogle Scholar
  2. 2.
    Blume HG (1982) Unilateral lumbar interbody fusion by posterior approach with dowel grafts. In: Lin PM (ed) Posterior lumbar interbody fusion Charles C. Thomas, Springfield, pp 252–275Google Scholar
  3. 3.
    Collis JS (1985) Total disk replacement: A modified posterior lumbar interbody fusion; Report of 750 cases. Clin Orthop 193: 64–67PubMedGoogle Scholar
  4. 4.
    Leong JCY (1989) Anterior interbody fusion. In: Lin PM, Gill K (eds) Lumbar interbody fusion. Aspen, Maryland, pp 133–148Google Scholar
  5. 5.
    Lin PM (1977) Posterior lumbar interbody fusion. In: Sweer WH, Schmidek HH (eds) Current techniques in operative neurosurgery, 2nd edn. Grune and Stratton, New York, pp 1339–1364Google Scholar
  6. 6.
    Ramani PS (1986) Posterior lumbar interbody fusion. In: Sinha KK, Chandra P (eds) Progress in clinical neurosciences, I. Neurological Society of India, pp 33 - 42Google Scholar
  7. 7.
    Ramani PS (1988) Posterior lumbar interbody fusion. Clin Orthop India 2: 95–103Google Scholar
  8. 8.
    Ramani PS (1988) Spondylolysis and spondylolisthesis: Its recognition and management. In: Sinha KK, Chandra P (eds) Progress in clinical neurosciences, I. Neurological Society of India, pp 101–114Google Scholar
  9. 9.
    Ramani PS (1989) Posterior lumbar interbody fusion. Review of 100 cases. Neurology India 37: 607–618Google Scholar
  10. 10.
    Ramani PS (1989) Posterior lumbar interbody fusion. Associated Personnel Services Publication, Bombay, pp 103–131Google Scholar
  11. 11.
    Takeda M (1985) Experience in posterior lumbar interbody fusion. Unicortical versus bicortical autologus grafts. Clin Orthop 193: 1201–126Google Scholar
  12. 12.
    Burwell RG (1985) The function of bone marrow in the incorporation of a bone graft. Clinical Orthopaedics 200: 125–141Google Scholar
  13. 13.
    Frost HM (1985) The pathomechanics of osteoporosis. Clinical Orthopaedics 200: 198–225Google Scholar
  14. 14.
    Gordon GS (1985) Estrogen and bone. Clinical Orthopaedics 200: 174–180Google Scholar
  15. 15.
    Nachemson AL (1985) Advances in low back pain. Clinical Orthopaedics 200: 266–278Google Scholar
  16. 16.
    Prolo DJ, Rodrigo JJ (1985) Contemporary bone graft physiology and surgery. Clinical Orthopaedics 200: 322–342Google Scholar
  17. 17.
    Urist MR (1980) Bone transplantation. In: Urist MR (ed) Fundamentals and clinical bone physiology. Lippincott, Philadelphia, pp 331–368Google Scholar
  18. 18.
    Junghans J, Schmorl G (1977) The human spine in health and disease. Grune and Stratton, New York, pp 357–385Google Scholar
  19. 19.
    White AA, Panjabi MM (1978) Clinical biomechanics of spine. Lippincot, PhiladelphiaGoogle Scholar
  20. 20.
    Cloward RB (1957) Ten years’ experience with a one man bone bank. J Int Col Surg 23: 110–117Google Scholar
  21. 21.
    Cloward RB (1980) Gas-sterilized cadaver bone graft for fusion. A simplified bone bank. Spine 5 (1): 4–7PubMedCrossRefGoogle Scholar
  22. 22.
    Ma GWC (1985) Posterior lumbar interbody fusion with specialized instruments. Clin Orthop 193: 57–63PubMedGoogle Scholar
  23. 23.
    Ramani PS (1989) A new model for posterior lumbar interbody fusion. In: Ramani PS (eds) Posterior lumbar interbody fusion. Associated personnel services, Bombay, pp 89–96Google Scholar
  24. 24.
    Lin PM (1982) Technique of PLIF. In: Lin PM (ed) Posterior lumbar interbody fusion. Charles C. Thomas, Springfield, pp 94–139Google Scholar
  25. 25.
    Lin PM (1982) Evaluation of clinical results. In: Lin PM (ed) Posterior lumbar interbody fusion. Charles C. Thomas Springfield, pp 154–160Google Scholar
  26. 26.
    Steffee A (1989) The variable screw placement system with posterior lumbar interbody fusion. In: Ramani PS (ed) Posterior lumbar interbody fusion. Associated Personnel Services, Bombay, pp 212–226Google Scholar
  27. 27.
    Evans JH (1985) Biomechanics of lumbar spine. Clin Orthop 193: 38–44PubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Prem S. Ramani
    • 1
  1. 1.Department of NeurosurgeryL.T.M.G. Hospital, Sion (West)BombayIndia

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