Does Fusion Status Correlate with Patient Outcomes in Lumbar Spinal Fusion?

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Excerpt

Lumbar spinal fusion is one of the mainstays of surgical treatment for degenerative lumbar spine conditions, with more than 250,000 procedures performed annually in the United States. The mechanism by which lumbar fusion is assumed to alleviate pain is by eliminating painful motion across a diseased or degenerated spinal motion segment. In the past, spinal fusion was most commonly used in conditions, which demonstrated clear instability, but recently the use of fusion has expanded into other conditions where the elimination of motion through a diseased or degenerated motion segment is thought to be beneficial. Clinical outcomes have varied in different diagnostic subcategories,1 but the achievement of a solid arthrodesis remains a primary goal of all lumbar fusion procedures.

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