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Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Curr+Rev+Musculoskelet+Med 2017 ; 10 (4): 530-8 Nephropedia Template TP
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Interbody Fusion Techniques in the Surgical Management of Degenerative Lumbar Spondylolisthesis #MMPMID29076042
Derman PB; Albert TJ
Curr Rev Musculoskelet Med 2017[Dec]; 10 (4): 530-8 PMID29076042show ga
Purpose of Review: The various lumbar interbody fusion (IBF) techniques and the evidence for their use in the treatment of degenerative lumbar spondylolisthesis (DLS) are described in this review. Recent Findings: The existing evidence is mixed regarding the indications for and utility of IBF in DLS, but its use in the setting of pre-operative instability is most strongly supported. Anterior (ALIF), lateral (LLIF), posterior (PLIF), transforaminal (TLIF), and axial (AxiaLIF) lumbar IBF approaches have been described. While the current data are limited, TLIF may be a better option than PLIF in DLS due the increased operative morbidity and peri-operative complications observed with the latter. LLIF also appears superior to PLIF in light of improved radiologic outcomes, fewer intra-operative complications, and potentially greater improvements in disability. The data comparing LLIF to TLIF are less conclusive. No studies specifically comparing ALIF or AxiaLIF to other IBF techniques could be identified. Summary: Instability may be the strongest indication for IBF in DLS. When IBF is employed, the authors? preferred technique is TLIF with posterior segmental spinal instrumentation. Further research is needed.