Degenerative Disc Disease Clinical Trial
Official title:
Percutaneous Minimal Invasive Pedicular Screw and Rod Insertion Reduces Hospital Stay and Morbidity Compared to Open Midline Approach in Circumferential Lumbar Fusion. A Randomized Study With 2 Years Follow-up
Convalescence after lumbar surgery is dependent on the extensiveness of the surgical procedure. Minimal invasive techniques in lumbar spine surgery are reported to achieve excellent clinical results with less pain, morbidity and disability.
To achieve lumbar fusion when there is no need for decompression of the neural structures a
posterior midline approach and a left anterior retroperitoneal approach is used. The
retroperitoneal anterior approach to the lumbar spine offers some benefits compared with the
posterior approach. Dural injury and epidural scarring can be avoided, and an interbody
fusion graft can be placed with minimal risk to the nerve roots. However, the extensive
posterior midline approach with extensive muscle dissection is necessary to place the
pedicular screws.
A report of a follow-up period of 2 years of a randomized trial of minimal invasive
insertion of pedicular screws and rods in lumbar fusion.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
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