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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
Published on: July 25, 2025
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Restoring segmental lumbar lordosis after failed previous fusion at the same level
Evgenii S Baykov1, Dmitriy M Kozlov2, Olga N Leonova1
1Department No. 12 of Traumatology and Orthopedics, Priorov National Medical Research Center for Traumatology and Orthopedics, Moscow, Russia.
Journal of Spine Surgery (Hong Kong)
|July 7, 2025
Summary
Restoring lumbar lordosis after failed spinal surgery is challenging. This new posterior surgical technique efficiently restores segmental lordosis using an intervertebral cage and specific positioning, avoiding extensive instrumentation.
Area of Science:
- Orthopedics
- Neurosurgery
- Spinal Surgery
Background:
- Restoring segmental lordosis is a significant challenge in revision spinal surgery.
- Failed previous fusion necessitates advanced techniques for lumbar lordosis restoration.
Purpose of the Study:
- To present a novel posterior surgical technique for restoring segmental lordosis.
- To detail the indications, contraindications, and step-by-step procedure for this technique.
Main Methods:
- Total dissection of the annulus fibrosus via a posterior approach.
- Utilizing an intervertebral cage in the anterior third of the disc space.
- Employing a head-up, feet-up operating table position and segmental screw contraction.
Main Results:
- The technique effectively restores segmental lordosis in revision spinal surgery.
- It avoids lengthy procedures, extensive instrumentation, and multi-stage operations.
- The posterior approach proved highly efficient and safe for failed fusion cases.
Conclusions:
- This posterior surgical technique offers an efficient and safe method for restoring segmental lordosis.
- It is particularly beneficial in cases of failed previous fusion at the same spinal level.
- The described method enhances lumbar segment mobility for improved surgical outcomes.
