Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature

Fusion and rigid instrumentation have been currently the mainstay for the surgical treatment of degenerative diseases of the spine over the last 4 decades. In all over the world the common experience was formed about fusion surgery. Satisfactory results of lumbar spinal fusion appeared completely in...

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Main Authors: Tuncay Kaner, Ali Fahir Ozer
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/753470
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author Tuncay Kaner
Ali Fahir Ozer
author_facet Tuncay Kaner
Ali Fahir Ozer
author_sort Tuncay Kaner
collection DOAJ
description Fusion and rigid instrumentation have been currently the mainstay for the surgical treatment of degenerative diseases of the spine over the last 4 decades. In all over the world the common experience was formed about fusion surgery. Satisfactory results of lumbar spinal fusion appeared completely incompatible and unfavorable within years. Rigid spinal implants along with fusion cause increased stresses of the adjacent segments and have some important disadvantages such as donor site morbidity including pain, wound problems, infections because of longer operating time, pseudarthrosis, and fatigue failure of implants. Alternative spinal implants were developed with time on unsatisfactory outcomes of rigid internal fixation along with fusion. Motion preservation devices which include both anterior and posterior dynamic stabilization are designed and used especially in the last two decades. This paper evaluates the dynamic stabilization of the lumbar spine and talks about chronologically some novel dynamic stabilization devices and thier efficacies.
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publishDate 2013-01-01
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series Advances in Orthopedics
spelling doaj-art-754859264d014bd9a775ad543d78adb32025-02-03T01:07:29ZengWileyAdvances in Orthopedics2090-34642090-34722013-01-01201310.1155/2013/753470753470Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the LiteratureTuncay Kaner0Ali Fahir Ozer1Department of Neurosurgery, School of Medicine, Istanbul Medeniyet University, 34730 Istanbul, TurkeyDepartment of Neurosurgery, School of Medicine, Koc University, 34365 Istanbul, TurkeyFusion and rigid instrumentation have been currently the mainstay for the surgical treatment of degenerative diseases of the spine over the last 4 decades. In all over the world the common experience was formed about fusion surgery. Satisfactory results of lumbar spinal fusion appeared completely incompatible and unfavorable within years. Rigid spinal implants along with fusion cause increased stresses of the adjacent segments and have some important disadvantages such as donor site morbidity including pain, wound problems, infections because of longer operating time, pseudarthrosis, and fatigue failure of implants. Alternative spinal implants were developed with time on unsatisfactory outcomes of rigid internal fixation along with fusion. Motion preservation devices which include both anterior and posterior dynamic stabilization are designed and used especially in the last two decades. This paper evaluates the dynamic stabilization of the lumbar spine and talks about chronologically some novel dynamic stabilization devices and thier efficacies.http://dx.doi.org/10.1155/2013/753470
spellingShingle Tuncay Kaner
Ali Fahir Ozer
Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature
Advances in Orthopedics
title Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature
title_full Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature
title_fullStr Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature
title_full_unstemmed Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature
title_short Dynamic Stabilization for Challenging Lumbar Degenerative Diseases of the Spine: A Review of the Literature
title_sort dynamic stabilization for challenging lumbar degenerative diseases of the spine a review of the literature
url http://dx.doi.org/10.1155/2013/753470
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