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Posterior lumbar interbody fusion and plates
1St. Vincent Charity Hospital, Cleveland, OH 44115.
Clinical Orthopaedics and Related Research
|February 1, 1988
Summary
Posterior lumbar interbody fusion (PLIF) combined with transpedicular screw fixation offers a successful surgical option for spinal conditions. This technique demonstrated excellent fusion rates and no major complications in 67 patients.
Area of Science:
- Spine surgery
- Orthopedic surgery
- Neurosurgery
Background:
- Posterior lumbar interbody fusion (PLIF) is a recognized surgical treatment for various lumbar spine pathologies.
- Conditions treated include herniated discs, degenerative disc disease, and low-grade spondylolistheses.
- Advancements in spinal instrumentation are crucial for improving fusion outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of PLIF when augmented with segmental spine plates and transpedicular screw fixation.
- To assess the osteosynthesis and success rates of interbody fusion using this combined technique.
Main Methods:
- Posterior lumbar interbody fusion (PLIF) was performed.
- Transpedicular screw fixation with newly developed segmental spine plates was utilized.
- Surgical outcomes were monitored for graft stability, fusion success, and complications.
Main Results:
- A total of 104 fusion procedures were completed in 67 patients.
- No dislocations of interbody grafts were observed.
- There were no indications of graft absorption, pseudoarthrosis (failed fusion), or infections.
Conclusions:
- The combination of PLIF with transpedicular screw fixation and segmental plates is a safe and effective surgical approach.
- This technique enhances osteosynthesis and achieves high success rates for interbody fusion.
- The method shows promising results with a low complication profile for lumbar spine pathologies.