Lumbar Fusion
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Lumbar Fusion :
Degeneration of the discs of the vertebral column and facet joints disease of the lumbar spine is common in the ageing population, as in line with orthopaedic cases like arthritis, and is one of the most frequent causes of disability.
Lumbar spondylosis may result in mechanical back pain and radicular and claudicant symptoms, resulting in reduced mobility and a poor quality of life.
Surgical interbody fusion of degenerative levels is an effective treatment option to stabilise the painful motion segment and may provide indirect decompression of the neural elements, restore lordosis, the natural curve of the lower back, and correct deformity.
The surgical options for interbody fusion of the lumbar spine include:
- Posterior Lumbar Interbody Fusion (PLIF),
- Trans-Foraminal Lumbar Interbody Fusion (TLIF),
- Oblique Lumbar Interbody Fusion (OLIF),
- Lateral Lumbar Interbody Fusion (LLIF)
- Anterior Lumbar Interbody Fusion (ALIF).
- Minimally invasive trans-foraminal lumbar interbody fusion (MI-TLIF),
The choice of approach is best decided by the neurosurgeon based on the severity and criticality, which vary from case to case.