Subscribe to RSS
DOI: 10.1055/s-2002-36545
Indications, Techniques, and Complications of Lumbar Interbody Fusion
Authors

Abstract
Lumbar interbody arthrodesis is a surgical technique that results in fusion of the anterior column of the spine. The indications for this procedure have evolved over time, and current indications include spinal deformity, segmental instability, and discogenic low back pain. Arthrodesis in the interbody space can be accomplished through anterior or posterior approaches to the spine, and these techniques are discussed. Surgical approaches in performing an interbody arthrodesis can be complicated by nerve and vascular injury. Clinical outcome studies are important in better defining the role of lumbar interbody arthrodesis as a substitute for posterior fusion in the lumbar spine.
Publication History
Publication Date:
13 January 2003 (online)
© 2002. Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662
Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.
-
REFERENCES
- 1
O'Brien JP.
The role of fusion for chronic low back pain. Orthop Clin North Am 1983; 14: 639-647
Reference Ris Wihthout Link
- 2 Scientific approach to the assessment and management of activity-related spinal disorders:
a monograph for clinicians. Report of the Quebec Task Force on Spinal Disorders, Spine
1987, 12 (7) S1-S59
Reference Ris Wihthout Link
- 3
Rutkow IM.
Orthopaedic operations in the United States, 1979 through 1983. J Bone Joint Surg Am 1986; 68: 716-719
Reference Ris Wihthout Link
- 4
Coppes MH,
Marani E,
Thomeer RT,
Groen GJ.
Innervation of ``painful'' lumbar discs. Spine 1997; 22: 2342-2350
Reference Ris Wihthout Link
- 5
Schwarzer AC,
Aprill CN,
Derby R,
Fortin J,
Kine G,
Bogduk N.
The prevalence and clinical features of internal disc disruption in patients with
chronic low back pain. Spine 1995; 20: 878-883
Reference Ris Wihthout Link
- 6
Suseki K,
Takahashi Y,
Takahashi K.
et al Sensory nerve fibres from lumbar intervertebral discs pass through rami communicantes:
a possible pathway for discogenic low back pain. J Bone Joint Surg Br 1998; 80: 737-742
Reference Ris Wihthout Link
- 7
Verbiest H.
Neurogenic intermittent claudication in cases with absolute and relative stenosis
of the lumbar vertebral canal (ASLC and RSLC), in cases with narrow lumbar intervertebral
foramina, and in cases with both entities. Clin Neurosurg 1973; 20: 204-214
Reference Ris Wihthout Link
- 8
Greenough CG,
Peterson MD,
Hadlow S,
Fraser RD.
Instrumented posterolateral lumbar fusion: results and comparison with anterior interbody
fusion. Spine 1998; 23: 479-486
Reference Ris Wihthout Link
- 9
Derby R,
Howard MW,
Grant JM,
Lettice JJ,
Van Peteghem KP,
Ryan DP.
The ability of pressure-controlled discography to predict surgical and nonsurgical
outcomes. Spine 1999; 24: 364-372
Reference Ris Wihthout Link
- 10
Weinstein J.
Report of the 1985 ISSLS Traveling Fellowship. Mechanisms of spinal pain: the dorsal
root ganglion and its role as a mediator of low-back pain. Spine 1986; 11: 999-1001
Reference Ris Wihthout Link
- 11
Saal JS,
Saal JA.
Management of chronic discogenic low back pain with a thermal intradiscal catheter:
a preliminary report. Spine 2000; 25: 382-388
Reference Ris Wihthout Link
- 12
Suk SI,
Lee CK,
Kim WJ,
Lee JH,
Cho KJ,
Kim HG.
Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral
fusion after decompression in spondylolytic spondylolisthesis. Spine 1997; 22: 210-220
Reference Ris Wihthout Link
- 13
Roca J,
Ubierna MT,
Caceres E,
Iborra M.
One-stage decompression and posterolateral and interbody fusion for severe spondylolisthesis:
an analysis of 14 patients. Spine 1999; 24: 709-714
Reference Ris Wihthout Link
- 14
Stewart G,
Sachs BL.
