0
Journal Contents   |    
STUDY OF FUSION OF THE SPINE WITH PARTICULAR REFERENCE TO ARTICULAR FACETS
S. L. HAAS
View Disclosures and Other Information
The Surgica1 Laboratory, Stanford Medical School
1936 by The Journal of Bone and Joint Surgery.
The Journal of Bone & Joint Surgery.  1936; 18:717-723 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

In the experiments in which the spinous processes alone were fused, there were practically no changes in the articular facets.

When, in addition to the fusion of the spinous processes, sections of bone were thrown up from the laminae and over the articular facets, secondary changes took place in the facets that had not been destroyed. In one experiment of 205 days' duration, several of the articulations were partially arthrodesed.

If, in conjunction with the fusion of the spinous processes, the articular facets were destroyed on one side, marked changes took place in the articular facets of the opposite side. After 160 days very slight remnants of articular cartilage were found in some of the undestroyed articulations. No signs of joint spaces were found, although some joints showed the persistence of two articular cartilages.

There was marked distortion of the plane of the facets with heaping up of bone about them on the side which had not been operated upon, as well as on the side upon which an operation had been performed.

The changes described took place in normal spines. One would expect greater changes if a diseased condition or abnormal pressure as in scoliosis were present.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Biomechanical Testing of Suture-Based Meniscal Repair Devices Containing Ultrahigh-Molecular-Weight Polyethylene Suture: Update 2011.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association: Issue date- 2012 Feb 6
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    Maine - Central Maine Medical Center