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Erschienen in: HSS Journal ® 2/2020

04.02.2020 | Current Concepts in Spinal Fusion/Review Article

Advances in Spinal Fusion Strategies in Adult Deformity Surgery

verfasst von: Jeremy Steinberger, MD, Philip York, MD, Sohrab Virk, MD, MBA, Han Jo Kim, MD

Erschienen in: HSS Journal ® | Ausgabe 2/2020

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Abstract

Background

As the frequency of adult deformity surgery (ADS) continues to increase, our understanding of techniques that enhance fusion must continue to evolve because pseudarthrosis can be a serious and costly event.

Purposes/Questions

We sought to conduct a review of the literature investigating techniques that can enhance outcomes of ADS.

Methods

Two databases were searched for keywords such as “advances in spinal fusion,” “new technology in adult spinal deformity,” “interbody devices for adult spinal deformity,” “adult spinal deformity rods,” and “screw design in adult spinal deformity” to examine recent literature and trends in ADS.

Results

We identified 45 articles for our review. Topics studied include the use of multiple rods, interbody fusion, distal fixation techniques, and bone morphogenetic protein or iliac crest bone graft.

Conclusions

Many recent innovations in treatments to enhance fusion in ADS have been studied, some more controversial than others. Further research into the efficacy of these techniques may increase fusion rates in ADS.
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Literatur
1.
Zurück zum Zitat Ackerman SJ, Mafilios MS, Polly DW Jr. Economic evaluation of bone morphogenetic protein versus autogenous iliac crest bone graft in single-level anterior lumbar fusion: an evidence-based modeling approach. Spine (Phila Pa 1976). 2002;27:S94–S99.CrossRef Ackerman SJ, Mafilios MS, Polly DW Jr. Economic evaluation of bone morphogenetic protein versus autogenous iliac crest bone graft in single-level anterior lumbar fusion: an evidence-based modeling approach. Spine (Phila Pa 1976). 2002;27:S94–S99.CrossRef
2.
Zurück zum Zitat Ames CP, Scheer JK, Lafage V, et al. Adult spinal deformity: epidemiology, health impact, evaluation, and management. Spine Deformity. 2016;4:310–322.PubMedCrossRef Ames CP, Scheer JK, Lafage V, et al. Adult spinal deformity: epidemiology, health impact, evaluation, and management. Spine Deformity. 2016;4:310–322.PubMedCrossRef
3.
Zurück zum Zitat Annis P, Brodke DS, Spiker WR, Daubs MD, Lawrence BD. The fate of L5-S1 with low-dose BMP-2 and pelvic fixation, with or without interbody fusion, in adult deformity surgery. Spine (Phila Pa 1976). 2015;40:e634–e639.CrossRef Annis P, Brodke DS, Spiker WR, Daubs MD, Lawrence BD. The fate of L5-S1 with low-dose BMP-2 and pelvic fixation, with or without interbody fusion, in adult deformity surgery. Spine (Phila Pa 1976). 2015;40:e634–e639.CrossRef
4.
Zurück zum Zitat Arutyunyan GG, Angevine PD, Berven S. Cost-effectiveness in adult spinal deformity surgery. Neurosurgery. 2018;83:597–601.PubMedCrossRef Arutyunyan GG, Angevine PD, Berven S. Cost-effectiveness in adult spinal deformity surgery. Neurosurgery. 2018;83:597–601.PubMedCrossRef
5.
Zurück zum Zitat Bodenheimer T. High and rising health care costs. Part 1: seeking an explanation. Ann Intern Med. 2005;142:847–854.PubMedCrossRef Bodenheimer T. High and rising health care costs. Part 1: seeking an explanation. Ann Intern Med. 2005;142:847–854.PubMedCrossRef
6.
