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For example, in a randomized controlled trial of Swedish adults with spinal stenosis, after 2 and 5 years, there were no significant clinical benefits of lumbar fusion in combination with decompression surgery in comparison to decompression surgery alone. The study enrolled 247 patients from 2006 to 2012 and further found increased medical ...
They found 68% of lumbar fusion patients still unable to return to work two years after surgery. This was in stark contrast to reports of 68% post-op satisfaction in many series. [199] [142] In a follow-up study it was found that the use of intervertebral fusion devices rose rapidly after their introduction in 1996. This increase in metal usage ...
With spinal fusion, the recovery time may be longer. In some cases after laminectomy and spinal fusion, it may take several months to return to normal activities. [1] Potential complications include bleeding, infection, blood clots, nerve injury, and spinal fluid leak. [1]
Premia Spine developed the TOPS System and initiated a US trial to compare it with the traditional transforaminal lumbar interbody fusion (TLIF) procedure. Under the Investigational Device Exemption (IDE) study by the FDA, the system was available to a limited number of U.S. patients at select hospitals and institutions. [7]
Chronic lower back pain is defined as back pain that lasts more than three months. [13] The symptoms of low back pain usually improve within a few weeks from the time they start, with 40–90% of people recovered by six weeks. [2] Normal activity should be continued as much as the pain allows. [2]
Bone morphogenetic protein (rhBMP) should not be routinely used in any type of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. [2] [3] There are reports of this therapy causing swelling of soft tissue which in turn can cause life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.
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