Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: Interbody techniques for lumbar fusion

Update Item Information
Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Mummaneni, Praveen V.; Dhall, SanJay S.; Eck, Jason C.; Groff, Michael W.; Ghogawala, Zoher, Watters III, William C.; Resnick, Daniel K.; Choudhri, Tanvir F.; Sharan, Alok; Wang, Jeffrey C.; Kaiser, Michael G.
Title Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: Interbody techniques for lumbar fusion
Date 2014-01-01
Description Interbody fusion techniques have been promoted as an adjunct to lumbar fusion procedures in an effort to enhance fusion rates and potentially improve clinical outcome. The medical evidence continues to suggest that interbody techniques are associated with higher fusion rates compared with posterolateral lumbar fusion (PLF) in patients with degenerative spondylolisthesis who demonstrate preoperative instability. There is no conclusive evidence demonstrating improved clinical or radiographic outcomes based on the different interbody fusion techniques. The addition of a PLF when posterior or anterior interbody lumbar fusion is performed remains an option, although due to increased cost and complications, it is not recommended. No substantial clinical benefit has been demonstrated when a PLF is included with an interbody fusion. For lumbar degenerative disc disease without instability, there is moderate evidence that the standalone anterior lumbar interbody fusion (ALIF) has better clinical outcomes than the ALIF plus instrumented, open PLF. With regard to type of interbody spacer used, frozen allograft is associated with lower pseudarthrosis rates compared with freeze-dried allograft; however, this was not associated with a difference in clinical outcome.
Type Text
Publisher American Association of Neurological Surgeons
Volume 21
Issue 1
First Page 67
Last Page 74
Language eng
Bibliographic Citation Mummaneni, P. V., Dhall, S. S., Eck, J. C., Groff, M. W., Ghogawala, Z., Watters III, W. C., Dailey, A.T., Resnick, D. K., Choudhri, T. F., Sharan, A., Wang, J. C., & Kaiser, M. G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: Interbody techniques for lumbar fusion. Journal of Neurosurgery: Spine, 21(1), 67-74.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 1,429,446 bytes
Identifier uspace,18819
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Setname ir_uspace
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Reference URL https://collections.lib.utah.edu/ark:/87278/s6rc0dp2
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