Skip to main content

Intraoperative Measurement of Lumbar Spinal Stiffness

  • Chapter

Abstract

Spinal instability has been assessed according to certain physiological or radio-graphic abnormalities of the spine [1–5]. A quantitative assessment of spinal instability is, however, essential for justification of lumbar fusion or stabilization and this has actually been conducted by few researchers [6] (D.C. Holmes, M.D. Brown, E.C. Eckstein, et al. 1989, In Vitro and In Vivo Measurement of Lumbar Spine Motion Segment Unit Stiffness; unpublished work, University of Miami School of Medicine). We attempted to develop a method of measuring spinal instability that could be carried out during lumbar spine surgery [7–10]. This method enabled us to measure the alterations of lumbar spinal instability in each step of surgical decompression, stabilization, or bone grafting. The final aim of this research was to establish an objective criterion for fusion and stabilization [6,11–14].

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Denis F (1984) Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop 189: 65–76

    PubMed  Google Scholar 

  2. Kirkaldy-Willis W, Farfan HF (1982) Instability of the lumbar spine. Clin Orthop 165: 110–123

    PubMed  Google Scholar 

  3. Pearcy M, Shepherd J (1985) Is there instability in spondylolisthesis? Spine 10: 175–177

    Article  PubMed  CAS  Google Scholar 

  4. Pope MH, Panjabi MM (1985) Biomechanical definitions of spinal instability. Spine 10: 255–256

    Article  PubMed  CAS  Google Scholar 

  5. White AA, Southwick WO, Panjabi MM (1976) Clinical instability in the lower cervical spine. A review of past and current concepts. Spine 1: 15–27

    Google Scholar 

  6. Brown MD, Holmes DC, Cammisa FP (1991) Intraoperative measurement of lumbar spine motion segment unit stiffness: Clinical significance. Presented at the 58th annual meeting of A AOS, Anaheim, March 7–11

    Google Scholar 

  7. Ebara S, Yonenobu K, Fujiwara K, Hosono N, Ono K (1989) An experiment of intraoperative measurement of lumbar spinal instability. Presented at the annual meeting of the 18th meeting of Japan Spine Research Society, Osaka, June 18–19

    Google Scholar 

  8. Ebara S, Hosono N, Yonenobu K, Ono K (1990) Intraoperative measurement of lumbar spinal instability. J Jpn Orthop Assoc 64: 347

    Google Scholar 

  9. Ebara S, Hosono N, Yonenobu K, Ono K (1990) Intraoperative measurement of lumbar spinal instability. Presented at the annual meeting of the SICOT 90, Montreal, September 9–13

    Google Scholar 

  10. Ebara S, Hosono N, Harada T, Ono K (1991) Intraoperative measurement of lumbar spinal instability. Presented at the 18th annual meeting of ISSLS, Heidelberg, May 12

    Google Scholar 

  11. Feffer HL, Wiesel SW, Cuckler JM, Rothman RH (1985) Degenerative spondylosis. To fuse or not to fuse. Spine 10: 287–289

    Google Scholar 

  12. Frymoyer JW, Selbey DK (1985) Segmental instability. Rationale for treatment. Spine 10: 280–286

    Google Scholar 

  13. Olerud F, Sjostron L, Karlstrom G, Hamberg M (1986) Spontaneous effects of increased stability of the lower lumbar spine in cases of severe chronic back pain. Clin Orthop 203: 67–74

    PubMed  Google Scholar 

  14. Tibrewal SB, Pearcy MJ, Portek I, Spivey J (1985) A prospective study of lumbar spinal movements before and after discectomy using biplanar radiography. Correlation of clinical and radiographic findings. Spine 10: 455–460

    Google Scholar 

  15. Timoshenko S (1955) Strength of materials. Part 1: Elementary theory and problems. D Van Nostrand, New York

    Google Scholar 

  16. Cloward RB (1963) Lesions of the intervertebral disks and their treatment by interbody fusion methods. The painful disk. Clin Orthop 27: 51–77

    PubMed  CAS  Google Scholar 

  17. Thompson JP, Pearce RH, Schechter MT, Adams ME, Tsang IKY, Bishop PB (1990) Preliminary evaluation of a scheme for grading the gross morphology of the human intervertebral disk. Spine 15: 411–415

    Article  PubMed  CAS  Google Scholar 

  18. Farfan HF, Gracovetsky S (1984) The nature of instability. Spine 9: 714–719

    Article  PubMed  CAS  Google Scholar 

  19. Nachemson A (1985) Lumbar spine instability. A critical update and symposium summary. Spine 10: 290–291

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Tokyo

About this chapter

Cite this chapter

Ebara, S. et al. (1993). Intraoperative Measurement of Lumbar Spinal Stiffness. In: Yonenobu, K., Ono, K., Takemitsu, Y. (eds) Lumbar Fusion and Stabilization. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68234-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-68234-9_6

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68236-3

  • Online ISBN: 978-4-431-68234-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics