RESUMO
The results of the first 50 consecutive patients using the Graf stabilisation system are presented. The average age of the patients was 41 years; there were 32 women and 18 men in the group. All patients suffered from intractable symptomatic degenerative disc disease which could be localised to one or more levels. All patients gave a history of chronic back pain, but the mean period of severe disability was 24 months. The mean preoperative disability score (Oswestry questionnaire) was 59%. The average period of follow-up was 24 months (range 19-36 months). At the latest review, the mean disability score was 31%. The clinical results were classified as "excellent" or "good" in 72% of patients, "fair" in 10%, "the same" in 16% and "worse" in 2%. All but three patients felt that surgery was worthwhile. The results have not deteriorated over the period of follow-up.
Assuntos
Deslocamento do Disco Intervertebral/cirurgia , Dor Lombar/cirurgia , Vértebras Lombares/cirurgia , Fusão Vertebral/instrumentação , Adolescente , Adulto , Idoso , Parafusos Ósseos , Feminino , Seguimentos , Humanos , Fixadores Internos , Deslocamento do Disco Intervertebral/complicações , Deslocamento do Disco Intervertebral/diagnóstico por imagem , Dor Lombar/diagnóstico por imagem , Dor Lombar/etiologia , Vértebras Lombares/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , RadiografiaRESUMO
Thirty-six patients were examined at least 2 years after they underwent Knodt rod distraction fusion of the lumbar spine. Thirty-two patients had a satisfactory clinical result and 23 patients had a solid bone fusion. Six patients had significant complications. It is concluded that Knodt rod distraction fusion is a useful salvage procedure after failed anterior spinal fusion and as a primary procedure in spondylolisthesis.
