Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Interbody fusion and instrumentation

P Enker1, A D Steffee

  • 1Cleveland Spine and Arthritis Center, Division of Orthopedic Surgery, Ohio.

Clinical Orthopaedics and Related Research
|March 1, 1994
PubMed
Summary

Posterior lumbar interbody fusion (PLIF) with pedicle fixation improves outcomes for adult degenerative disc disease. This technique enhances fusion rates and spinal stability, leading to better clinical success in complex cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Total joint arthroplasty for the metacarpophalangeal joint of the thumb-a preliminary report.

Orthopedics·2014
Same author

The development, technique, and early clinical results of total joint replacement for the metacarpophalangeal joint of the fingers.

Orthopedics·2014
Same author

Lumbar interbody fusion using the Brantigan I/F cage for posterior lumbar interbody fusion and the variable pedicle screw placement system: two-year results from a Food and Drug Administration investigational device exemption clinical trial.

Spine·2000
Same author

The causes of failure of lumbar transpedicular spinal instrumentation and fusion: a prospective study.

International orthopaedics·1996
Same author

Unicompartmental knee arthroplasty with patelloplasty.

International orthopaedics·1996
Same author

Evaluation of cold therapy in postoperative spine patients.

Surgical technology international·1996

Area of Science:

  • Spine surgery
  • Orthopedic surgery
  • Neurosurgery

Background:

  • Degenerative disc disease (DDD) of the lumbosacral spine presents with various complications including instability, herniation, and stenosis.
  • Traditional fusion techniques have variable success rates and complications like pseudarthrosis and instrumentation failure.

Purpose of the Study:

  • To evaluate the efficacy of circumferential fusion techniques, specifically Posterior Lumbar Interbody Fusion (PLIF) with segmental pedicle-based plate fixation.
  • To assess the impact of this technique on fusion rates, spinal stability, and clinical outcomes in adult DDD.

Main Methods:

  • Utilized Posterior Lumbar Interbody Fusion (PLIF) combined with segmental pedicle-based plate fixation.
  • Technique allows for wide decompression, extensive disk space preparation, and restoration of anterior column support.
  • Employed disk space distraction as a tool for safer decompression and deformity correction to restore spinal alignment.

Main Results:

  • Achieved high fusion rates, up to 96%.
  • Reported significant clinical success rates, up to 86%.
  • Demonstrated improved segmental stability, reduced graft retropulsion, and prolonged instrumentation life.

Conclusions:

  • PLIF with pedicle fixation is a demanding but effective technique for complex lumbosacral degenerative conditions.
  • This approach successfully addresses biomechanical insufficiency, instability, deformity, and spinal stenosis, improving patient outcomes.

Related Experiment Videos