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Updated: Feb 16, 2026

Novel Mini-open Transforaminal Lumbar Interbody Fusion
Published on: June 6, 2025
Lumbar Interbody Fusion: A Historical Overview and a Future Perspective
Suzanne L de Kunder1,2, Kim Rijkers3, Inge J M H Caelers1
1Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.
This historical review traces the evolution of lumbar interbody fusion surgery from its origins to modern techniques. Advances in materials and instrumentation have significantly improved spinal fusion outcomes over the last century.
Area of Science:
- Spine surgery
- Orthopedics
- Neurosurgery
Background:
- Lumbar interbody fusion is a prevalent instrumented spinal fusion procedure.
- The historical development spans from the 19th century to the present day.
Purpose of the Study:
- To provide a historical overview of lumbar interbody fusion surgery.
- To highlight the evolution of materials and techniques in spinal fusion.
Main Methods:
- Historical review of lumbar interbody fusion surgery.
- Analysis of technological advancements in spinal instrumentation and materials.
Main Results:
- Techniques evolved from basic wiring to complex procedures like transforaminal interbody fusion with PEEK cages and pedicle screw fixation.
- Significant growth in instrumented spinal surgery observed in recent decades.
Conclusions:
- Current focus is on refining techniques, optimizing patient selection, and establishing guidelines for instrumented spinal surgery.
- Need for standardized studies and personalized surgical approaches in spinal fusion is emphasized.
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