STUDY DESIGN In vivo study of anterior discectomy and fusion using a bioresorbable 70:30 poly(l-lactide-co-d,l-lactide) interbody implant in an ovine model. OBJECTIVE To evaluate the efficacy of the polylactide implant to function as an interbody fusion device, and to assess the tissue reaction to the material during the resorption process. SUMMARY OF BACKGROUND DATA The use of polylactide ...

Clinical and radiological outcomes of lumbar interbody fusion using artificial fusion cages filled with calcium phosphate cements (CPCs) were retrospectively reviewed. Between 2002 and 2011, 25 patients underwent lumbar interbody fusion at Tokushima University Hospital, and 22 patients were enrolled in this study. Of these, 5 patients received autologous local bone grafts and 17 received CPC. J...

STUDY DESIGN Retrospective case series. PURPOSE To present radiographic outcomes following anterior lumbar interbody fusion (ALIF) utilizing a modular interbody device. OVERVIEW OF LITERATURE Though multiple anterior lumbar interbody techniques have proven successful in promoting bony fusion, postoperative subsidence remains a frequently reported phenomenon. METHODS Forty-three consecutiv...

STUDY DESIGN An experimental pilot study using an acrylic interbody cage in a dog cervical spine fusion model. OBJECTIVE To compare bony fusion in autologous bone grafting with a novel acrylic cage in terms of preservation of disc height, biomechanical properties, and histologic characteristics. SUMMARY OF BACKGROUND DATA Degenerative diseases of cervical intervertebral discs are commonly t...

INTRODUCTION: The majority of interbody devices for spine fusion are PEEK. Other interbody devices use a rough 2D titanium surface or full porous titanium or tantalum cores, which have been shown in-vitro and in-vivo to promote osteoinduction and osteointegration, respectively. Combining the increased osteogenic environment that titanium provides and the minimized subsidence and radiolucency fr...

Osteoporosis is a bone disease that afflicts millions of people around the world, and a variety of spinal integrity issues, such as degenerative spinal stenosis and spondylolisthesis, are frequently concomitant with osteoporosis and are sometimes treated with spinal interbody fusion surgery. Previous studies have demonstrated the efficacy of strontium ranelate (SrR) treatment of osteoporosis in...

The lateral lumbar interbody fusion (LLIF) is a relatively new technique that allows the surgeon to access the intervertebral space from a direct lateral approach either anterior to or through the psoas muscle. This approach provides an alternative to anterior lumbar interbody fusion with instrumentation, posterior lumbar interbody fusion, and transforaminal lumbar interbody fusion for anterior...

STUDY DESIGN: An experimental pilot study using an acrylic interbody cage in a dog cervical spine fusion model. OBJECTIVE: To compare bony fusion in autologous bone grafting with a novel acrylic cage in terms of preservation of disc height, biomechanical properties, and histologic characteristics. SUMMARY OF BACKGROUND DATA: Degenerative diseases of cervical intervertebral discs are commonly tr...

Intervertebral fusion cages have been in clinical use since the 1990s. Cages offer the benefits of bone graft containment, restored intervertebral and foraminal height, and a more repeatable, stable procedure compared to interbody fusion with graft material alone. Due to concerns regarding postoperative stability, loss of lordosis, and subsidence or migration of the implant, interbody cages are...

BACKGROUND The presacral retroperitoneal approach to an axial lumbar interbody fusion (ALIF) is a percutaneous, minimally invasive technique for interbody fusion at L5-S1 that has not been extensively studied, particularly with respect to long-term outcomes. OBJECTIVE The authors describe clinical and radiographic outcomes at 1-year follow-up for 50 consecutive patients who underwent the pres...