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KMID : 1189320220160061022
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Asian Spine Journal
2022 Volume.16 No. 6 p.1022 ~ p.1033
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Lumbar Interbody Fusion and Osteobiologics for Lumbar Fusion
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Kim Young-Hoon
Ha Kee-Yong
Kim Youn-Soo
Kim Ki-Won
Rhyu Kee-Won
Park Jong-Beom
Shin Jae-Hyuk
Kim Young-Yul
Lee Jun-Seok
Park Hyung-Youl
Ko Jae-Ryong
Kim Sang-Il
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Abstract
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Lumbar interbody fusion (LIF) is an excellent treatment option for a number of lumbar diseases. LIF can be performed through posterior, transforaminal, anterior, and lateral or oblique approaches. Each technique has its own pearls and pitfalls. Through LIF, segmental stabilization, neural decompression, and deformity correction can be achieved. Minimally invasive surgery has recently gained popularity and each LIF procedure can be performed using minimally invasive techniques to reduce surgery-related complications and improve early postoperative recovery. Despite advances in surgical technology, surgery-related complications after LIF, such as pseudoarthrosis, have not yet been overcome. Although autogenous iliac crest bone graft is the gold standard for spinal fusion, other bone substitutes are available to enhance fusion rate and reduce complications associated with bone harvest. This article reviews the surgical procedures and characteristics of each LIF and the osteobiologics utilized in LIF based on the available evidence.
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KEYWORD
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Lumbar vertebrae, Spinal fusion, Interbody fusion, Bone transplantation
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