Dynamic constructs for spinal fusion: an evidence-based review

Dynamic stabilization of the spine has applications in cervical and lumbar degenerative disease and in thoracolumbar trauma. There is little evidence to support the use of dynamic cervical plates rather than rigid anterior cervical fixation. Evidence to support the use of dynamic constructs for fusion in the lumbar spine is also limited. Fusion rates, implant loosening, and failure are significant concerns that limit the adoption of current devices. This article provides a synopsis of the literature on human subjects. There is a need for high-quality evidence for interventions for spinal pathology. An evidence-based approach to the management of spinal disorders will require ongoing assessment of clinical outcomes and comparison of effectiveness between alternatives

Keywords : Biocompatible Materials,Bone Plates,California,Equipment Design,Humans,instrumentation,Intervertebral Disc Degeneration,Ketones,Lumbar Vertebrae,Orthopedic Fixation Devices,pathology,Polyethylene,Polyethylene Glycols,Prosthesis Failure,Spinal Fusion,Spine,surgery,therapeutic use,Universities,, Constructs,Spinal,Fusion, frozan shoulder

Date of Publication : 2010 Apr

Authors : Kelly MP;Mok JM;Berven S;

Organisation : Department of Orthopaedic Surgery, University of California, 500 Parnassus Avenue, MU 320-W, San Francisco, CA 94110, USA. kellym@orthosurg.ucsf.edu

Journal of Publication : Orthop Clin North Am

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20399359

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

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