Rehabilitation in the dynamic stabilization of the lumbosacral spine

Until recently in the field of vertebral surgery, many diseases were

managed with surgery of instrumented vertebral stabilization

and bone fusion (arthrodesis). Fusion always offered valid and safe

results, although at the expense of the abolition of the motility

of the spine section which was being operated upon

For this reason, when treating degenerative diseases of the lumbosacral

spine, the Orthopaedic Clinic of the S. Chiara Hospital in Pisa,

introduced the Dynesys® lumbosacral spine dynamic neutralization

system to treat patients and spinal diseases with selected

indications.

Dynesys is a non-fusion elastic system with transpedicular screws

and a flexible connector for dynamic stabilization. This is a new

method for treating the degenerative disease of the lumbosacral

spine which preserves motility at the treated levels. While allowing

for movement of the segment at all levels, the Dynesys provides

stability to the functional unit, which attains a condition of physiological

function compared with the rigid stabilization-arthrodesis.

This publication, which describes the indications and the various

phases of technical rehabilitation to be used after surgical treatment

of lumbar degenerative spine, represents a work of fundamental

importance that is clearly useful to those interested in this area

of orthopaedics.

The pathologies treated are: disc bulging and micro-instability

with lumbar pain and irritating sciatica; herniated disc and microinstability

of one level with irritating lumbar-sciatic pain; spondylosis

with stenosis affecting at least two levels; degenerative

spondylolisthesis

of one level up to grade 2; repeated surgery on

a herniated disc at one or two levels; rotational scoliosis of moderate

grade in adults.

• Dynamic Stabilization
• Lumbosacral Spine
• biomechanics
• instability
• rehabilitation
• rehabilitation psychology

• Orthopaedic Clinic University of Pisa, Italy

  Giuseppe Calvosa

• Neurosurgery of Toulouse, France

  Gilles Dubois

Policies and ethics