Patient outcomes after reoperation on the lumbar spine. J Bone Joint Surg Am 1996; 78: 706-711
Reference Ris Wihthout Link
- 15
Penta M,
Fraser RD.
Anterior lumbar interbody fusion: a minimum 10-year follow-up. Spine 1997; 22: 2429-2434
Reference Ris Wihthout Link
- 16
Tiusanen H,
Seitsalo S,
Osterman K,
Soini J.
Anterior interbody lumbar fusion in severe low back pain. Clin Orthop 1996; 324: 153-163
Reference Ris Wihthout Link
- 17
Tiusanen H,
Hurri H,
Seitsalo S,
Osterman K,
Harju R.
Functional and clinical results after anterior interbody lumbar fusion. Eur Spine J 1996; 5: 288-292
Reference Ris Wihthout Link
- 18
Cloward RB.
Posterior lumbar interbody fusion updated. Clin Orthop 1985; 193: 16-19
Reference Ris Wihthout Link
- 19
Schofferman J,
Slosar P,
Reynolds J,
Goldthwaithe N,
Koestler M.
A prospective randomized comparison of 270 degrees fusions to 360 degrees fusions
(circumferential fusions). Spine 2001; 26: E207-E212
Reference Ris Wihthout Link
- 20
Cloward RB.
Spondylolisthesis: treatment by laminectomy and posterior interbody fusion. Clin Orthop 1981; 154: 74-82
Reference Ris Wihthout Link
- 21
Brantigan JW,
Steffee AD,
Lewis ML,
Quinn LM,
Persenaire JM.
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; 25: 1437-1446
Reference Ris Wihthout Link
- 22
Humphreys SC,
Hodges SD,
Patwardhan AG,
Eck JC,
Murphy RB,
Covington LA.
Comparison of posterior and transforaminal approaches to lumbar interbody fusion.
Spine 2001; 26: 567-571
Reference Ris Wihthout Link
- 23
Lin PM,
Cautilli RA,
Joyce MF.
Posterior lumbar interbody fusion. Clin Orthop 1983; 180: 154-168
Reference Ris Wihthout Link
- 24
Kozak JA,
Heilman AE,
O'Brien JP.
Anterior lumbar fusion options: technique and graft materials. Clin Orthop 1994; 300: 45-51
Reference Ris Wihthout Link
- 25
Buttermann GR,
Glazer PA,
Hu SS,
Bradford DS.
Anterior and posterior allografts in symptomatic thoracolumbar deformity. J Spinal Disord 2001; 14: 54-66
Reference Ris Wihthout Link
- 26
Buttermann GR,
Glazer PA,
Bradford DS.
Revision of failed lumbar fusions: a comparison of anterior autograft and allograft.
Spine 1997; 22: 2748-2755
Reference Ris Wihthout Link
- 27
Buttermann GR,
Glazer PA,
Bradford DS.
The use of bone allografts in the spine. Clin Orthop 1996; 324: 75-85
Reference Ris Wihthout Link
- 28
Bagby G.
The Bagby and Kuslich (BAK) method of lumbar interbody fusion. Spine 1999; 24: 1857-1857
Reference Ris Wihthout Link
- 29
Tencer AF,
Hampton D,
Eddy S.
Biomechanical properties of threaded inserts for lumbar interbody spinal fusion. Spine 1995; 20: 2408-2414
Reference Ris Wihthout Link
- 30
Chen D,
Fay LA,
Lok J,
Yuan P,
Edwards WT,
Yuan HA.
Increasing neuroforaminal volume by anterior interbody distraction in degenerative
lumbar spine. Spine 1995; 20: 74-79
Reference Ris Wihthout Link
- 31
Sandhu HS,
Turner S,
Kabo JM.
et al Distractive properties of a threaded interbody fusion device: an in vivo model.
Spine 1996; 21: 1201-1210
Reference Ris Wihthout Link
- 32
Miyakoshi N,
Abe E,
Shimada Y,
Okuyama K,
Suzuki T,
Sato K.
Outcome of one-level posterior lumbar interbody fusion for spondylolisthesis and postoperative
intervertebral disc degeneration adjacent to the fusion. Spine 2000; 25: 1837-1842
Reference Ris Wihthout Link