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Related Experiment Video

Updated: Jun 13, 2026

Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique
08:36

Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique

Published on: January 23, 2026

Dynamic constructs for spinal fusion: an evidence-based review.

Michael P Kelly1, James M Mok, Sigurd Berven

  • 1Department of Orthopaedic Surgery, University of California, 500 Parnassus Avenue, MU 320-W, San Francisco, CA 94110, USA. kellym@orthosurg.ucsf.edu

The Orthopedic Clinics of North America
|April 20, 2010
PubMed
Summary

Dynamic spinal stabilization shows promise for cervical and lumbar issues, but evidence for its effectiveness compared to rigid fixation is limited. More high-quality research is needed to assess outcomes and compare alternatives for spinal disorders.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Dynamic spinal stabilization is used for degenerative cervical and lumbar diseases and thoracolumbar trauma.
  • Current dynamic devices face challenges with fusion rates, implant loosening, and failure, hindering widespread adoption.

Purpose of the Study:

  • To provide a synopsis of existing literature on dynamic spinal stabilization in human subjects.
  • To highlight the need for robust evidence regarding the efficacy of dynamic spinal stabilization techniques.

Main Methods:

  • Literature review of studies involving human subjects using dynamic spinal stabilization devices.
  • Analysis of reported fusion rates, implant complications, and clinical outcomes.

Main Results:

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Last Updated: Jun 13, 2026

Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique
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Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique

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  • Limited evidence supports dynamic cervical plates over rigid anterior cervical fixation.
  • Evidence for dynamic constructs in lumbar spinal fusion is also scarce.
  • Concerns regarding fusion rates and implant durability remain significant.

Conclusions:

  • High-quality evidence is crucial for evaluating interventions in spinal pathology.
  • An evidence-based approach necessitates ongoing assessment and comparative effectiveness studies of spinal disorder management alternatives.