STUDY DESIGN Prospective evaluation of gait and spinal range of motion (ROM) in adolescent idiopathic scoliosis (AIS) patients undergoing either an anterior or a posterior spinal fusion. OBJECTIVE Compare changes in gait and spine ROM between AIS patients undergoing either an anterior or posterior spinal fusion. SUMMARY AND BACKGROUND DATA Problems with AIS posterior spinal fusion and attem...

BACKGROUND While there are variations in techniques and surgical approaches to spinal fusion, there is not a defined consensus on a recommended surgical approach. The aim of this study is to determine if there was a difference in intra- and post-operative complication rates between different surgical approaches after elective spinal fusion (≥3 levels) for adult spine deformity. METHODS The me...

Spinal decompression surgery with spinal fusion is a widely used surgical procedure for the treatment of degenerative spine in the lumbar spine. However, it has been known that spinal decompression surgery causes the spinal instability. Some cadaveric and finite element (FE) studies have reported that adjacent segment degeneration may reduce adverse effects on the adjacent levels resulting from...

The acquisition of bony fusion is a complex task. Attention paid to the details presented here may improve fusion rates and patient outcomes. We have much to learn. We should focus on the details of the present and on the possibilities of the future to guide our surgical decision-making process. Indeed, "traumatized bone, whether disrupted via an overt act of trauma or via surgical intervention...

Abstract Introduction Recently, a paper was published containing the long-term results of the first ‘modern’ double rod instrumentation, the Cotrel–Dubousset instrumentation. Results showed an unexpected high rate of reoperation of nearly 50% due to late infections or chronic back pain occurring after surgery. Further research into the longterm complications of spinal fusion surgery in adolesce...

Longer spinal fusions have been shown to result in improved deformity correction; however, loss of normal flexibility in the fusion area should not be ignored. Current consensus was to achieve a shorter fusion in primary surgery, with the goal of preserving as much of the distal motion segment as possible. However, the correlation between the length of fusion and functional outcome remains cont...

STUDY DESIGN A multicenter randomized clinical trial including 82 patients. OBJECTIVE To examine the effect of early initiation of rehabilitation after instrumented lumbar spinal fusion. SUMMARY OF BACKGROUND DATA Lumbar spinal fusion has been performed for more than 70 years. Yet, few studies have examined patients' subsequent rehabilitation. Group-based rehabilitation is both efficient an...