SA Orthopaedic Journal
On-line version ISSN 2309-8309
DUNN, RN. Lumbar fusion - indications and surgical options. SA orthop. j. [online]. 2008, vol.7, n.2, pp. 8-12. ISSN 2309-8309.
The sacrifice of motion to achieve spinal stability and pain relief has been practised since the early 20th century by means of iatrogenically induced ankylosis or fusion. Initially this was practised in the management of Pott's disease and indications have been expanded over the years to include trauma, deformity and degenerative conditions. In the last few decades there has been a proliferation of options as regards surgical technique and instrumentation. This often overwhelms the surgeon where more is perceived to be better, yet there is limited evidence that this is in fact so.