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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3 Suppl
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pubmed:dateCreated |
1992-5-21
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pubmed:abstractText |
To justify lumbar fusion or stabilization, a quantitative assessment and definition of spinal instability are essential. To quantify spinal instability, the tensile stiffness of a motion segment (vertebra-disc-vertebra) was measured with a spinal distractor during spinal decompression surgery. Stiffness was indicated by the relationship between load and displacement between the two adjacent spinous processes where a vertebral spreader was suspended. A load-displacement curve was recorded at each step of surgical decompression and fixation while the motion segment was being distracted at a constant speed. The device used for measuring stiffness of a spinal motion segment is a lumbar spinal spreader with a load strain gauge and a displacement transducer. The stiffness of a spinal motion segment was reduced as disc degeneration developed. Degenerative spondylolisthetic discs showed the least stiffness (lowest, 3.9 N/mm; average, 5.4 N/mm). The stiffness of herniated discs, however, was relatively greater (average, 11.8 N/mm). The stiffness of normal motion segments was greater than affected segments. If the stiffness of a motion segment before decompression was graded as 100, it was reduced to 82% after partial laminectomy and facetectomy and to 65% after discectomy on average. After interbody fusion by iliac bone graft, it increased to 133% and to 184%, after Luque fixation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0362-2436
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S44-50
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pubmed:dateRevised |
2009-7-9
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pubmed:meshHeading |
pubmed-meshheading:1566184-Female,
pubmed-meshheading:1566184-Humans,
pubmed-meshheading:1566184-Intraoperative Care,
pubmed-meshheading:1566184-Laminectomy,
pubmed-meshheading:1566184-Lumbar Vertebrae,
pubmed-meshheading:1566184-Male,
pubmed-meshheading:1566184-Middle Aged,
pubmed-meshheading:1566184-Spinal Diseases,
pubmed-meshheading:1566184-Spinal Fusion,
pubmed-meshheading:1566184-Surgical Instruments
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pubmed:year |
1992
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pubmed:articleTitle |
Intraoperative measurement of lumbar spinal instability.
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pubmed:affiliation |
Department of Orthopaedic Surgery, Osaka University Medical School, Japan.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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