Advantages and disadvantages of nonfusion technology in spine surgery.
Nonfusion technology in spine surgery may improve outcomes by reducing surgical morbidity and the incidence of adjacent level degeneration; however, new technologies also introduce new short- and long-term complications. There is currently no evidence that nonfusion implants are superior to fusion in mid- to long-term follow-up. Understanding the potential risks and benefits of nonfusion technology is essential for spine surgeons and their patients. This article reviews the current evidence relating to the potential risks and benefits of nonfusion technology in spine surgery.
Huang
Russel C
RC
Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. huangr@hss.edu
Girardi
Federico P
FP
Lim
Moe R
MR
Cammisa
Frank P
FP
D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000601:surgery; D008297:Male; D010147:Pain Measurement; D011379:Prognosis; D019736:Prostheses and Implants; D011474:Prosthesis Design; D011475:Prosthesis Failure; D016059:Range of Motion, Articular / Q000502:physiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D013122:Spinal Diseases / Q000175:diagnosis* / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods; D013130:Spinal Stenosis / Q000175:diagnosis / Q000601:surgery; D013168:Spondylolisthesis / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome