CNS Blog
Radiological and clinical follow-up, at 7 years after prosthetic insertion (ROI-A and Chesapeake-type fusion cages)
I recently saw, as part of voluntary long-term follow-up that I requested, some of my patients in whom I inserted fusion cages in their lower lumbar spines (anterior lumbar interbody fusion; ALIF) for, e.g., military trauma and subsequent degeneration (gentleman now in his late 70s; Image 1; ROI-A dual integrated ‘gull-wing’ cages) and road accident […]
Read MoreRadiological follow-up of some of my anterior lumbar prosthetic patients: ROI-A fusion cages and LP-ESP artificial discs at 1 to 6 years post-insertion
The anterior lumbar “hybrid” surgery patient’s images below involved replacement of her worn, damaged and symptomatic L3/4 and L4/5 discs (left panel, Pre-op) with an LP-ESP artificial disc at L3/4 and a ROI-A fusion cage at L4/5. The centre panel shows the prosthetics at 1 year post-op and the right panel shows them at 4+ […]
Read MoreNice lumbar RANGE OF MOTION even following anterior + posterior prosthetic & instrumentation reconstruction
This otherwise healthy, active and working man presented with symptoms including persistent low back pain and bilateral leg radiating symptoms. They were substantially interfering with his quality of life. The L4/5 disc was “black” (desiccated, i.e., dehydrated and shrunken in height), as well as “slipped” (listhesed), from facet joint degeneration (degenerative spondylolisthesis). The pre-operative key […]
Read MoreROI-A fusion cage, L5-S1, radiologically, at 6 years post-ALIF.
This patient presented to me several years ago with a severely degenerate (desiccated), retrolisthesed and symptomatic L5-S1 disc space following two previous successful (posterior) microdiscectomy operations by other surgeons a few years earlier, for cauda equina syndrome from massive and recurrent disc herniation at L5-S1. I removed the old disc and reconstructed her L5-S1 disc […]
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