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Lumbar Interbody Fusion Devices and Approaches: When to Use What

  • Laurence McEnteeEmail author
  • Mario G. Zotti
Living reference work entry

Abstract

Lumbar interbody fusion is an established surgical technique for a variety of conditions affecting the lumbar spine. A large number of interbody fusion devices made of differing materials are now available for use. Approaches for interbody fusion include anterior lumbar interbody fusion, oblique lumbar interbody fusion, lateral lumbar interbody fusion, axial lumbar interbody fusion, transforaminal lumbar interbody fusion, and posterior lumbar interbody fusion. This chapter discusses the biomechanics of lumbar interbody fusion devices and approaches and the clinical rationale and the clinical results of each approach. The advantages and disadvantages of each approach are compared and contrasted. The importance of an appropriate preoperative assessment to determine the best approach for interbody fusion is emphasized, taking into account the condition being treated, sagittal balance, bone quality, and contraindications to a specific approach. The best approach to lumbar interbody fusion by indication and surgical level(s) is discussed.

Keywords

Lumbar interbody fusion ALIF OLIF LLIF AxiaLIF TLIF PLIF Sagittal balance 

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Gold Coast SpineGold CoastAustralia

Section editors and affiliations

  • Matthew N. Scott-Young
    • 1
    • 2
  1. 1.Gold Coast SpineSouthportAustralia
  2. 2.Faculty of Health Sciences & MedicineBond UniversityVarsity LakesAustralia

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