Zurück zum Zitat Buell TJ, Bess S, Xu M, et al. Optimal tether configurations and preload tensioning to prevent proximal junctional kyphosis: a finite element analysis. J Neurosurg Spine. 2019:1–11. Buell TJ, Bess S, Xu M, et al. Optimal tether configurations and preload tensioning to prevent proximal junctional kyphosis: a finite element analysis. J Neurosurg Spine. 2019:1–11.
7.
Zurück zum Zitat Cho SK, Shin JI, Kim YJ. Proximal junctional kyphosis following adult spinal deformity surgery. Euro Spine J. 2014;23:2726–2736.CrossRef Cho SK, Shin JI, Kim YJ. Proximal junctional kyphosis following adult spinal deformity surgery. Euro Spine J. 2014;23:2726–2736.CrossRef
8.
9.
Zurück zum Zitat Daniels AH, DePasse JM, Durand W. Rod fracture after apparently solid radiographic fusion in adult spinal deformity patients. World Neurosurg. 2018;117:e530–e537.PubMedCrossRef Daniels AH, DePasse JM, Durand W. Rod fracture after apparently solid radiographic fusion in adult spinal deformity patients. World Neurosurg. 2018;117:e530–e537.PubMedCrossRef
10.
Zurück zum Zitat Dimitriou R, Mataliotakis GI, Angoules AG, Kanakaris NK, Giannoudis PV. Complications following autologous bone graft harvesting from the iliac crest and using the RIA: a systematic review. Injury. 2011;42 Suppl 2:s3–s15.PubMedCrossRef Dimitriou R, Mataliotakis GI, Angoules AG, Kanakaris NK, Giannoudis PV. Complications following autologous bone graft harvesting from the iliac crest and using the RIA: a systematic review. Injury. 2011;42 Suppl 2:s3–s15.PubMedCrossRef
12.
Zurück zum Zitat Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976). 2005;30:2024–2029.CrossRef Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976). 2005;30:2024–2029.CrossRef
13.
Zurück zum Zitat Glassman SD, Carreon LY, Campbell MJ, et al. The perioperative cost of Infuse bone graft in posterolateral lumbar spine fusion. Spine J. 2008;8:443–448.PubMedCrossRef Glassman SD, Carreon LY, Campbell MJ, et al. The perioperative cost of Infuse bone graft in posterolateral lumbar spine fusion. Spine J. 2008;8:443–448.PubMedCrossRef
14.
Zurück zum Zitat Gupta S, Eksi MS, Ames CP, Deviren V, Durbin-Johnson B, Smith JS, Gupta MC. A novel 4-rod technique offers potential to reduce rod breakage and pseudarthrosis in pedicle subtraction osteotomies for adult spinal deformity correction. Oper Neurosurg (Hagerstown). 2018;14:449–456.PubMedCrossRef Gupta S, Eksi MS, Ames CP, Deviren V, Durbin-Johnson B, Smith JS, Gupta MC. A novel 4-rod technique offers potential to reduce rod breakage and pseudarthrosis in pedicle subtraction osteotomies for adult spinal deformity correction. Oper Neurosurg (Hagerstown). 2018;14:449–456.PubMedCrossRef
15.
Zurück zum Zitat Han S, Hyun SJ, Kim KJ, Jahng TA, Kim HJ. Comparative study between cobalt chrome and titanium alloy rods for multilevel spinal fusion: proximal junctional kyphosis more frequently occurred in patients having cobalt chrome rods. World Neurosurg. 2017;103:404–409.PubMedCrossRef Han S, Hyun SJ, Kim KJ, Jahng TA, Kim HJ. Comparative study between cobalt chrome and titanium alloy rods for multilevel spinal fusion: proximal junctional kyphosis more frequently occurred in patients having cobalt chrome rods. World Neurosurg. 2017;103:404–409.PubMedCrossRef
16.
Zurück zum Zitat Han S, Hyun SJ, Kim KJ, Jahng TA, Lee S, Rhim SC. Rod stiffness as a risk factor of proximal junctional kyphosis after adult spinal deformity surgery: comparative study between cobalt chrome multiple-rod constructs and titanium alloy two-rod constructs. Spine J. 2017;17:962–968.PubMedCrossRef Han S, Hyun SJ, Kim KJ, Jahng TA, Lee S, Rhim SC. Rod stiffness as a risk factor of proximal junctional kyphosis after adult spinal deformity surgery: comparative study between cobalt chrome multiple-rod constructs and titanium alloy two-rod constructs. Spine J. 2017;17:962–968.PubMedCrossRef
