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Lumbar Fusion: Complete-laminectomy increases risk of adjacent-segment degeneration
October 2013
Lumbar Fusion: Complete-laminectomy increases risk of adjacent-segment degeneration
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A
Protective effects of preserving the posterior complex on the development of adjacent-segment degeneration after lumbar fusion
J Neurosurg Spine. 2013 Aug;19(2):201-6Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
120 patients, age 35-60, with degenerative lumbar disorders were randomized into 1 of 3 treatment groups: complete-laminectomy, facet joint resection and L4-5 fusion, or semilaminectomy and fusion to compare clinical outcomes and the occurrence of adjacent-segment degeneration (ASD) during a long term follow-up. At final follow-up (mean 5.9 years) patients who were in the complete-laminectomy grou...
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