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Spinal fusion, also called spondylodesis or spondylosyndesis, is a surgery performed by orthopaedic surgeons or neurosurgeons that joins two or more vertebrae. [1] This procedure can be performed at any level in the spine (cervical, thoracic, lumbar, or sacral) and prevents any movement between the fused vertebrae.
A 2012 study presented in Barcelona found that one in four elderly patients who had lumbar spinal fusion for lumbar spinal stenosis (LSS) or spondylolisthesis needed a second spinal surgery within two years. Additionally, nearly half of these patients were readmitted to the hospital due to complications.
Bone morphogenetic protein (rhBMP) should not be routinely used in any type of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. [2] [3] There are reports of this therapy causing swelling of soft tissue which in turn can cause life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.
It involves fusion of two or more levels utilizing screws, rods, and an interbody graft. It has a theoretical advantage over instrumented posterolateral fusion (iPLF) in that it provides better support for the vertebra along with several potential neurological benefits, but as of 2011 evidence demonstrating actual improved clinical outcomes was ...
Dr. Schuler is Double board certified and a Diplomat in spine surgery and orthopedic surgery of the spine. [9] In 1998, he was one of the first doctors to use biologics in surgery [8] when the practice he founded in 1992, The Virginia Spine Institute (VSI) [8] in Reston, Virginia, served as the 3rd largest site in the nation for the trial of bone morphogenetic protein (BMP) – the first use ...
Harrington rods used in spinal fusion. The Harrington rod (or Harrington implant) is a stainless steel surgical device. [1] Historically, this rod was implanted along the spinal column to treat, among other conditions, a lateral or coronal-plane curvature of the spine, or scoliosis. Up to one million people had Harrington rods implanted for ...
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TDR has been developed as an alternative to spinal fusion, with the goal of pain reduction or elimination, while still allowing motion throughout the spine. Faster recoveries after surgery have also been widely reported by surgeons. [1] Another possible benefit is the prevention of premature breakdown in adjacent levels of the spine, a ...