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Pedicle screw-based posterior dynamic stabilization in the lumbar spine

Traditionally, management of spinal pathology has centered on decompression, correction of deformity, and stabilization. Deformity correction and stabilization have been accomplished largely by spinal fusion at the pathologic levels. In addition to the risks and potential complications, there are sequelae to a successful fusion. Therefore, attention is being directed toward disk replacement in the lumbar spine. In addition to their preserving motion in the anterior column, several posterior motion-preservation devices have been developed in an effort to prevent pathologic motion at both a decompressed level and a segment adjacent to a fusion. Initial studies suggest that the results of posterior dynamic stabilization may be comparable to those of fusion; however, longer periods of clinical and radiographic follow-up are required to fully define the role these devices may play in the management of the degenerative lumbar spine

Keywords : Bone Screws,complications,Decompression,Surgical,Humans,instrumentation,Lumbar Vertebrae,methods,Motion,pathology,Spinal Fusion,Spine,surgery,Universities,, Screwbased,Posterior,Dynamic,Stabilization, how to breathe with diaphragm

Date of Publication : 2010 Oct

Authors : Lee MJ;Lindsey JD;Bransford RJ;

Organisation : University of Washington Medical Center, Seattle, WA, USA

Journal of Publication : J Am Acad Orthop Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20889947

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This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

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