Kraus Back and Neck Institute in Houston, TX

Relief from Lower Back and Neck Pain

surgery optionsavoid surgery
      At the Kraus Back and Neck Institute (KBNI), we specialize
                 in non-surgical as well as surgical treatments
                                of Back and Neck  Pain
     Conservative to Surgical Options: MINIMALLY INVASIVE SPINE SUGERY 
 "Applying Science to the Art of Medicine"                                                  
                 Dr. Kraus is available for Neurosurgery consultation (surgical and non-surgical) in Houston.
                      Offices:  1) West Houston Medical Center
                                    2) Memorial Hermann Memorial City Hospital
                                    3) Katy
           FILM REVIEW:  send an e mail                                       
      To arrange  an appointment, call 281-870-9292,  visit
or   send an e mail
              For national and international patients, we can help with  travel arrangements
                                         top doctors houston texas 2007 top docs united states neurosurgery spine   top doctors houston texas 2008 top docs united states neurosurgery spine  top doctors houston texas 2009 top docs united states neurosurgery spine   best doctors in america, united states neurosurgery spine
                                            Dr. Kraus is honored to be listed in
                                            "Best Doctors in America" (2001-2008) and
                                             "Top Doctors of Houston, Texas" (2007, 2008, 2009)     

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Low Back Pain, can be very debilitating.  The effects of Low Back Pain in the USA are staggering!!

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   last updated
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fusion : "360"

This type of fusion implies fusion and support for the anterior and posterior segments of the spinal canal.  It has also been called "belts and suspenders." 

Examples would be an anterior lumbar interbody fusion (ALIF) followed by a posterior fusion with pedicle screws and rods.  Alternatively, it might consist of a posterior lumbar interbody fusion PLIF) followed by the placement posteriorly of pedicle screws and rods.  Another approach is to place a tangential fusion cage (POLAR) posteriorly, and supplement with pedicle screws.  Yet another variant would be an impacted PLIF (posterior lumbar interbody fusion) in which bone plugs are placed in the interspace between the vertebral bodies, and pedicle screws are places to compress the bone grafts in place.

fusion of the lumbar spine; bone growth stimulator

fusion cages in the spinefusion of the lumbar spine; pedicle screws



Above, on the left, is a model of a posterolateral fusion with bone graft and a bone growth stimulator.  In the middle is a posterior instrumentation with pedicle screws and rods.  On the right, an anterior lumbar interbody fusion with fusion cages packed with bone graft is seen. 

A "360 fusion" may provide additional stability and support, compared to a posterior fusion or an anterior fusion.  The final verdict on this remains to be determined.

As the number of fusion techniques grows, a growing number of questions is developing surrounding fusion.  What is the best technique?  Front or back?  What is the best substance to use for a fusion?  Does the patient's own bone heal during a fusion than bone morphogenic protein? What are the costs of a fusion, and is the cost of performing one type of fusion versus another type of fusion justified?  These and many other questions about fusion will be answered over time. 


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