Introduction Revision surgeries are more common than ever in the spine surgeon’s practice. Each case is unique, and the diagnostic and treatment considerations are more complicated than their primary counterparts….
The Use of Autograft and Allograft in Revision Lumbar Spine Surgery One of the major contributors to a solid spinal arthrodesis is the use of bone grafts. In selecting the…
Introduction An exponential rise in rates of spinal surgery over the past decade has been dominated by a concomitant increase in the utilization of intervertebral cages for spinal fusion. The…
Introduction Despite excellent outcomes for carefully selected patients undergoing surgical management of lumbar spine pathology, a small but significant subset of patients will have persistent or recurrent symptomatology. Unfortunately, some…
Introduction Lumbar intervertebral discs are complex structures subjected to significant axial compressive forces. Because of biomechanical demands and the inability to remodel as a result of an avascular nature, lumbar…
Introduction Regardless of the presence of lumbar instrumentation, recurrent symptoms after a lumbar decompressive surgery are not uncommon; for example, after undergoing microlumbar discectomy up to 12% of patients may…
Background A vast majority (up to 80%) of the US population are estimated to experience an episode of low back pain (LBP) during their lifetime. A subset of these individuals…
Introduction Lumbar spine disorders and the disabling pain associated with these conditions are associated with significant healthcare resource use and costs in the United States. Of these patients, an estimated…
Anatomy Lumbar Spine Make-Up The typical vertebral column is composed of 33 vertebrae. The lumbar spine usually has five mobile lumbar vertebrae, denoted as L1–L5. As a group, the lumbar…
Background Revision lumbar spine surgery is predominantly associated with several distinct pathological processes resulting from an initial index surgery. For example, in the treatment of disc herniations, residual stenosis and…
