A Titanium Implant for Interbody Fusion in Degenerative Lumbar Disk Disease

  • Julian W. Chang
  • Arthur C. M. C. Yau


Surgery is sometimes needed in the management of patients suffering from degenerative lumbar disk disease. Posterior diskectomy alone without stabilization of the motion segment often fails to relieve back pain. Scarring around and possible devascularization of the nerve root is sometimes responsible for recurrent and persistent symptoms. Posterolateral fusion has not been shown to control the motion segment effectively. On the other hand, anterior diskectomy with interbody fusion avoids these problems and effectively eliminates the motion segment in a high percentage of cases [1]. There are however inherent difficulties with anterior interbody fusion using autogenous iliac bone graft, including problems with harvesting enough good quality grafts, especially in cases involving revision, multi-level fusion, osteoporosis, and in ethnic groups such as the Chinese who often have thin pelvises. Donor site complications are common, such as pain, fracture, hematoma, and wound drainage. The quality of the graft can also cause problems with graft extrusion, non-union, and early or delayed graft collapse. For these reasons, a search was begun for a graft substitute that would ideally be available in various sizes, be biocompatible, be strong enough to support the spine, have mechanical properties close to the normal lumbar motion segment, and preferrably allow biological fixation.


Motion Segment Interbody Fusion Pure Titanium Titanium Implant Anterior Lumbar Interbody Fusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Chang J, Yau A (1987) Anterior lumbar interbody fusion. A review of 189 cases. Proceedings of the Western Pacific Orthopaedic Association 25th Annual Meeting, Dec, Manila, PhilippinesGoogle Scholar
  2. 2.
    Leong JCY, Chow SP, Yau ACMC, Rostoker W (1983) The use of porous titanium mesh implant after diskectomy in patients with prolapsed intervertebral disk. The 10- year results of a prospective trial. Proceedings of 3rd Congress of Spinal Section, Western Pacific Orthopaedic Association University of Hong Kong Press, Hong Kong, pp 114–115Google Scholar
  3. 3.
    Gallante J, Rostoker W, Lueck R (1971) Sintered fiber metal composites as a basis for attachments of implant to bone. J Bone Joint Surg [Am] 53: 101–114Google Scholar
  4. 4.
    Chang J, Yau A (1990) Anterior lumbar diskectomy and interbody fusion using a titanium mesh implant. Orthop Trans 14: 54, no. 1Google Scholar
  5. 5.
    Barth E, Ronningen H, Solheim FL (1985) Comparison of ceramic and titanium implant in cats. Acta Orthop Scand 56: 491–495PubMedCrossRefGoogle Scholar
  6. 6.
    Johansson C, Lausmaa J, Ask M, Hansson H-A, Albrektsson T (1989) Ultrastruc-tural differences of the interface zone between bone and Ti 6A14V or commercially pure titanium. J Biomed Eng 11: 3–8PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Julian W. Chang
  • Arthur C. M. C. Yau
    • 1
  1. 1.Hong Kong

Personalised recommendations