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Reduction and Fixation of Sacroiliac joint Dislocation by the Combined Use of S1 Pedicle Screws and an Iliac Rod
Published in Kai-Uwe Lewandrowski, Donald L. Wise, Debra J. Trantolo, Michael J. Yaszemski, Augustus A. White, Advances in Spinal Fusion, 2003
Kai-Uwe Lewandrowski, Donald L. Wise, Debra J. Trantolo, Michael J. Yaszemski, Augustus A. White
In spinal surgery, bone graft is used in a variety of ways to achieve spinal fusion. For posterior spinal procedures, corticocancellous bone is applied to decorticated bone adjacent to the region being fused. The posterolateral bone and transverse processes are decorticated, and the bone graft is laid in direct apposition to these areas, held in place by the vascular paraspinal muscles after wound closure. This provides an ideal graft bed in terms of blood supply. Instrumentation has, to a great extent, improved fusion rates and allowed patients to mobilize, usually without the encumbrance of external bracing. High fusion rates have been reported for instrumented procedures with posterolateral bone graft using morselized corticocancellous autogenous bone [58].
Endoscopic transforaminal lumbar interbody fusion: a comprehensive review
Published in Expert Review of Medical Devices, 2019
Yong Ahn, Myung Soo Youn, Dong Hwa Heo
Due to substantial technological advancements, endoscopic lumbar discectomy and decompression for spinal stenosis have become accessible in clinical practice. Endoscopic lumbar decompression is no longer a minimally effective procedure. For example, the effectiveness of transforaminal endoscopic lumbar discectomy has been proven in many randomized trials and systematic reviews. After some learning period and once the technique is mastered, endoscopic decompression may serve as a more effective and less traumatic surgical option. Given the success of endoscopic technologies in spine surgery, it is envisioned that such approaches may be adapted to provide a practical and minimally invasive solution in spinal fusion surgery. Compared to open TLIF, MIS-TLIF has been regarded as the standard minimally invasive lumbar fusion technique. However, endoscopic TLIF may be even more minimalistic in terms of invasiveness. From a technical perspective, endoscopic TLIF is expected to provide key advantages such as minimal tissue trauma, low rate of complications, reduced hospitalization, earlier recovery, and better cost-effectiveness. In particular, endoscopic TLIF may be useful in elderly or medically compromised patients who represent the high-risk group for extensive open surgery under general anesthesia.
Robotic navigation during spine surgery: an update of literature
Published in Expert Review of Medical Devices, 2023
Qi Zhang, Xiao-Guang Han, Ming-Xing Fan, Jing-Wei Zhao, Zhao Lang, Ji-Le Jiang, Da He, Bo Liu, Wei Tian
The primary aim of spine surgery is to relieve nerve compression and reestablish spinal stability. Spinal fusion has proven to be a successful procedure in treating degenerative spine conditions and consists of two key steps: decompression and internal fixation [4,5]. The spinal fusion procedure focuses on the diseased segment, removing the disc and some bony structures to attain decompression, using robust internal fixation, redistributing spinal loads, restricting local movement to maintain stability, and promoting intervertebral fusion in a stable setting, ultimately fusing segments to become a single unit.
EMG measurements as inputs for a musculoskeletal model: quantification of abdominal and back muscle forces in static postures
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2019
S. Hinnekens, P. Mahaudens, C. Detrembleur, P. Fisette
In spine surgery, scoliosis, herniated discs and spondylitis are currently treated by spinal fusion. However, the choice of an optimal spinal fusion level has still limitations. Indeed, no objective tool to find the most suitable surgery is available. So, surgeries are often surgeon-specific: a single patient may be advised different surgical strategies depending on surgeons.