The Orthopedic clinics of North America
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Percutaneous interbody fusion procedures have evolved as a result of the need for precise and specific access corridors to facilitate the application of technology to perform these procedures. Endoscopic visualization has expanded minimally invasive capabilities, particularly in the thoracic and lumbar spine. Refinement of grafting concepts and structural composition continues. Based on the historical evolution of the described percutaneous interbody fusion procedures, the future of minimally invasive interbody arthrodesis shows promise through the ongoing definition of access corridors and the refinement of operative tools and techniques.
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Orthop. Clin. North Am. · Oct 1998
Thoracic and lumbar fusions for degenerative disorders: rationale for selecting the appropriate fusion techniques.
This article defines the indications for spinal fusion surgery based on the current literature as well as a rationale for selecting the appropriate spinal fusion techniques for the more common degenerative lumbar and thoracic conditions.
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Orthop. Clin. North Am. · Oct 1998
ReviewThe use of diagnostic imaging to assess spinal arthrodesis.
Despite advances in surgical techniques and internal fixation devices, pseudarthrosis remains a significant factor in the clinical failure of attempted fusions in the cervical, thoracic, and lumbar spine. This article reviews the use of diagnostic imaging in the assessment of spinal fusion, with a focus on the accuracy of different imaging modalities based on surgical exploration. A cost-effective strategy for the radiographic follow-up of patients after spinal fusion surgery also is presented.