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Related Experiment Video

Updated: Jun 8, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

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[Minimally-invasive circumferential lumbar arthrodesis. Functionality and complications].

Emiliano Neves Vialle1, Luis Roberto Gomes Vialle, André Vidigal

  • 1Hospital Universitario Cajuru de la Pontificia Universidad Católica de Paraná.

Acta Ortopedica Mexicana
|September 14, 2010
PubMed
Summary

Minimally-invasive circumferential arthrodesis effectively treats degenerative disc disease, showing significant pain reduction and improved function. This spinal fusion technique results in high healing rates and minimal complications.

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Area of Science:

  • Spine surgery
  • Orthopedics
  • Minimally invasive procedures

Background:

  • Degenerative disc disease (DDD) significantly impacts patient quality of life.
  • Traditional treatments for DDD often have limitations or contraindications.
  • Lumbar arthroplasty may not be suitable for all DDD patients.

Purpose of the Study:

  • To evaluate the outcomes of minimally-invasive circumferential arthrodesis for degenerative disc disease.
  • To assess functional recovery, interbody healing, and complication rates.
  • To report the authors' experience with this surgical technique.

Main Methods:

  • 36 patients with DDD and contraindications for lumbar arthroplasty underwent minimally-invasive circumferential arthrodesis.
  • The procedure involved an anterior approach with an interbody spacer and a posterior approach with translaminar facet screws.

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Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique
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Last Updated: Jun 8, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique
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  • Patients were assessed pre- and post-operatively using visual analogue pain and Oswestry disability scales, and a satisfaction scale.

    • Main Results:

    • Significant reduction in pain scores (VAS 9.1 to 2.3) and Oswestry disability (47% to 21%).
    • High interbody healing rates confirmed at 6-month follow-up.
    • Excellent patient satisfaction (9.2/10) at two-year follow-up.
    • Low complication rate (2/36), including one vascular injury and one transient retrograde ejaculation.

    Conclusions:

    • Minimally-invasive circumferential arthrodesis is an effective treatment for degenerative disc disease.
    • The technique achieves high rates of interbody healing and functional recovery.
    • This approach offers a low complication profile for selected DDD patients.