17.
Zurück zum Zitat Harimaya K, Mishiro T, Lenke LG, Bridwell KH, Koester LA, Sides BA. Etiology and revision surgical strategies in failed lumbosacral fixation of adult spinal deformity constructs. Spine (Phila Pa 1976). 2011;36:1701–1710.CrossRef Harimaya K, Mishiro T, Lenke LG, Bridwell KH, Koester LA, Sides BA. Etiology and revision surgical strategies in failed lumbosacral fixation of adult spinal deformity constructs. Spine (Phila Pa 1976). 2011;36:1701–1710.CrossRef
18.
Zurück zum Zitat Harrop JS, Jeyamohan SB, Sharan A, Ratliff J, Vaccaro AR. Iliac bolt fixation: an anatomic approach. J Spinal Disord Tech. 2009;22:541–544.PubMedCrossRef Harrop JS, Jeyamohan SB, Sharan A, Ratliff J, Vaccaro AR. Iliac bolt fixation: an anatomic approach. J Spinal Disord Tech. 2009;22:541–544.PubMedCrossRef
19.
Zurück zum Zitat Hyun SJ, Lenke LG, Kim YC, Koester LA, Blanke KM. Comparison of standard 2-rod constructs to multiple-rod constructs for fixation across 3-column spinal osteotomies. Spine (Phila Pa 1976). 2014;39:1899–1904.CrossRef Hyun SJ, Lenke LG, Kim YC, Koester LA, Blanke KM. Comparison of standard 2-rod constructs to multiple-rod constructs for fixation across 3-column spinal osteotomies. Spine (Phila Pa 1976). 2014;39:1899–1904.CrossRef
20.
Zurück zum Zitat Januszewski J, Beckman JM, Harris JE, Turner AW, Yen CP, Uribe JS. Biomechanical study of rod stress after pedicle subtraction osteotomy versus anterior column reconstruction: a finite element study. Surg Neurol Int. 2017;8:207.PubMedPubMedCentralCrossRef Januszewski J, Beckman JM, Harris JE, Turner AW, Yen CP, Uribe JS. Biomechanical study of rod stress after pedicle subtraction osteotomy versus anterior column reconstruction: a finite element study. Surg Neurol Int. 2017;8:207.PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Kelly MP, Lenke LG, Bridwell KH, Agarwal R, Godzik J, Koester L. Fate of the adult revision spinal deformity patient: a single institution experience. Spine (Phila Pa 1976). 2013;38:e1196–e1200.CrossRef Kelly MP, Lenke LG, Bridwell KH, Agarwal R, Godzik J, Koester L. Fate of the adult revision spinal deformity patient: a single institution experience. Spine (Phila Pa 1976). 2013;38:e1196–e1200.CrossRef
22.
Zurück zum Zitat Kelly MP, Kim HJ, Ames CP, et al. Minimum detectable measurement difference for health-related quality of life measures varies with age and disability in adult spinal deformity: implications for calculating minimal clinically important difference. Spine (Phila Pa 1976). 2018;43:e790–e795.CrossRef Kelly MP, Kim HJ, Ames CP, et al. Minimum detectable measurement difference for health-related quality of life measures varies with age and disability in adult spinal deformity: implications for calculating minimal clinically important difference. Spine (Phila Pa 1976). 2018;43:e790–e795.CrossRef
23.
24.
Zurück zum Zitat Kim YJ, Bridwell KH, Lenke LG, Rinella AS, Edwards C 2nd. Pseudarthrosis in primary fusions for adult idiopathic scoliosis: incidence, risk factors, and outcome analysis. Spine (Phila Pa 1976). 2005;30:468–474.CrossRef Kim YJ, Bridwell KH, Lenke LG, Rinella AS, Edwards C 2nd. Pseudarthrosis in primary fusions for adult idiopathic scoliosis: incidence, risk factors, and outcome analysis. Spine (Phila Pa 1976). 2005;30:468–474.CrossRef
25.
