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Spinal Interbody Fusion with Unilateral Pedicle Screw Fixation

Author

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  • Ehab Alshal

    (Orthopedic Department, Faculty of Medicine, AL-Azhar University, Egypt)

Abstract

The success of lumbar spine fusion depends on good patient selection. Bilateral pedicle instrumentation whit transforaminal interbody fusion, now popular, improves fusion rates, and eliminates the necessity for postoperative braces, also allows early mobilization. However, the stress shielding caused by rigid internal fixation is thought to lead to osteopenia and degeneration of adjacent segments. Theatre times, intra operative complications and costs are increased when pedicle screw fixation is added. The present study retrospectively collected the clinical and radiological data of 21 patients with degenerative lumbar disease managed by transforaminal interbody fusion with unilateral pedicle screw fixation. The fusion rate was 97% on radiographic analysis and was 96% on CT scan analysis. A loosening of the screw was reported, without pain. No infections were reported. Transforaminal interbody fusion with unilateral pedicle screw fixation technique has been shown to be effective and safe for patients with lumbar degenerative disease.

Suggested Citation

  • Ehab Alshal, 2019. "Spinal Interbody Fusion with Unilateral Pedicle Screw Fixation," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 14(5), pages 112-115, September.
  • Handle: RePEc:adp:joroaj:v:14:y:2019:i:5:p:112-115
    DOI: 10.19080/OROAJ.2019.14.555897
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