Surgical techniques

Posterior lumbar interbody fusion

Louis F. Amorosa, Jeffrey A. Rihn, Todd J. Albert

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The posterior lumbar interbody fusion (PLIF) was first described by Cloward in 1953. As the procedure has gained more popularity over the past several decades, studies reporting fusion rates have been high. The introduction of pedicle screw instrumentation and concomitant posterolateral fusion with bone grafting makes the likelihood of successful fusion of combined PLIF and posterolateral instrumentation extremely high. The PLIF is performed from a true direct posterior angle, retracting the dura and preserving part of the facet joint. There is a significant risk of complications with the PLIF procedure and careful surgical technique should be adhered to in order to minimize these risks. The transforaminal interbody fusion (TLIF) was introduced by Harms as an adaptation of the PLIF, has similar indications, and is designed primarily to decrease the amount of dural retraction necessary during the discectomy and interbody cage insertion. This chapter will discuss the indications for PLIF, including deciding between the PLIF and other interbody fusion techniques, the surgical technique, and complications of the procedure and their management.

Original languageEnglish (US)
Title of host publicationSpondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques
PublisherSpringer US
Pages163-178
Number of pages16
ISBN (Print)9781489975751, 9781489975744
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Zygapophyseal Joint
Diskectomy
Bone Transplantation
Pedicle Screws

Keywords

  • Cage migration
  • Incidental durotomy
  • Posterior lumbar interbody fusion (PLIF)
  • RhBMP-2
  • Transforaminal interbody fusion (TLIF)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Amorosa, L. F., Rihn, J. A., & Albert, T. J. (2015). Surgical techniques: Posterior lumbar interbody fusion. In Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques (pp. 163-178). Springer US. https://doi.org/10.1007/978-1-4899-7575-1_13

Surgical techniques : Posterior lumbar interbody fusion. / Amorosa, Louis F.; Rihn, Jeffrey A.; Albert, Todd J.

Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques. Springer US, 2015. p. 163-178.

Research output: Chapter in Book/Report/Conference proceedingChapter

Amorosa, LF, Rihn, JA & Albert, TJ 2015, Surgical techniques: Posterior lumbar interbody fusion. in Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques. Springer US, pp. 163-178. https://doi.org/10.1007/978-1-4899-7575-1_13
Amorosa LF, Rihn JA, Albert TJ. Surgical techniques: Posterior lumbar interbody fusion. In Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques. Springer US. 2015. p. 163-178 https://doi.org/10.1007/978-1-4899-7575-1_13
Amorosa, Louis F. ; Rihn, Jeffrey A. ; Albert, Todd J. / Surgical techniques : Posterior lumbar interbody fusion. Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques. Springer US, 2015. pp. 163-178
@inbook{5914fd8cb7994cd08fa9efc413c081d5,
title = "Surgical techniques: Posterior lumbar interbody fusion",
abstract = "The posterior lumbar interbody fusion (PLIF) was first described by Cloward in 1953. As the procedure has gained more popularity over the past several decades, studies reporting fusion rates have been high. The introduction of pedicle screw instrumentation and concomitant posterolateral fusion with bone grafting makes the likelihood of successful fusion of combined PLIF and posterolateral instrumentation extremely high. The PLIF is performed from a true direct posterior angle, retracting the dura and preserving part of the facet joint. There is a significant risk of complications with the PLIF procedure and careful surgical technique should be adhered to in order to minimize these risks. The transforaminal interbody fusion (TLIF) was introduced by Harms as an adaptation of the PLIF, has similar indications, and is designed primarily to decrease the amount of dural retraction necessary during the discectomy and interbody cage insertion. This chapter will discuss the indications for PLIF, including deciding between the PLIF and other interbody fusion techniques, the surgical technique, and complications of the procedure and their management.",
keywords = "Cage migration, Incidental durotomy, Posterior lumbar interbody fusion (PLIF), RhBMP-2, Transforaminal interbody fusion (TLIF)",
author = "Amorosa, {Louis F.} and Rihn, {Jeffrey A.} and Albert, {Todd J.}",
year = "2015",
month = "1",
day = "1",
doi = "10.1007/978-1-4899-7575-1_13",
language = "English (US)",
isbn = "9781489975751",
pages = "163--178",
booktitle = "Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques",
publisher = "Springer US",

}

TY - CHAP

T1 - Surgical techniques

T2 - Posterior lumbar interbody fusion

AU - Amorosa, Louis F.

AU - Rihn, Jeffrey A.

AU - Albert, Todd J.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - The posterior lumbar interbody fusion (PLIF) was first described by Cloward in 1953. As the procedure has gained more popularity over the past several decades, studies reporting fusion rates have been high. The introduction of pedicle screw instrumentation and concomitant posterolateral fusion with bone grafting makes the likelihood of successful fusion of combined PLIF and posterolateral instrumentation extremely high. The PLIF is performed from a true direct posterior angle, retracting the dura and preserving part of the facet joint. There is a significant risk of complications with the PLIF procedure and careful surgical technique should be adhered to in order to minimize these risks. The transforaminal interbody fusion (TLIF) was introduced by Harms as an adaptation of the PLIF, has similar indications, and is designed primarily to decrease the amount of dural retraction necessary during the discectomy and interbody cage insertion. This chapter will discuss the indications for PLIF, including deciding between the PLIF and other interbody fusion techniques, the surgical technique, and complications of the procedure and their management.

AB - The posterior lumbar interbody fusion (PLIF) was first described by Cloward in 1953. As the procedure has gained more popularity over the past several decades, studies reporting fusion rates have been high. The introduction of pedicle screw instrumentation and concomitant posterolateral fusion with bone grafting makes the likelihood of successful fusion of combined PLIF and posterolateral instrumentation extremely high. The PLIF is performed from a true direct posterior angle, retracting the dura and preserving part of the facet joint. There is a significant risk of complications with the PLIF procedure and careful surgical technique should be adhered to in order to minimize these risks. The transforaminal interbody fusion (TLIF) was introduced by Harms as an adaptation of the PLIF, has similar indications, and is designed primarily to decrease the amount of dural retraction necessary during the discectomy and interbody cage insertion. This chapter will discuss the indications for PLIF, including deciding between the PLIF and other interbody fusion techniques, the surgical technique, and complications of the procedure and their management.

KW - Cage migration

KW - Incidental durotomy

KW - Posterior lumbar interbody fusion (PLIF)

KW - RhBMP-2

KW - Transforaminal interbody fusion (TLIF)

UR - http://www.scopus.com/inward/record.url?scp=84945360399&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84945360399&partnerID=8YFLogxK

U2 - 10.1007/978-1-4899-7575-1_13

DO - 10.1007/978-1-4899-7575-1_13

M3 - Chapter

SN - 9781489975751

SN - 9781489975744

SP - 163

EP - 178

BT - Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques

PB - Springer US

ER -