Transpedicular lumbosacral fixation for non-traumatic disorders / Reply From: Journal of Bone and Joint Surgery | Date: January 1, 1998| Author: Driver-Jowitt, J P; Pihlajamaki, H | Copyright British Editorial Society of Bone & Joint Surgery Jan 1998. Provided by ProQuest LLC.Copyright information

Sir,

The recent paper in the March 1997 issue by Pihlajamaki, Myllynen and Bostman on the complications of transpedicular lumbosacral internal fixation has, like many others, not discussed two variables which have an important bearing on the outcome of spinal fusion.

1) There is clearly an optimal degree of lordosis when standing, although this varies considerably from person to person (Constant, unpublished data). Failure to recognise and incorporate a lordosis appropriate to...