Anterior fibular strut grafting for the treatment of pseudoarthrosis in spondylolisthesis.
Ten patients with a failed posterior spinal fusion for symptomatic spondylolisthesis were treated with retroperitoneal anterior lumbosacral interbody fusion. A fibular strut allograft was placed, followed by posterolateral fusion and instrumentation. The mean follow-up was 40 months (range 24-60 months). All patients complained of back pain and leg pain before surgery. All patients achieved solid fusion at L5-S1. One patient developed pseudoarthrosis at L4-5 and improved symptomatically with no postoperative complications.
Majd
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ME
Spine Surgery, Louisville, Kentucky, USA.
Holt
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RT
D000293:Adolescent; D000328:Adult; D001696:Biomechanical Phenomena; D001858:Bone Nails; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011859:Radiography; D012447:Sacrum; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D013168:Spondylolisthesis / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome