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[Personal experience using the Cloward dorsal intercorporal spondylodesis].

K Uehlinger, N Walker

Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete

|March 1, 1987

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Cloward

Area of Science:

Orthopedic Surgery
Neurosurgery
Spinal Fusion Techniques

Background:

Dorsal intercorporal fusion, a Cloward technique, was evaluated for lumbar spine procedures.
The study reviewed outcomes from 1974 to 1980.

Purpose of the Study:

To assess the efficacy of Cloward dorsal intercorporal lumbar fusion.
To identify optimal indications and factors influencing successful spinal fusion.

Main Methods:

Retrospective analysis of 25 cases undergoing Cloward dorsal intercorporal fusion.
Evaluation of outcomes based on diagnosis, fusion success, and complications.

Main Results:

Successful fusion rates were higher for acute herniated discs and spinal stenosis.

Related Experiment Videos

Less favorable outcomes were observed in spondylolisthesis and spondylitis cases.

Pseudarthrosis (non-union) occurred in 10 cases, highlighting fusion challenges.

Conclusions:

Cloward fusion is most effective for specific lumbar spine conditions like herniated discs and stenosis.
Postoperative immobilization and graft factors are crucial for successful spinal fusion.
The technique's application has evolved, now often combined with metallic implants for stability.