par Szpalski, Marek ;Gunzburg, Robert ;Colloca, Christopher J;Moore, Robert
Référence Surgery for Low Back Pain, Springer Berlin Heidelberg, page (241-248)
Publication Publié, 2010
Partie d'ouvrage collectif
Résumé : Interspinous devices are commonly used in the treatment of various spinal pathologies. The original and main indication is lumbar spinal canal stenosis; however, over the time, it gets used in other degenerative disorders like degenerative disk disease, degenerative spondylolisthesis, instability, or as adjunct to massive herniated disk surgery. However, only treatment of spinal stenosis is backed by acceptable clinical evidence. There are some in vitro biomechanical studies suggesting that interspinous implants can decrease intradiscal pressure and enlarge foramen size. We will review the existing literature and discuss new in vivo biomechanical data showing stabilizing effect of an added tension band. © 2010 Springer-Verlag Berlin Heidelberg.