Lumbar Fusion
What is it?
A spinal fusion is simply the uniting of two bony segments, whether a fracture
or a vertebral joint. The reason for instrumentation with rods and screws is
to act as and 'internal cast' to stabilize the vertebra until the fusion, or
bony re-growth, can occur.
Why is it done?
Historically spinal fusions have been used to correct degenerative spondylolisthesis. However, there are many indications for a spinal fusion and it is not the only procedure preformed to treat those various conditions. You should talk to your doctor about what procedure is best for you.
The Operation
The Incision
 The patient is positioned on the operating table in a prone position. The incision is made over the anatomic position of the spinous process.
Bone is Removed
When indicated, soft tissue and bony decompression are performed to relieve neurological compression.
Screw Placement
For a degenerative spondylolisthesis case, a blunt probe is inserted through
the pedicle and into the vertebral body.
Once the pedicle canals are prepared and the screw length determined, the TSRH-3D®
screws are sequentially inserted.
Bone Graft
The facet joint capsules are removed and cancellous bone graft is placed into
each facet joint. The transverse processes, sacral alae, and the lateral walls
of the facet joints are decorticated with high-speed burs and curettes.
Corticocancellous bone graft taken from the iliac crest, along with any fragments
of bone taken during decompression are firmly pressed into the bone fusion bed.
Compression
Once the construct has been assembled, segmental distraction and compression
may be carved out. 
It is important that you discuss the potential risks, complications, and benefits of TSRH-3D® Pedicle Screws with your doctor prior to receiving treatment, and that you rely on your physician's judgment. Only your doctor can determine whether you are a suitable candidate for this treatment.
It is important that you discuss the potential risks, complications, and benefits of TSRH-3D® Pedicle Screws with your doctor prior to receiving treatment, and that you rely on your physician's judgment. Only your doctor can determine whether you are a suitable candidate for this treatment.
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