Comparing Dennis Non-Fusion System Surgery to Traditional Spinal Fusion - Neurosurgery

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Dennis non-fusion system fixation surgery


Dear Dr.
Chiu: For intervertebral disc degeneration, if one undergoes a "Dennis non-fusion system fixation surgery," does it have the same effect as traditional spinal fusion surgery? How do the complexity, surgical approach, and prognosis differ from spinal fusion surgery? Since the surgery is performed at Tzu Chi Dalin Hospital, is it true that this is a new technology?

Ms. Li, 40~49 year old female. Ask Date: 2009/02/04

Dr. Qiu Yushu reply Neurosurgery


Lumbar disc surgery options range from endoscopic discectomy, microscopic decompression surgery (which involves only nerve decompression), artificial disc replacement, to ultimately spinal fusion with instrumentation.
The choice of procedure must be tailored to the individual circumstances of the patient.
Among these options, the "Dennis non-fusion system fixation surgery" serves as an intermediate choice between simple nerve decompression and spinal fusion.
Simple decompression carries a risk of recurrence; spinal fusion, while providing stability, sacrifices spinal mobility and may accelerate degenerative changes in adjacent vertebrae.
The Dennis system allows for the maintenance of spinal mobility while reducing the load on the intervertebral discs, thereby decreasing the likelihood of recurrence.
The complexity of the procedure is not greater than that of spinal fusion; however, due to its status as a newer surgical technique, the method of inserting the screws differs from that used in spinal fusion, and there are relatively few experienced surgeons.
This procedure is not covered by health insurance and costs approximately NT$70,000 to NT$80,000.
As Dr.
Qiu is on leave, Dr.
Zheng from the neurosurgery department is covering for him.

Reply Date: 2009/02/04

More Info


The comparison between the Dennis Non-Fusion System Surgery and traditional spinal fusion surgery is an important topic in the field of spinal surgery, particularly for patients suffering from degenerative disc disease. Both surgical options aim to alleviate pain and restore function, but they differ significantly in their approach, complexity, and long-term outcomes.

Effectiveness: The Dennis Non-Fusion System, also known as dynamic stabilization, is designed to provide support to the spine while preserving its natural range of motion. This system allows for some movement at the affected segment, which can reduce the stress on adjacent discs and potentially lower the risk of adjacent segment degeneration—a common issue seen in traditional spinal fusion surgeries. In contrast, spinal fusion involves permanently joining two or more vertebrae together, which can lead to a loss of flexibility and increased stress on nearby segments. While both procedures can relieve pain and improve function, the Dennis system may offer a more favorable long-term outcome in terms of preserving spinal mobility and reducing the risk of further degeneration.

Complexity: In terms of surgical complexity, the Dennis Non-Fusion System is generally considered to be less complex than traditional fusion surgery. However, it is important to note that the Dennis system is a newer technology, and there may be fewer surgeons with extensive experience in its application. This can lead to variability in outcomes based on the surgeon's familiarity with the technique. Traditional spinal fusion has been performed for decades, and many surgeons are well-versed in the procedure, which can contribute to more predictable outcomes.

Surgical Technique: The surgical techniques for both procedures differ significantly. The Dennis system involves the placement of screws and flexible rods that allow for dynamic stabilization, while spinal fusion typically requires the use of bone grafts and hardware to achieve solid fusion between vertebrae. The choice of technique will depend on the specific condition of the patient, including the degree of degeneration, the presence of instability, and overall spinal alignment.

Prognosis: The prognosis for patients undergoing either procedure can vary based on individual factors such as age, overall health, and the severity of the spinal condition. Patients who undergo the Dennis Non-Fusion System may experience quicker recovery times and less postoperative pain due to the preservation of motion. However, long-term studies are still needed to fully understand the outcomes associated with this newer technique compared to traditional fusion.

Insurance and Cost: It is also worth mentioning that the Dennis Non-Fusion System may not be covered by insurance, as it is considered a newer technology. Patients should be prepared for out-of-pocket expenses, which can range from $7,000 to $8,000, as mentioned in the previous discussions.

In conclusion, while both the Dennis Non-Fusion System and traditional spinal fusion surgery aim to address similar issues related to degenerative disc disease, they do so through different mechanisms. The Dennis system may provide advantages in terms of preserving spinal motion and reducing the risk of adjacent segment degeneration, but it requires careful consideration of the surgeon's experience and the patient's specific condition. As always, it is crucial for patients to have thorough discussions with their healthcare providers to determine the most appropriate surgical option for their individual needs.

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