Long-term Outcomes of Lumbar Fusion Among Workers’ Compensation Subjects: A Historical Cohort Study

Lumbar arthrodesis (fusion) is a surgical procedure per­formed to unite spinal vertebrae to eliminate mobility. There have been few published studies evaluating lumbar fusion outcomes in US workers’ compensation subjects.1, 41–4 In these studies, reoperation rates are the only outcome that has been consistently reported (about 22%). Surgical com­plications of 12% were reported in only one study at 3 months after surgery.1 Permanent or temporary disability results 2 years after fusion are variable among the studies, 18% to 68%.1, 2, 4 Similarly, return to work status (RTW) also varied from 41% to 78%.2,

Posterior Short-Segment Fixation and Fusion in Unstable Hangman's Fractures

Thirty-five patients with unstable Hangman's fracture were treated using C2-3 posterior short segment fixation and fusion. The patients were followed for an average of 44 months. Fusion was achieved in all cases. C2-3 posterior short segment fixation and fusion is an effective method for the management of unstable Hangman's fracture.