Dynamische dorsale Stabilisierung mit dem Cosmic-System View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-11

AUTHORS

Archibald von Strempel

ABSTRACT

OBJECTIVE: Stabilization of unstable motion segments with a stable but non-rigid implant system without an additional spondylodesis. INDICATIONS: Neurogenic claudication with instability; discogenic pain; in combination with a fusion (hybrid technique); elongation of a preexisting fusion; second recurrence of a herniated disk. CONTRAINDICATIONS: Increased instability; correction and reduction; instrumentation of more than three levels. SURGICAL TECHNIQUE: Muscle-sparing approach to the posterior lumbar spine under anteroposterior and lateral image control. Use of special instruments with a slotted sleeve connected to the screw head for rod implantation. Alternatively: conventional midline approach with detachment of muscles from the posterior spine. POSTOPERATIVE MANAGEMENT: Mobilization on the day after surgery. Limited physical activities and no work load for 6 weeks. RESULTS: In 139 patients (77 females, 62 males, average age 55 years) with a follow-up of 2 years, Oswestry score improved from 49.0% preoperatively to 22.5% and VAS (visual analog scale) from 7.3 preoperatively to 2.5 after 2 years. No change of the lordosis. Eleven revisions (7.9%). Two broken screws (0.3%) and 17 screws (2.5%) with a radiolucent halo. More... »

PAGES

561-572

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00064-010-9016-7

DOI

http://dx.doi.org/10.1007/s00064-010-9016-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1038714276

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21153013


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