Journal of Craniovertebral Junction and Spine

: 2014  |  Volume : 5  |  Issue : 2  |  Page : 106-

Only fixation for lumbar canal stenosis

Sim Sai Tin1, Viroj Wiwanitkit2,  
1 Medical Center, Shantou, China
2 Visiting professor, Hainan Medical University, China

Correspondence Address:
Sim Sai Tin
Medical Center, Shantou

How to cite this article:
Tin SS, Wiwanitkit V. Only fixation for lumbar canal stenosis .J Craniovert Jun Spine 2014;5:106-106

How to cite this URL:
Tin SS, Wiwanitkit V. Only fixation for lumbar canal stenosis . J Craniovert Jun Spine [serial online] 2014 [cited 2023 Feb 4 ];5:106-106
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Full Text


We would like to discuss on the report on "only fixation for lumbar canal stenosis. [1]" Goelnoted that "fixation of the spinal segment can be a rationale form of treatment [1]" and "double insurance'' transarticular method of treatment is a simple, safe, and effective method of spinal stabilization. [1]" This work seems to be an additional report to the previously similar publication by Goel on "only fixation for cervical spondylosis. [2]" In fact, the fixation of lumbar spine has many techniques by various available fixators. Of interest, Botelho et al. noted that "it was not possible to reveal any evidence for benefits using DPF compared to rigid fixation in surgery for lumbar spine. [3]" Focusing on the use of "double insurance" transarticular method, it seems that Goel successfully used it in his experience. [1],[2],[4] However, the result of spine surgery depends on several factors including to setting, experience of the surgeon as well as the race of the patients. [5] Those factors should be further evaluated. Also, some new additional computer assisted technology might be useful for better alignment of screw for increased stability of the present technique. [6] Finally, not only efficacy but also cost effectiveness of this technique should be further evaluated comparing to other available techniques.


1Goel A. Only fixation for lumbar canal stenosis: Report of an experience with seven cases. J Craniovert Jun Spine 2014;5:15-9.
2Goel A. Only fixation for cervical spondylosis: Report of early results with a preliminary experience with 6 cases. J Craniovert Junction Spine 2013;4:64-8.
3Botelho RV, Bastianello R Jr, De albuquerque LD, Bernardo WM. Dynamic compared to rigid fixation in lumbar spine: A systematic review. Rev Assoc Med Bras 2014;60:151-5.
4Goel A. Double insurance atlantoaxial fixation. Surg Neurol 2007;67:135-9.
5Skolasky RL, Thorpe RJ Jr, Wegener ST, Riley LH 3rd. Complications and mortality in cervical spine surgery: Racial differences. Spine (Phila Pa 1976). 2014[In Press].
6Lu S, Xu YQ, Zhang YZ, Li YB, Xie L, Shi JH, et al. A novel computer-assisted drill guide template for lumbar pedicle screw placement: A cadaveric and clinical study. Int J Med Robot 2009;5:184-91.