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Dynamic fusion Focus ORIGINAL ARTICLE Dynamic instrumentation for fusion with Isobar TTL™: biomechanical and clinical aspects C.Y. Barrey Neurosurger y (C) and Spine Surger y, P Wertheimer Hospital, Hospices civils, Lyon, France Biomechanics Laborator y, ENSAM (Arts et Métiers - ParisTech), Paris, France INTRODUCTION screw-based PDS concern the concept of dynamic stabilization Surgery for low back pain due to degenerative disc disease and/or without fusion. A Pubmed computer search using the following facet arthritis can be divided into three main options (Fig. 1): keywords: “lumbar dynamic instrumentation and fusion” and – Limitation of motion (i.e. dynamic stabilization using motion- “Dynamic fusion and lumbar spine” was performed. A total of preserving devices); 47 papers on dynamic instrumentation were found, including – Restoration of motion (i.e. involving disc/facets replacement 22 clinical reports, 14 biomechanical studies and 5 reviews. All implants); the articles involving pedicle screw-based PDS focused on the – And intervertebral fusion (considered as the gold standard). concept of dynamic stabilization but none on dynamic fusion. Each option requires specific and adequate instrumentation to The objective of the current paper is to clarify the concept of achieve the aim of the surgery. dynamic instrumentation for fusion and to repor t
ArgoSpine News & Journal – Springer Journals
Published: Sep 1, 2010
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