Translaminar facetal screw (Magerl's) fixation.

Area of Science:

• Orthopedic Surgery
• Spinal Fusion Techniques
• Biomechanical Engineering

Background:

• Translaminar facet screw fixation (TLFS) stabilizes the vertebral motion segment.
• It involves screws inserted from the spinous process through the contralateral lamina, traversing the facet joint, to the transverse process base.
• TLFS is recognized for its simplicity, minimal equipment needs, and lower complication rates.

Purpose of the Study:

• To review the clinical and biomechanical aspects of TLFS in lumbar spine fusion.
• To discuss the surgical technique, indications, and contraindications for TLFS.
• To highlight recent advancements in TLFS for augmenting anterior lumbar fusions.

Main Methods:

• Literature review of clinical and biomechanical studies on TLFS.
• Analysis of surgical techniques and outcomes.
• Examination of indications, contraindications, and emerging developments.

Main Results:

• TLFS is a less invasive augmentation technique for anterior lumbar fusions.
• The procedure is associated with reduced magnitude, operative time, and cost.
• It demonstrates a low complication rate.

Conclusions:

• TLFS is a valuable and less invasive option for lumbar spine stabilization.
• Growing interest exists in using TLFS to achieve global fusion in conjunction with anterior lumbar fusion.
• Further research into recent developments will refine its application.