Zurück zum Zitat Kim YJ, Bridwell KH, Lenke LG, Cho KJ, Edwards CC 2nd, Rinella AS. Pseudarthrosis in adult spinal deformity following multisegmental instrumentation and arthrodesis. J Bone Joint Surg Am. 2006;88:721–728.PubMed Kim YJ, Bridwell KH, Lenke LG, Cho KJ, Edwards CC 2nd, Rinella AS. Pseudarthrosis in adult spinal deformity following multisegmental instrumentation and arthrodesis. J Bone Joint Surg Am. 2006;88:721–728.PubMed
26.
Zurück zum Zitat Kim HJ, Buchowski JM, Zebala LP, Dickson DD, Koester L, Bridwell KH. RhBMP-2 is superior to iliac crest bone graft for long fusions to the sacrum in adult spinal deformity: 4- to 14-year follow-up. Spine (Phila Pa 1976). 2013;38:1209–1215.CrossRef Kim HJ, Buchowski JM, Zebala LP, Dickson DD, Koester L, Bridwell KH. RhBMP-2 is superior to iliac crest bone graft for long fusions to the sacrum in adult spinal deformity: 4- to 14-year follow-up. Spine (Phila Pa 1976). 2013;38:1209–1215.CrossRef
27.
Zurück zum Zitat Kuklo TR, Bridwell KH, Lewis SJ, Baldus C, Blanke K, Iffrig TM, Lenke LG. Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine (Phila Pa 1976). 2001;26:1976–1983.CrossRef Kuklo TR, Bridwell KH, Lewis SJ, Baldus C, Blanke K, Iffrig TM, Lenke LG. Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine (Phila Pa 1976). 2001;26:1976–1983.CrossRef
28.
Zurück zum Zitat Lafage R, Schwab F, Glassman S, et al. Age-adjusted alignment goals have the potential to reduce PJK. Spine (Phila Pa 1976). 2017;42:1275–1282.CrossRef Lafage R, Schwab F, Glassman S, et al. Age-adjusted alignment goals have the potential to reduce PJK. Spine (Phila Pa 1976). 2017;42:1275–1282.CrossRef
29.
Zurück zum Zitat Luhmann SJ, Bridwell KH, Cheng I, Imamura T, Lenke LG, Schootman M. Use of bone morphogenetic protein-2 for adult spinal deformity. Spine (Phila Pa 1976). 2005;30:s110–s117.CrossRef Luhmann SJ, Bridwell KH, Cheng I, Imamura T, Lenke LG, Schootman M. Use of bone morphogenetic protein-2 for adult spinal deformity. Spine (Phila Pa 1976). 2005;30:s110–s117.CrossRef
30.
Zurück zum Zitat Martin-Buitrago MP, Pizones J, Sanchez Perez-Grueso FJ, et al. Impact of iliac instrumentation on the quality of life of patients with adult spine deformity. Spine (Phila Pa 1976). 2018;43:913–918.CrossRef Martin-Buitrago MP, Pizones J, Sanchez Perez-Grueso FJ, et al. Impact of iliac instrumentation on the quality of life of patients with adult spine deformity. Spine (Phila Pa 1976). 2018;43:913–918.CrossRef
31.
Zurück zum Zitat McClellan JW, Mulconrey DS, Forbes RJ, Fullmer N. Vertebral bone resorption after transforaminal lumbar interbody fusion with bone morphogenetic protein (rhBMP-2). J Spinal Disord Tech. 2006;19:483–486.PubMedCrossRef McClellan JW, Mulconrey DS, Forbes RJ, Fullmer N. Vertebral bone resorption after transforaminal lumbar interbody fusion with bone morphogenetic protein (rhBMP-2). J Spinal Disord Tech. 2006;19:483–486.PubMedCrossRef
32.
Zurück zum Zitat McKay B, Sandhu HS. Use of recombinant human bone morphogenetic protein-2 in spinal fusion applications. Spine (Phila Pa 1976). 2002;27:s66–s85.CrossRef McKay B, Sandhu HS. Use of recombinant human bone morphogenetic protein-2 in spinal fusion applications. Spine (Phila Pa 1976). 2002;27:s66–s85.CrossRef
33.
