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Variable segmental plating for the treatment of spinal instability.

M A Ohman

    Today'S OR Nurse
    |June 1, 1992
    PubMed
    Summary

    Posterior lumbar interbody fusion (PLIF) corrects vertebral displacement using specialized screws and plates. This surgical technique addresses various spinal conditions but carries risks like infection and hardware complications.

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    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Spinal Fusion Techniques

    Background:

    • Spondylolisthesis involves vertebral displacement, often requiring surgical intervention.
    • Degenerative disc disease, spinal stenosis, and instability are common indications for spinal fusion.
    • Posterior lumbar interbody fusion (PLIF) is a surgical approach for lumbar spine stabilization.

    Purpose of the Study:

    • To describe the technique of Posterior Lumbar Interbody Fusion (PLIF).
    • To outline the indications for performing PLIF.
    • To detail potential complications associated with PLIF.

    Main Methods:

    • PLIF utilizes variable screw placement and slotted plates with transpedicular screws.
    • Surgical correction of spondylolisthesis is achieved through this method.
    • Bone grafting is integral to the fusion process.

    Main Results:

    • PLIF is indicated for degenerative disc disease, recurrent disc herniation, and spinal stenosis.
    • It addresses various forms of spinal instability and spondylolysis.
    • Successful fusion aims to correct vertebral subluxation.

    Conclusions:

    • PLIF is a viable surgical option for specific lumbar spine pathologies.
    • Potential complications include infection, pedicle fracture, nerve impingement, and screw breakage.
    • Infection necessitates hardware removal for treatment.

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