Pedicle screws joined by a flexible system that controls abnormal movement without fusing the segment, in a completely reversible technique.
It restrains the excessive mobility that causes pain but, unlike a fusion, keeps some movement of the segment. The technique remains current with the Transition system from Globus Medical.
Its most important feature is that it is a completely reversible technique: it does not damage healthy structures such as muscle or the facet joint capsules. If it fails, it can be removed or replaced by any other available technique.
Its results are very interesting, although the published evidence is not yet solid. That is why I reserve it for selected cases, and I explain this before proposing it.
Typical indications
- Selected cases in which the aim is to stabilise the segment without fusing it
- Patients in whom it matters to keep other techniques open for the future