Anatomical instability in the lumbar spine (Spondylolysis & Spondylolisthesis) is common. The technique established by Dr. Ramani, to stabilize the spine has been widely acclaimed.

Unstable spine stabilized with author's technique	Reconstruction of spine in a case of failed back

Failed Back corrected by PLIF

Fusion is done with a combination of allo and auto grafts and further strengthened by using pedicle screws and plates. More recently titanium cages have been used effectively to achieve fusion.The technique has been found very useful to treat cases of failed back.

Osteosynthesis is good without significant settlement and further degenerative process in the motion segment is arrested. Good fusion also is known to help absorb established spurs in the vertebral bodies. Clinically the relief of pain is most significant and a sense of well being with a strengthened back is expressed on the patient's face.

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