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Related Experiment Video

Updated: Feb 25, 2026

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
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Clinical Outcomes of Lumbar Fusions Using Transfacet Screws.

Iyooh Uche Davidson1, Emily C Courtois2, Isador Lieberman3

  • 1Spine Surgery, Texas Back Institute, Plano, USA.

Cureus
|February 24, 2026
PubMed
Summary
This summary is machine-generated.

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Transfacet screw fixation offers a viable alternative for lumbar fusion, significantly improving pain and function. This minimally invasive technique shows promise for spinal stabilization with reduced complications compared to traditional methods.

Area of Science:

  • Orthopedic Surgery
  • Spinal Fusion Techniques
  • Minimally Invasive Spine Surgery

Background:

  • Posterior lumbar fusion complications necessitate minimally invasive alternatives.
  • Transfacet screw fixation presents a promising technique with potential benefits.
  • This study evaluates transfacet screws for one- or two-level lumbar fusion.

Purpose of the Study:

  • To investigate the clinical outcomes of lumbar fusion using transfacet screws.
  • To compare transfacet screw fixation with traditional pedicle screws.
  • To assess pain reduction and functional improvement in patients undergoing transfacet screw fixation.

Main Methods:

  • Retrospective cohort study of 31 patients (2010-2022).
  • Inclusion criteria: one- or two-level lumbar fusion with transfacet or translaminar screws and ≥1-year follow-up.
Keywords:
lumbar spine surgeryminimally-invasive spineorthopedic spine surgerytransfacet screwtranslaminar screw

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  • Outcome measures: Oswestry Disability Index (ODI), Visual Analog Scale (VAS) for pain, reoperation rates.

    • Main Results:

    • Significant improvements observed in ODI (40.1 to 23.1) and VAS pain scores (back and leg).
    • Overall reoperation rate was 19.4%, with many addressing pre-existing conditions.
    • Transfacet screws demonstrated effectiveness in stabilizing the lumbar spine.

    Conclusions:

    • Transfacet screw fixation is a viable alternative to traditional pedicle screws for lumbar fusion.
    • The technique offers significant pain relief and functional improvement.
    • Further research may explore long-term outcomes and specific indications.