Thoracic and lumbar deformity: rationale for selecting the appropriate fusion technique (Anterior, posterior, and 360 degree).
The rationale of anterior versus posterior, or combined fusion is discussed with regards to different clinical diagnoses and situations. Factors involved in the decision-making process include stability, magnitude of deformity, rigidity of deformity, neurologic considerations, bone quality, and medical/metabolic factors. Careful preoperative assessment and planning are required as well as consideration for the patient's overall well being.
Orthopaedic Surgeon, The Royal Children's Hospital, Parkville, Victoria, Australia.
S M
SM
Liew
E D
ED
Simmons
D006801:Humans; D007738:Kyphosis / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery*; D012600:Scoliosis / Q000601:surgery; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods; D013125:Spinal Neoplasms / Q000601:surgery; D013166:Spondylitis / Q000601:surgery; D013168:Spondylolisthesis / Q000601:surgery; D013904:Thoracic Vertebrae / Q000601:surgery*