Controversy. Fusion of L5-S1 in adult scoliosis.
review · Level V
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- Record sourced from PubMed, PMID 8923643.
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Abstract
Correction of adult scoliotic deformities often involves long segment fusions into the lower lumber spine. The risks of late complications from excluding L5-S1 from the fusion include subsequent lumbosacral instability and pain and must be weighed against the additional risks and complications of routinely including L5-S1 in these long fusions. Dr. Holt and his colleague are emphatic that fusion of L5-S1 should be avoided at all costs; Dr. Horton believes that long-term follow-up results suggest the benefits of including this level may outweigh the added risks and offers a more tempered opinion.
Medical subject headings
- Lumbar Vertebrae
- Sacrum
- Scoliosis
- Spinal Fusion
Anatomy
- lumbar spine
- sacrum-coccyx