Archive for November 15th, 2009

 

PLIF (Posterior Lumbar Interbody Fusion) Surgery Abroad

 

PLIF Surgery

 

Posterior lumbar interbody fusion (PLIF) is a surgical technique for placing bone graft between adjacent vertebrae (interbody). Typically, screws and rods or other types of spinal instrumentation are used to hold the spine in position while the bone heals. Indications for this procedure may include pain and spinal instability resulting from spondylolisthesis, degenerative disc disease, or when a discectomy is performed to relieve nerve compression and the patient has associated mechanical low back pain…

 

Minimal Access Spinal Technologies

Today, spinal surgery has advanced to a new level that utilizes Minimal Access Spinal Technologies (MAST). These technologies replace traditional open surgical procedures with innovative minimally invasive techniques and tools…

 

Open Approach

A longer incision along the middle of the back is necessary. Large bands of muscle tissue are stripped from the underlying spinal elements including the spinous process, lamina, and facets. These tissues are pulled aside (retracted) during surgery to provide the surgeon a good view of the spine and room for performing the procedure.

 

Minimally Invasive Approach

In minimally invasive procedures, the surgical incisions are small, there is no need (or minimal need) for muscle stripping, there is less tissue retraction, and blood loss is minimized. Special surgical tools allow the surgeon to achieve the same goals and objectives as the open surgery while minimizing cutting and retracting of the paraspinous muscles…

 

Open PLIF Procedure

A typical PLIF procedure involves an open incision (approximately 6 inches long) in the middle of the lower back followed by stripping the paraspinous muscles away from the spine. Bone removal (laminectomy) and lumbar discectomy are performed to remove pressure from affected spinal nerve roots. When the offending disc is removed an empty space is left between the upper and lower vertebrae (interbody)…

 

MAST PLIF Procedure

Now spine surgeons can combine three innovative spinal surgical “systems” with Minimal Access Spinal Technologies (MAST). The combination of these systems allows a PLIF to be performed through two one-inch incisions on either side of the low back. The paraspinous muscles do not need to be stripped from the spine. The spine surgeon can perform bone removal, a discectomy, an interbody fusion, and pedicle screw insertion through the same small incisions!…

 

Conclusion

Advancements in spine surgery continue to evolve, providing surgeons with better tools and techniques to treat patients with spinal disorders. We can only expect further improvements as spine specialists continue to adopt and develop emerging technologies and integrate them into their practices…

 

 

 

 

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