Revision Lumbar Spine Surgery

Dural Scarring and Repair Issues

Background A vast majority (up to 80%) of the US population are estimated to experience an episode of low back pain (LBP) during their lifetime. A subset of these individuals will go on to develop chronic LBP, which can limit…

Indications

Background Revision lumbar spine surgery is predominantly associated with several distinct pathological processes resulting from an initial index surgery. For example, in the treatment of disc herniations, residual stenosis and recurrent disc herniations are well described in the literature. There…

Medical Fitness Evaluation

Introduction One major issue when considering reconstructive spinal surgery is medical fitness for surgery. This is defined as an individual’s ability to sustain the physiological stress of surgery and recovery. Medical fitness is related to the overall wellness of the…

Anatomy and Physiology/Biology of Bone

Anatomy Lumbar Spine Make-Up The typical vertebral column is composed of 33 vertebrae. The lumbar spine usually has five mobile lumbar vertebrae, denoted as L1–L5. As a group, the lumbar vertebrae create a lordotic curve. The vertebral bodies increase in…