State of the union: a review of lumbar fusion indications and techniques for degenerative spine disease.
Abstract
Lumbar fusion is an accepted and effective technique for the treatment of lumbar degenerative disease. The practice has evolved continually since Albee and Hibbs independently reported the first cases in 1913, and advancements in both technique and patient selection continue through the present day. Clinical and radiological indications for surgery have been tested in trials, and other diagnostic modalities have developed and been studied. Fusion practices have also advanced; instrumentation, surgical approaches, biologics, and more recently, operative planning, have undergone stark changes at a seemingly increasing pace over the last decade. As the general population ages, treatment of degenerative lumbar disease will become a more prevalent-and costlier-issue for surgeons as well as the healthcare system overall. This review will cover the evolution of indications and techniques for fusion in degenerative lumbar disease, with emphasis on the evidence for current practices.
Keywords
llif = lateral lumbar interbody fusion
odi = oswestry disability index
tlif = transforaminal lumbar interbody fusion
alif = anterior lumbar interbody fusion
all = anterior longitudinal ligament
cfrp = carbon fiber reinforced peek
peek = polyetheretherketone
plif = posterior lumbar interbody fusion
ps = pedicle screw
sport = spine patient outcomes research trial
tfs = transfacet screw
tl = translaminar
cps = cortical pedicle screw
degenerative spine disease
lumbar fusion
lumbar spondylosis
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54055
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0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
54055
Unique Identifier:
10.3171/2019.4.SPINE18915
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Scimatic Chain (ID: 481)
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