Anterior Lumbar Fusion Utilizing Transvertebral Fibular Graft

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Abstract
In those instances of failed posterior arthrodesis for spondylolisthesis, iatrogenic spondylolisthesis due to posterior neural decompression or severe (grade III or IV) spondylolisthesis, anterior stabilization using a fibular strut graft appears to be feasible and successful. Eleven patients were treated with this technique and ten achieved solid anterior arthrodesi; the eleventh fused posterolaterally. All improved symptomatically with no postoperative complications, including sexual dysfunction in the male.

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