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Lateral mass fusion for lower back pain.
S P Hughes1, J R Döhler, K M Tan
1Princess Margaret Rose Orthopaedic Hospital, Edinburgh, Scotland, United Kingdom.
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1987
Summary
Wiltse
Area of Science:
- Spine surgery
- Orthopedics
- Neurosurgery
Background:
- Degenerative disc disease and spondylolisthesis are common spinal conditions.
- Wiltse's lateral mass fusion is a surgical technique used for spinal fusion.
Purpose of the Study:
- To review the outcomes of Wiltse's lateral mass fusion.
- To identify factors influencing the results of this spinal fusion technique.
Main Methods:
- Independent review of 40 patients who underwent Wiltse's lateral mass fusion.
- Analysis of patient age, preoperative symptoms, surgical history, and fusion status.
Main Results:
- Patient age, preoperative nerve root symptoms, prior disc surgery, and incomplete fusion impacted outcomes.
- Symptom duration, follow-up length, preoperative spondylolysis, and fusion extent did not significantly affect results.
Conclusions:
- Wiltse's lateral mass fusion is effective for pain relief in most patients with spondylolisthesis or degenerative disc disease.
- Key factors influencing surgical success include patient age and preoperative neurological status.