Posterolateral Gutter Spine

In a posterolateral gutter fusion the surgical approach to the spine is from the back through a midline incision that is approximately three inches to six inches long.

Posterolateral gutter spine.

First bone graftis obtained from the pelvis the iliac crest although some form of bone graft substitute may also be used. Sometimes this type of fusion procedure may be referred to as a gutter fusion or the placement of the bone graft referred to as in the gutters. The device is often a type of cage that mimics the build of a damaged disc. Posterolateral gutter fusion surgery is the gold standard surgical approach to achieve spinal fusion.

Posterolateral gutter fusion surgery definition. Any type of spine fusion joins together who refuses a spinal segment to eliminate the motion at that level of the spine a lumbar postural lateral gutter fusion is done in the lower back at l one through l two l five to s one at the bottom of the spine. Bone graft is taken from the pelvis and laid out in the posterolateral portion of the spine that is to be fused. As the harvested bone graft grows and adheres to the transverse processes such as between l4 and l5 lumbar segment 4 and lumbar segment 5 the spinal fusion is achieved and motion at that segment is stopped.

After posterolateral gutter fusion surgery. In posterolateral gutter fusion surgery the doctor places an implant at the posterolateral portion of the spine. First bone graft is obtained from the pelvis the iliac crest although some form of bone graft substitute may also be used. This area is located along the very outer edges of the spinal structure.

This will allow the bone to heal from the transverse process of one vertebra to the transverse process of the next vertebra. It is most commonly done at lor. A fusion will setup within three months and will continue to get stronger for one to two years. It is most commonly done at l4 through l5 or l5 through s1 as these are the segments most likely to degenerate.

Most spine surgeons work through the same incision to obtain the bone graft and to perform the spinal fusion. The graft to form the bony bridge can be placed between the transverse processes in the back of the spine. In spinal fusion surgery the doctor implants either a device or bone material to help re stabilize the spine. In a posterolateral gutter fusion procedure the spine is approached from the back.

The posterolateral gutter fusion is considered by many surgeons as the tried and true method of spinal fusion. An incision is made at the midline of the back and bone graft is placed underneath the large back muscles that attach to the transverse processes of the affected vertebrae. The surgery involves placing a bone graft in the posterolateral portion of the back of the spine. A lumbar posterolateral gutter fusion is done in the lower back at l1 through l2 through l5 through s1 at the bottom of the spine.

This type of spine fusion is called a posterolateral fusion. In a posterolateral gutter fusion the surgical approach to the spine is from the back through a midline incision that is approximately three inches to six inches long. Posterior or posterolateral fusion approach the patient is prone and the incision is made overlying the vertebrae.