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Updated: Aug 9, 2026
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Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion
Published on: June 16, 2023
[Anterior lumbar interbody fusion (ALIF) using a cage with stabilization]
1Neurochirurgische Klinik, Leopoldina Krankenhaus, Schweinfurt. jweber@leopoldina.de
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|February 25, 2006
Summary
Anterior lumbar interbody fusion (ALIF) with cage stabilization shows promise for degenerative disc disease and failed-back surgery syndrome, achieving good outcomes in 61% of patients. Further research is needed to interpret clinical results cautiously.
Area of Science:
- Spine surgery
- Orthopedics
- Neurosurgery
Context:
- Degenerative disc disease and failed-back surgery syndrome are common causes of chronic low back pain.
- Anterior lumbar interbody fusion (ALIF) is a surgical technique used to treat these conditions.
- The use of interbody cages with stabilization aims to improve fusion rates and clinical outcomes.
Purpose:
- To evaluate the clinical and radiological outcomes of ALIF using a cage with stabilization.
- To assess the complication rates associated with this surgical approach.
Summary:
- This prospective observational study evaluated 18 patients (36-77 years) undergoing ALIF with cage stabilization.
- Clinical outcomes, assessed by the modified Prolo scale, were excellent or good in 61% of patients.
- Radiological evaluation showed solid arthrodesis in 66% of patients after a mean follow-up of 14 months. Complications included peritonitis, deep vein thrombosis, meralgia paresthetica, cage dislocation, and broken screws.
Impact:
- ALIF with cage stabilization represents a viable therapeutic option for specific spinal conditions.
- The study highlights the need for careful interpretation of clinical results due to observed complications.
- Findings contribute to understanding the efficacy and risks of ALIF in managing degenerative spinal pathologies.
