[The Facet Wedge: a minimally invasive technique for posterior segmental intra-articular fusion].

[The Facet Wedge: a minimally invasive technique for posterior segmental intra-articular fusion]. Oper Orthop Traumatol. 2020 Mar 16;: Authors: Mehren C, Sauer D, Würtinger C, Korge A Abstract OBJECTIVE: Minimally invasive posterior segmental instrumentation and intra-articular fusion with the Facet Wedge device. INDICATIONS: All fusion indications in degenerative disc disease without significant translational instability, postnucleotomy syndrome, spondylarthrosis, discitis. CONTRAINDICATIONS: Translatory instabilities, status after decompression with partial facet joint resection, spondylolysis in the affected segment. SURGICAL TECHNIQUE: Through a 3 cm skin incision, blunt transmuscular approach to the corresponding facet joint L1/2 to L5/S1. Opening of the joint capsule and visualisation of the intra-articular space. Cartilage removal and intra-articular implantation of the Facet Wedge device. Fixation of the implant by means of two angle-stable screws inserted in the corresponding facet joint parts. POSTOPERATIVE MANAGEMENT: Early mobilisation under thomboprophylaxis. Wearing a trunk-stabilizing brace for up to 12 weeks, depending on the type and extent of the procedure. No restrictions regarding walking distance, standing and sitting immediately postoperatively after pain. RESULTS: In all, 27 patients (mean age 51.2 years, range 30-76 years) were enrolled in the prospective nonrand...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Tags: Oper Orthop Traumatol Source Type: research