Zurück zum Zitat Merrill RK, Kim JS, Leven DM, Kim JH, Cho SK. Multi-rod constructs can prevent rod breakage and pseudarthrosis at the lumbosacral junction in adult spinal deformity. Global Spine J. 2017;7:514–520.PubMedPubMedCentralCrossRef Merrill RK, Kim JS, Leven DM, Kim JH, Cho SK. Multi-rod constructs can prevent rod breakage and pseudarthrosis at the lumbosacral junction in adult spinal deformity. Global Spine J. 2017;7:514–520.PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat O’Brien JR, Yu WD, Bhatnagar R, Sponseller P, Kebaish KM. An anatomic study of the S2 iliac technique for lumbopelvic screw placement. Spine (Phila Pa 1976). 2009;34:e439–e442.CrossRef O’Brien JR, Yu WD, Bhatnagar R, Sponseller P, Kebaish KM. An anatomic study of the S2 iliac technique for lumbopelvic screw placement. Spine (Phila Pa 1976). 2009;34:e439–e442.CrossRef
35.
Zurück zum Zitat O’Brien JR, Yu W, Kaufman BE, Bucklen B, Salloum K, Khalil S, Gudipally M. Biomechanical evaluation of S2 alar-iliac screws: effect of length and quad-cortical purchase as compared with iliac fixation. Spine (Phila Pa 1976). 2013;38:e1250–e1255.CrossRef O’Brien JR, Yu W, Kaufman BE, Bucklen B, Salloum K, Khalil S, Gudipally M. Biomechanical evaluation of S2 alar-iliac screws: effect of length and quad-cortical purchase as compared with iliac fixation. Spine (Phila Pa 1976). 2013;38:e1250–e1255.CrossRef
36.
Zurück zum Zitat O’Shaughnessy BA, Bridwell KH, Lenke LG, et al. Does a long-fusion “T3-sacrum” portend a worse outcome than a short-fusion “T10-sacrum” in primary surgery for adult scoliosis? Spine (Phila Pa 1976). 2012;37:884–890.CrossRef O’Shaughnessy BA, Bridwell KH, Lenke LG, et al. Does a long-fusion “T3-sacrum” portend a worse outcome than a short-fusion “T10-sacrum” in primary surgery for adult scoliosis? Spine (Phila Pa 1976). 2012;37:884–890.CrossRef
37.
Zurück zum Zitat Peelle MW, Lenke LG, Bridwell KH, Sides B. Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws. Spine (Phila Pa 1976). 2006;31:2392–2398; discussion 2399.CrossRef Peelle MW, Lenke LG, Bridwell KH, Sides B. Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws. Spine (Phila Pa 1976). 2006;31:2392–2398; discussion 2399.CrossRef
38.
Zurück zum Zitat Poorman GW, Jalai CM, Boniello A, Worley N, McClelland S, 3rd, Passias PG. Bone morphogenetic protein in adult spinal deformity surgery: a meta-analysis. European Spine J. 2017;26:2094–2102.CrossRef Poorman GW, Jalai CM, Boniello A, Worley N, McClelland S, 3rd, Passias PG. Bone morphogenetic protein in adult spinal deformity surgery: a meta-analysis. European Spine J. 2017;26:2094–2102.CrossRef
39.
Zurück zum Zitat Rahman RK, Buchowski JM, Stephens B, Dorward IG, Koester LA, Bridwell KH. Comparison of TLIF with rhBMP-2 versus no TLIF and higher posterolateral rhBMP-2 dose at L5-S1 for long fusions to the sacrum with sacropelvic fixation in patients with primary adult deformity. Spine (Phila Pa 1976). 2013;38:2264–2271.CrossRef Rahman RK, Buchowski JM, Stephens B, Dorward IG, Koester LA, Bridwell KH. Comparison of TLIF with rhBMP-2 versus no TLIF and higher posterolateral rhBMP-2 dose at L5-S1 for long fusions to the sacrum with sacropelvic fixation in patients with primary adult deformity. Spine (Phila Pa 1976). 2013;38:2264–2271.CrossRef
40.
Zurück zum Zitat Raman T, Nayar SK, Liu S, Skolasky RL, Kebaish KM. Cost-effectiveness of primary and revision surgery for adult spinal deformity. Spine (Phila Pa 1976). 2018;43:791–797.CrossRef Raman T, Nayar SK, Liu S, Skolasky RL, Kebaish KM. Cost-effectiveness of primary and revision surgery for adult spinal deformity. Spine (Phila Pa 1976). 2018;43:791–797.CrossRef
41.
Zurück zum Zitat Scheer JK, Lafage R, Schwab FJ, et al. Under correction of sagittal deformities based on age-adjusted alignment thresholds leads to worse health-related quality of life whereas over correction provides no additional benefit. Spine (Phila Pa 1976). 2018;43:388–393.CrossRef Scheer JK, Lafage R, Schwab FJ, et al. Under correction of sagittal deformities based on age-adjusted alignment thresholds leads to worse health-related quality of life whereas over correction provides no additional benefit. Spine (Phila Pa 1976). 2018;43:388–393.CrossRef
