Spinal Fusion (Subscribe)  

Conclusion The Flying Buttress construct may offer an alternative surgical option for spinopelvic fixation in circumstances wherein coronal or sagittal balance cannot be achieved, for example in cases with significant residual pelvic obliquity, or in revision spinal surgery for failed lumbosacral fusion.
The flying buttress construct for posterior spinopelvic fixation: a technical...

Trial proposal with literature review. Not a report of the research results.
Discussion The primary goal of the study is to determine perioperative blood loss as a measure of the efficacy of TXA, EACA, and placebo. Based on current literature and the mechanism by which the medications act, we hypothesize that TXA...

Aims
Aim to achieve solid union btw vertebral bodies by removal of disc & bone graft to disc space.
Chosen over posterior fusion for higher fusion rate but does not allow decompression or reduction of spondylolisthesis.

Comparison of Inpatient vs. Outpatient Anterior Cervical Discectomy and Fusion: A Retrospective Case Series
Spinal surgery is increasingly being done in the outpatient setting. We reviewed our experience with inpatient and outpatient single-level anterior cervical discectomy and fusion with plating (ACDF+P).
Conclusion: In this series, outpatient ACDF+P was safe and was not...

Objective: To investigate the effect of direct current (DC) electrical stimulation on functional and clinical outcome after lumbar spinal fusion in patients older than 60 years.
Conclusion: The achievement of a good functional outcome was heavily dependent on the obtained walking distance. DC-stimulated patients tended to have better functional outcome as...

Conclusion: Obese and morbidly obese patients have multiple comorbidities, and the spinal surgeon should be prepared to encounter perioperative complexities. Operative times are longer in comparison with normal weight patients with a higher incidence of postoperative complications. No weight loss occurs after spinal surgery.
Rahul Vaidya, MD, FRCSC; Julia Carp, BS;...

Pedicle screw–based constructs provide a stronger basis for spinal instru- mentation and fusion than hooks. Placement of the screws within the pedicles is a technically challenging procedure. The orientation of the pedicles with respect to surface landmarks changes along the length of the spine and may be abnormal in the...

Video of Transforaminal Lumbar Interbody Fusion (TLIF) Surgery
Todd Albert

Series of photographs illustrating spinal decompression and fusion with pedicle screws.
Photographer Anne Vinsel, MS, MFA Project Administrator Graduate Medical Education Department University of Utah Salt Lake City, Utah

Conclusion In the current series, patients improving Pelvic Tilt after fusion were found to achieve good clinical outcomes in degenerative spondylolisthesis. Overall, our findings show that it is important to quantify sagittal spinopelvic parameters and promote sagittal balance when performing lumbar fusion for degenerative spondylolisthesis.
The impact of sagittal balance on clinical...

A new study shows that use of bone-morphogenetic protein (BMP) to promote bone growth in spinal-fusion surgery is associated with a higher rate of complications and higher hospital costs than surgeries where it is not used. The researchers, led by Kevin S. Cahill, MD, PhD, from the department of neurosurgery at...