J Korean Soc Spine Surg.  2001 Sep;8(3):286-291. 10.4184/jkss.2001.8.3.286.

Principles of Lumbar Spine Stabilization

Affiliations
  • 1Department of Orthopedic Surgery, Uijongbu St.Mary's Hospital, The Catholic University of Korea School of Medicin, Korea. spinepjb@cmc.cuk.ac.kr

Abstract

STUDY DESIGN: Review of the literatures.
OBJECTIVES
To provide the principles of fusion and internal fixation for the degenerative lumbar disc diseases. SUMMARY OF LITERATURE REVIEW: Lumbar spine stabilization can be achieved with fusion that eliminates the motion of the lumbar motion segment.
MATERIALS AND METHODS
Fusion only or fusion with internal fixation, anterior or posterior approach, additional use of interbody fusion and cages as well as decompression have been used for the treatment of degenerative lumbar disc diseases.
RESULTS
Various radiological and clinical results, fusion rates and complications have been reported on each fusion techniques and internal fixation devices in the literatures.
CONCLUSIONS
Stabilization is considerd to be useful therapeutic option for degenerative lumbar disc diseases but not absolute one. Therefore, careful consideration should be required for its applications of degenerative lumbar disc diseases.

Keyword

Stabilization; Degenerative lumbar disc diseases

MeSH Terms

Decompression
Internal Fixators
Spine*

Reference

1). Kang CH, Chun JH. Disc excision and posterior lumbar interbody fusion for internal disc derangement. J Korean Spine Surg. 8:62–67. 2001.
Article
2). Kim KS, Choi YS, Chung YM, Chung SY, Kim DY. Surgical treatment of degenerative lumbar spinal disorders using the Graf system: over three year results. J Korean Orthop Assoc. 32:1063–1069. 1997.
Article
3). Kim KT. Lumbar interbody fusion using the cage. J Korean Spine Surg. 7:183–190. 2000.
4). Kim NH, Lee KS. Anterior interbody fusion in the treatment of the lumbar herniated nucleus pulposus. J Korean Spine Surg. 2:185–192. 1995.
Article
5). Kim NH, Lee JW. Comparison of clinical results between the anterior interbody fusion and the posterolateral fusion with transpedicular fixation for the treatment of isthmic spondylolisthesis in adults. J Korean Orthop Assoc. 32:16–22. 1997.
6). Kim EH, Song IS. Additional posterior lumbar interbody fusion using threaded cage in spondylolisthesis with instability. J Korean Spine Surg. 7:544–551. 2000.
7). Moon MS, Ha KY, Chang H, Sun DH, Song YO. Conservative treatment of tuberculosis of lumbar and lumbosacral spines. J Korean Spine Surg. 1:337–344. 1994.
8). Moon SH, Kang YH, Kim NH, Kim JS, Choi YY, Lee HM. Change of lumbar lordosis according to the different operative positions. J Korean Spine Surg. 5:40–46. 1998.
9). Suk KS, Jeon CH, Lee HM, Kim NH, Kim HC. Comparison between posterolateral fusion with pedicle screw fixation and anterior interbody fusion with pedicle screw fixation in spondylotic spondylolisthesis of the lumbar spine. J Korean Spine Surg. 6:397–406. 1999.
10). Suk SI, Lee JH, Min HJ, Kim HS, Ha CW, Park SE. Salvage procedure in failed low back surgery. J Korean Orthop Assoc. 28:1009–1016. 1993.
Article
11). Suk SI, Lee CK, Kim KT, Kim WJ, Kim HS. The surgical treatment of spondylolisthesis. J Korean Orthop Assoc. 26:6–11. 1991.
Article
12). Suk SI, Lee CK, Kim WJ, Kim HG. Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral fusion after decompression in spondylotic spondylolisthesis. J Korean Orthop Assoc. 30:1638–1646. 1995.
13). Suk SI, Lee CK, Lee CS, Kim EH, Huh MG. Cotrel-Dubousset pedicle screw fixation after posterior decompression of lumbar spinal stenosis. J Korean Orthop Assoc. 25:161–168. 1990.
14). Shin BJ. Posterior lumbar interbody fusion: PLIF. J Korean Spine Surg. 7:176–182. 2000.
15). Shin BJ, Kim DI, Choi CU. Treatment of lumbar disease with posterior lumbar interbody fusion: instrumented versus non-instrumented groups. J Korean Spine Surg. 2:106–113. 1995.
16). Shin BJ, Know YB, Suh YS, Lee BI, Kim YI, Rah SK, Choi CU. Complications and problems related to pedicle screw fixation of spinal column. J Korean Spine Surg. 1:206–215. 1994.
17). Shin BJ, Min KD, Kwon H, Lee BI, Kim YI, Rah SK, Choi CU. Surgical result of isthmic spondylolisthesis: comparison of posterolateral fusion vs. PLIF. J Korean Spine Surg. 3:61–68. 1996.
18). Ahn JS. Biomechanics of lumbar spinal fusion. J Korean Spine Surg. 7:126–132. 2000.
19). You JW. Posterolateral fusion of lumbar spine. J Korean Spine Surg. 7:169–175. 2000.
20). Lee CS. Surgical treatment of spinal stenosis without instrumentation(decompression only). J Korean Spine Surg. 7:117–118. 2000.
21). Jang EC, Seo JH, Song KS, Ryu HS. A biomechanical study of two kinds of tapered pedicle screws in osteoporotic lumbar spine. J Korean Orthop Assoc. 34:955–962. 1999.
22). Jahng JH, Baek DH, Chang H, Bahk WJ, Eun SP, Sohn JM, Lim GS. Anterior interbody fusion and posterior instrumentation for degenerative lumbar spondylolisthesis. J Korean Orthop Assoc. 33:359–366. 1998.
Article
23). Chang HG. Indication of lumbar fusion. J Korean Spine Surg. 7:133–144. 2000.
24). Chung JY, Seo HY, Kim JS. The results & affecting factors of posterior lumbar interbody fusion with TPM cages in spondylolisthesis. J Korean Spine Surg. 7:586–596. 2000.
25). Ha KY, Kim KW, Chang CH, Won JY. Multiple operated lumbar spine. J Korean Spine Surg. 4:329–336. 1997.
26). Ha KY, Moon MS, Paek SY. Effect of instrumented stabilization and fusion of degenerative lumbar scoliosis on unfused adjacent segment. J Korean Spine Surg. 2:270–278. 1995.
Full Text Links
  • JKSS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr