Results of lumbosacral fusion for degenerative disc disease with and without instrumentation. Two- to five-year follow-up.

Journal Article (Journal Article)

Functional and surgical outcomes are reported in two consecutive groups of patients who underwent one- and two-level lumbosacral fusion. The first group underwent standard posterolateral lumbosacral fusion, and the second group underwent lumbosacral fusion with compression U-rod instrumentation. Fusions were carried out over all painful, abnormal levels documented by discography. the pseudarthrosis rate without instrumentation was 35%, in contrast to 6% with instrumentation. In both groups of patients with chronic low-back pain secondary to degenerative disc disease, solid lumbosacral fusion was associated with decreased pain and higher return to work rates. Poorest results were associated with prolonged periods of preoperative disability and long-term disability claims.

Full Text

Duke Authors

Cited Authors

  • Grubb, SA; Lipscomb, HJ

Published Date

  • March 1992

Published In

Volume / Issue

  • 17 / 3

Start / End Page

  • 349 - 355

PubMed ID

  • 1566170

International Standard Serial Number (ISSN)

  • 0362-2436

Digital Object Identifier (DOI)

  • 10.1097/00007632-199203000-00018


  • eng

Conference Location

  • United States