Posterior Lumbar Interbody Fusion
- 1 March 2008
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of the American Academy of Orthopaedic Surgeons
- Vol. 16 (3), 130-139
- https://doi.org/10.5435/00124635-200803000-00004
Abstract
Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) create intervertebral fusion by means of a posterior approach. Both techniques are useful in managing degenerative disk disease, severe instability, spondylolisthesis, deformity, and pseudarthrosis. Successful results have been reported with allograft, various cages (for interbody support), autograft, and recombinant human bone morphogenetic protein-2. Interbody fusion techniques may facilitate reduction and enhance fusion. The rationale for PLIF and TLIF is biomechanically sound. However, clinical outcomes of different anterior and posterior spinal fusion techniques tend to be similar. PLIF has a high complication rate (dural tear, 5.4% to 10%; neurologic injury, 9% to 16%). These findings, coupled with the versatility of TLIF throughout the entire lumbar spine, may make TLIF the ideal choice for an all-posterior interbody fusion.This publication has 58 references indexed in Scilit:
- Clinical and radiological relationship between posterior lumbar interbody fusion and posterolateral lumbar fusionSurgical Neurology, 2005
- Fusion for low-grade adult isthmic spondylolisthesis: a systematic review of the literatureEuropean Spine Journal, 2005
- Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: intractable low-back pain without stenosis or spondylolisthesisJournal of Neurosurgery: Spine, 2005
- Transforaminal lumbar interbody fusion: a safe technique with satisfactory three to five year resultsEuropean Spine Journal, 2005
- Transforaminal Lumbar Interbody FusionSpine, 2004
- Mechanics of Interbody Spinal FusionSpine, 1993
- The Biomechanics of Posterior Lumbar Interbody Fusion (PLIF) in SpondylolisthesisClinical Orthopaedics and Related Research, 1985
- Spinal Stenosis and Posterior Lumbar Interbody FusionClinical Orthopaedics and Related Research, 1985
- Biomechanics of Lumbar FusionClinical Orthopaedics and Related Research, 1985
- A Technical Modification of Cloward's Posterior Lumbar Interbody FusionNeurosurgery, 1977