title: The radiological outcome of lumbar spinal fusion using a South African-developed dynamic spinal fixation system.
abstract: OBJECTIVE
  To investigate the radiological outcome of the use of a new Cape Town-developed spinal fixation system.
  
  
  METHODS
  One hundred and fifty-five patients underwent posterior lumbar spinal fusions with this fixation system and autogenous bone graft more than a year ago. Of these 121 were available for radiological follow-up.
  
  
  METHODS
  Spinal pedicle fixation systems are in common use in spinal fusion surgery. Most systems use rigid screws with a high rate of implant failure. In South Africa most spinal implants are imported and expensive, and this prompted the development of a locally manufactured dynamic spinal fixation system with the aim of producing a cheaper and more effective system with a lower risk of implant failure.
  
  
  METHODS
  A visual assessment of 1-year post-surgery radiographs by a qualified independent observer looking particularly at the rate of fusion and the incidence of implant failure.
  
  
  RESULTS
  Bone fusion rates were comparable to all other pedicle fixation systems but implant failure rates were considerably less than in systems using rigid screws and more comparable to a similar dynamic spinal fixation system.
  
  
  CONCLUSIONS
  This spinal fixation system is safe and effective in aiding bone fusion. It has a low rate of implant failure and is currently cheaper than all imported spinal fixation systems. It has therefore achieved the objectives that prompted its inception.
authors.affiliation: Constantiaberg Mediclinic, Cape Town.
authors.forename: Guillaume
authors.initials: G
authors.lastname: du Toit
authors.forename: Gert
authors.initials: G
authors.lastname: Vlok
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws / Q000009:adverse effects / Q000592:standards; D016025:Bone Transplantation / Q000379:methods; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging* / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D010865:Pilot Projects; D011446:Prospective Studies; D011859:Radiography; D013019:South Africa; D013123:Spinal Fusion / Q000009:adverse effects / Q000295:instrumentation* / Q000592:standards; D013168:Spondylolisthesis / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome