Related Experiment Video
Updated: Aug 5, 2026
05:37
Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
Understanding the Facet Joint Fusion Process: A Narrative Review for Clinicians and Surgeons Addressing the Who, Why,
Carla García-Ramos1, Diana Laura Hernandez Moctezuma2, Maria-Fernanda Medina-Perez1
1Spine Surgery, Instituto Nacional de Rehabilitación "Luis Guillermo Ibarra Ibarra", Mexico City, MEX.
Cureus
|July 28, 2026
Summary
Lumbar facet joint fusion enhances spinal stability and long-term outcomes for degenerative spondylolisthesis. Careful patient selection, surgical technique, and postoperative care are crucial for successful spinal fusion.
Area of Science:
- Orthopedics
- Neurosurgery
- Spinal Surgery
Background:
- Degenerative spondylolisthesis (DS) management often involves lumbar facet joint fusion.
- Optimizing patient outcomes requires understanding fusion processes and clinical implications.
Purpose of the Study:
- To review existing evidence on lumbar facet joint fusion using a structured WHO, WHY, WHAT, WHEN, WHERE, WHICH, HOW framework.
- To provide a modern, evidence-based perspective for clinicians managing lumbar spinal DS.
Main Methods:
- A structured PubMed/MEDLINE search was conducted from inception to June 15, 2026.
- Included peer-reviewed studies, guidelines, and trials on facet joint fusion, fusion rates, and outcomes.
Main Results:
- Facet joint fusion significantly improves spinal stability and long-term results in DS.
- Patient selection, understanding pathophysiology, surgical techniques (ALIF, OLIF, XLIF, PLIF, TLIF), timing, anatomy, and imaging influence success.
Conclusions:
- Lumbar facet joint fusion is integral to successful DS surgical management.
- Optimal perioperative care, including planning and execution, reduces reoperation and improves quality of life.
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