42.
Zurück zum Zitat Scheer JK, Oh T, Smith JS, et al. Development of a validated computer-based preoperative predictive model for pseudarthrosis with 91% accuracy in 336 adult spinal deformity patients. Neurosurg Focus. 2018;45:e11.PubMedCrossRef Scheer JK, Oh T, Smith JS, et al. Development of a validated computer-based preoperative predictive model for pseudarthrosis with 91% accuracy in 336 adult spinal deformity patients. Neurosurg Focus. 2018;45:e11.PubMedCrossRef
43.
Zurück zum Zitat Schwab FJ, Blondel B, Bess S, et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine (Phila Pa 1976). 2013;38:e803–e812.CrossRef Schwab FJ, Blondel B, Bess S, et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine (Phila Pa 1976). 2013;38:e803–e812.CrossRef
44.
Zurück zum Zitat Shen FH, Harper M, Foster WC, Marks I, Arlet V. A novel “four-rod technique” for lumbo-pelvic reconstruction: theory and technical considerations. Spine (Phila Pa 1976). 2006;31:1395–1401.CrossRef Shen FH, Harper M, Foster WC, Marks I, Arlet V. A novel “four-rod technique” for lumbo-pelvic reconstruction: theory and technical considerations. Spine (Phila Pa 1976). 2006;31:1395–1401.CrossRef
45.
Zurück zum Zitat Solla F, Barrey CY, Burger E, Kleck CJ, Fière VJ. Patient-specific rods for surgical correction of sagittal imbalance in adults. Clin Spine Surg. 2019;32:80–86.PubMedCrossRef Solla F, Barrey CY, Burger E, Kleck CJ, Fière VJ. Patient-specific rods for surgical correction of sagittal imbalance in adults. Clin Spine Surg. 2019;32:80–86.PubMedCrossRef
46.
Zurück zum Zitat Sponseller PD, Zimmerman RM, Ko PS, et al. Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up. Spine (Phila Pa 1976). 2010;35:1887–1892.CrossRef Sponseller PD, Zimmerman RM, Ko PS, et al. Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up. Spine (Phila Pa 1976). 2010;35:1887–1892.CrossRef
47.
Zurück zum Zitat Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C. Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine (Phila Pa 1976). 2006;31:303–308.CrossRef Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C. Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine (Phila Pa 1976). 2006;31:303–308.CrossRef
48.
Zurück zum Zitat Wang C, Bell K, McClincy M, Jacobs L, Dede O, Roach J, Bosch P. Biomechanical comparison of ponte osteotomy and discectomy. Spine (Phila Pa 1976). 2015;40:e141–e145.CrossRef Wang C, Bell K, McClincy M, Jacobs L, Dede O, Roach J, Bosch P. Biomechanical comparison of ponte osteotomy and discectomy. Spine (Phila Pa 1976). 2015;40:e141–e145.CrossRef
49.
Zurück zum Zitat Yeramaneni S, Ames CP, Bess S, et al. Center variation in episode-of-care costs for adult spinal deformity surgery: results from a prospective, multicenter database. Spine J. 2018;18:1829–1836.PubMedCrossRef Yeramaneni S, Ames CP, Bess S, et al. Center variation in episode-of-care costs for adult spinal deformity surgery: results from a prospective, multicenter database. Spine J. 2018;18:1829–1836.PubMedCrossRef
Metadaten
Titel
Advances in Spinal Fusion Strategies in Adult Deformity Surgery
verfasst von
Jeremy Steinberger, MD
Philip York, MD
Sohrab Virk, MD, MBA
Han Jo Kim, MD
Publikationsdatum
04.02.2020
Verlag
Springer US
Erschienen in
HSS Journal ® / Ausgabe 2/2020
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-020-09751-x

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