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

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Published on: February 14, 2025

Low Back Pain: Current Surgical Approaches.

Santosh Baliga¹, Katrina Treon¹, Niall John Angus Craig¹

¹Department of Elective Orthopaedics, Woodend Hospital, Aberdeen, UK.

Asian Spine Journal

|August 5, 2015

Summary

Low back pain (LBP) affects most people, with chronic cases sometimes needing surgery. This review covers traditional spinal fusion and newer motion-preserving techniques for LBP management.

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Area of Science:

Orthopedics
Neurosurgery
Pain Management

Background:

Low back pain (LBP) is a prevalent global health issue, significantly impacting work absence and quality of life.
While most LBP resolves with conservative care, approximately 10% of cases progress to chronic pain, often linked to lumbar osteoarthritis.
Traditional surgical interventions for chronic LBP, such as spinal fusion, carry risks including prolonged recovery and biomechanical disruption.

Purpose of the Study:

To review traditional surgical approaches for chronic low back pain secondary to lumbar osteoarthritis.
To explain novel concepts and terminology in contemporary back pain surgery.
To explore emerging motion-preserving surgical therapies as alternatives to spinal fusion.

Main Methods:

Review of established and novel surgical techniques for chronic low back pain.

Keywords:

Intervertebral disc degeneration Low back pain Minimally invasive surgical procedures Pedicle screws, Zygapophyseal joints Spinal fusion

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Discussion of traditional spinal fusion methods, including open and minimally invasive spine surgery (MISS).

Exploration of motion-preserving alternatives like total disc replacement and facet arthroplasty.

Main Results:

Spinal fusion, while effective for pain, can disrupt spinal biomechanics and lead to adjacent level disease.
Minimally invasive spine surgery (MISS) techniques aim to mitigate complications associated with traditional open fusion.
Motion-preserving surgeries offer a theoretical advantage by maintaining spinal biomechanics and potentially preventing adjacent level disease.

Conclusions:

Understanding traditional and novel surgical options is crucial for managing chronic low back pain.
Minimally invasive techniques and motion-preserving surgeries represent advancements in treating lumbar osteoarthritis-related LBP.
Further research into the long-term efficacy and biomechanical impact of novel surgical therapies is warranted.