Topics

Comparative Study of the Results of Anterior and Posterior Arthrodesis in Degenerative Lumbar Pathology

2019-10-10 09:39:45 | BioPortfolio

Summary

To compare the functional results through the improvement of the Oswestry medium-term score of the lumbar arthrodesis performed to treat patients with lumbago and/or lumbar-radicular pain due to degenerative lesions of the lumbar spine: degenerative disc disease, osteoarthritis spondylolisthesis or adult dislocation scoliosis.

Description

Lower back pain is the leading cause of disability in France for adults under 45 years of age. It is also the leading cause of work stoppage and reported occupational illnesses. Thus, the degenerative pathologies of the lumbar spine can be at the origin of a severe handicap resistant to well-conducted medical treatment. This is particularly the case for degenerative disc disease, osteoarthritic spondylolisthesis and scoliotic dislocations in adults.

If lumbar arthrodesis is a recognised solution in the surgical treatment of degenerative diseases of the lumbar spine when they become disabling despite medical treatment, the choice of the operative technique and approach used to achieve it is more dependent of the training that the practitioner benefited from than the guidelines derived from published prospective comparative scientific studies comparing the results of different surgical solutions.

Our hypothesis is that the functional and radiographic results of anterior lumbar arthrodesis techniques by minimally invasive approach may differ from those of conventional posterolateral arthrodesis.

We propose to compare the results of these two surgical techniques within the orthopedic and neurosurgeon team of the Institut Parisien du Dos, mastering these two approaches optimally by leaving them free to use them as they do daily without modifying their procedures. This should allow us to judge, in a well-defined population, whether one of the two techniques is superior to the other when performed by surgeons who are experienced in this surgery.

Study Design

Conditions

Lumbar Arthrodesis

Intervention

lumbar arthrodesis

Location

Geoffroy Saint Hilaire Clinic
Paris
IDF
France
75005

Status

Recruiting

Source

Ramsay Générale de Santé

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-10-10T09:39:45-0400

Clinical Trials [1004 Associated Clinical Trials listed on BioPortfolio]

Delphi Study on Rehabilitation Following Lumbar Arthrodesis

Delphi study on perioperative rehabilitation after single level lumbar arthrodesis.

Lumbar Stabilization Exercises in Adult Patients With Lumbar Arthrodesis Surgery

The purpose of this study is to determine which type of lumbar stabilization exercise is more effective to improve functionality and reduce pain in patients operated with lumbar arthrodesi...

The Effect of a Developed Perioperative Rehabilitation Pathway Following Lumbar Arthrodesis

To compare the current rehabilitation pathway with the implementation of a newly developed rehabilitation pathway for patients with a single level lumbar arthrodesis.

Anterior Bridging Cage With Bone Substitute Versus Localized Autobone in Transforaminal Lumbar Interbody Arthrodesis

The purpose of this study is to evaluation for the pattern of bone bridging of patients who undergo transforaminal lumbar interbody arthrodesis, the investigators hypothesize that auto loc...

Evaluation of the Prosthetic Disc Replacement

Until now, arthrodesis (intervertebral fusion) is the formal treatment for the lumbar and cervical degenerative disc disease : arthrodesis has been the standard surgical treatment for the ...

PubMed Articles [648 Associated PubMed Articles listed on BioPortfolio]

Risk Factors for Perioperative Complications in Patients Over 70 Years Undergoing Lumbar Arthrodesis for Spinal Stenosis.

To report the perioperative complication rates in elderly patients undergoing lumbar arthrodesis and to analyze the risk factors.

Proximal interphalangeal joint arthrodesis using a compression wire: A comparative biomechanical study.

Arthrodesis of the proximal interphalangeal joint is a proven technique for treating of a range of pathological conditions, including osteoarthritis. There are multiple surgical procedures. A biomecha...

The results of microsurgery without fusion for lumbar synovial cysts: a case series of 50 patients.

The treatments described for spinal synovial cysts range from percutaneous puncture to arthrodesis. There is a fear of postoperative instability after surgical resection of cysts mainly when they are ...

Outcomes of Total Ankle Replacement, Arthroscopic Ankle Arthrodesis, and Open Ankle Arthrodesis for Isolated Non-Deformed End-Stage Ankle Arthritis.

End-stage ankle arthritis is a disabling condition that has a similar effect on morbidity, pain, and loss of function to hip arthritis. We compared clinical outcomes of total ankle replacement (TAR) i...

Failure of Fixation With Nickel-Titanium Staples in First Metatarsophalangeal Arthrodesis With Hallux Valgus Deformity.

First metatarsophalangeal (MTP) joint arthrodesis is a treatment option for patients with arthritic hallux valgus (HV). Nickel-titanium staples allow continuous compression throughout the fusion site ...

Medical and Biotech [MESH] Definitions

Tapping of the subarachnoid space in the lumbar region, usually between the third and fourth lumbar vertebrae.

The lumbar and sacral plexuses taken together. The fibers of the lumbosacral plexus originate in the lumbar and upper sacral spinal cord (L1 to S3) and innervate the lower extremities.

The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)

A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.

A nerve originating in the lumbar spinal cord (L2 to L4) and traveling through the lumbar plexus to the lower extremity. The obturator nerve provides motor innervation to the adductor muscles of the thigh and cutaneous sensory innervation of the inner thigh.

More From BioPortfolio on "Comparative Study of the Results of Anterior and Posterior Arthrodesis in Degenerative Lumbar Pathology"

Quick Search

Relevant Topics

Anesthesiology
An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...

Arthritis
Arthritis is by definition the inflammation of one or more joints, characterized by swelling, pain, warmth, redness and diminished range of joint movement (Oxford Medical Dictionary). There are many different types; Noninflammatory; Osteoarthritis, N...

Rheumatology
Arthritis Fibromyalgia Gout Lupus Rheumatic Rheumatology is the medical specialty concerned with the diagnosis and management of disease involving joints, tendons, muscles, ligaments and associated structures (Oxford Medical Diction...


Searches Linking to this Trial