Implantation of a hybrid solution, using a combination of instrumentation systems for the treatment of degenerative disorders of the lumbosacral spine. A technical note.
This article describes a novel hybrid technique for implantation of a combined spinal instrumentation system incorporating lumbosacral facet-joint screw fixation and single- or two-level placement of a lumbar interspinous distractor (X STOP). This system accomplishes two main tasks: 1) immediate rigid fixation of the lumbosacral junction; 2) single- or two-level lumbar decompression with no opening of the spinal canal or intervertebral foramina. This technique may be a reasonable alternative to traditional surgery for patients suffering from multisegmental degenerative disorders of the lumbosacral spine.
Bucciero
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Department of Neurosurgery, Pineta Grande Hospital, Castel Volturno, Caserta, Italy. buccieroa@libero.it
D006801:Humans; D016268:Internal Fixators; D008161:Lumbosacral Region / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods; D019637:Orthopedic Procedures / Q000295:instrumentation* / Q000379:methods; D013122:Spinal Diseases / Q000601:surgery*