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  • 1
    ISSN: 0942-0940
    Keywords: Lumbar spine ; spinal instability ; facet syndrome ; surgical stabilization without fusion ; bands ; pedicular implants
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors present preliminary results in a series of 27 patients with a lumbar and/or lumbosacral facet syndrome operated on by use of the soft-system-Stabilization (SSS) according to Graf. Attention is paid to the correct selection of patients for this surgical technique. Excellent, good, satisfactory, moderate, and poor results were obtained in 19 (70%), 2 (7.5%), 5 (18.5%), 1 (3.5%), and 0 instances, respectively. The authors think that a Graf-procedure may be indicated in young to middle-aged patients with a lumbar and/or lumbosacral facet syndrome with 1.) no arthrotic changes of the facet joints, 2.) a still intact disc and/or only mild loss of intervertebral distance, 3.) well trained low-back muscles, and 4.) a clear-cut pain relief on test-anaesthesia of articular nerves and trial immobilization in a plastic jacket.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1920
    Keywords: Lumbar spine ; Facet joints ; Low back pain-Sciatica ; Arthrography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary An anatomical study of the lumbar apophyseal joints was carried out to facilitate recognition of facet joint lesions, which we now examine routinely by percutaneous arthrography. Special attention was given to the configuration of the different compartments of the joint space and to its relationships with the contents of the intervertebral foramen. The abnormalities seen on lumbar facet joint arthrography are very varied; two major groups should be stressed: synovial fringe hypertrophy and pseudodiverticular synovial ectasia. The percutaneous approach to lumbar facet joint arthrography allows it to be used a therapeutic measure, with injection of anti-inflammatory drugs into the joint space, the beneficial effects of which were confirmed in our series. The precision, efficiency and cost-effectiveness of this outpatient technique justify and should encourage its more widespread application in the diagnosis and treatment of low back pain.
    Type of Medium: Electronic Resource
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