This publication describes the indications and the various phases of technical rehabilitation to be used after surgical treatment of lumbar degenerative spine. A work of fundamental importance, it will benefit those interested in this area of orthopaedics.
"synopsis" may belong to another edition of this title.
Until recently in the field of vertebral surgery, many diseases were
managed with surgery of instrumented vertebral stabilization
and bone fusion (arthrodesis). Fusion always offered valid and safe
results, although at the expense of the abolition of the motility
of the spine section which was being operated upon
For this reason, when treating degenerative diseases of the lumbosacral
spine, the Orthopaedic Clinic of the S. Chiara Hospital in Pisa,
introduced the Dynesys® lumbosacral spine dynamic neutralization
system to treat patients and spinal diseases with selected
Dynesys is a non-fusion elastic system with transpedicular screws
and a flexible connector for dynamic stabilization. This is a new
method for treating the degenerative disease of the lumbosacral
spine which preserves motility at the treated levels. While allowing
for movement of the segment at all levels, the Dynesys provides
stability to the functional unit, which attains a condition of physiological
function compared with the rigid stabilization-arthrodesis.
This publication, which describes the indications and the various
phases of technical rehabilitation to be used after surgical treatment
of lumbar degenerative spine, represents a work of fundamental
importance that is clearly useful to those interested in this area
The pathologies treated are: disc bulging and micro-instability
with lumbar pain and irritating sciatica; herniated disc and microinstability
of one level with irritating lumbar-sciatic pain; spondylosis
with stenosis affecting at least two levels; degenerative
of one level up to grade 2; repeated surgery on
a herniated disc at one or two levels; rotational scoliosis of moderate
grade in adults.
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