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Updated: May 9, 2026

Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique
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Solid fusion after lumbosacral arthroplasty.

Sang-Hoon Jang1, Ho-Yeon Lee, Ji-Young Cho

  • 1Sang-Hoon Jang, Ho-Yeon Lee, Ji-Young Cho, Sang-Ho Lee, Department of Neurosurgery, Wooridul Spine Hospital, Seoul 135-100, South Korea.

World Journal of Orthopedics
|July 24, 2013
PubMed
Summary
This summary is machine-generated.

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This study followed a patient with degenerative disc disease (DDD) who underwent lumbar arthroplasty. Post-surgery, pain and disability significantly decreased, with solid fusion achieved by five years.

Area of Science:

  • Spine surgery
  • Degenerative disc disease
  • Arthroplasty

Background:

  • Degenerative disc disease (DDD) at L5-S1 can cause significant back and leg pain.
  • Patient presented with severe symptoms, indicated by Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores.
  • Arthroplasty is a surgical option for managing DDD.

Purpose of the Study:

  • To report the clinical and radiographic outcomes of a patient with L5-S1 DDD treated with arthroplasty.
  • To evaluate the long-term efficacy and potential complications of lumbar arthroplasty.

Main Methods:

  • A 55-year-old female with L5-S1 DDD underwent arthroplasty.
  • Clinical assessment included Visual Analogue Scale (VAS) for pain and Oswestry Disability Index (ODI) for function.
Keywords:
Fusion, ArthroplastyHeterotopic ossificationLumbar spineSolid fusionTotal disc replacement

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  • Radiographic monitoring assessed range of motion (ROM) and fusion status post-surgery.

    • Main Results:

    • Significant reduction in VAS (back: 5 to 1, leg: 9 to 2) and ODI (32 to 6) scores over five years.
    • Initial post-operative ROM of 2.1° at one month improved to near 0° by two years.
    • Solid fusion of the L5-S1 segment was confirmed at five years.

    Conclusions:

    • Lumbar arthroplasty can lead to successful pain relief and functional improvement in patients with DDD.
    • Long-term follow-up demonstrated solid fusion and minimal residual ROM, suggesting a favorable outcome.
    • Potential complications like heterotopic ossification or fusion may arise from implant malpositioning.