Posterior Lumbar Interbody Fusion

By | April 22, 2015

In life, there are many different types of fusions.  This is a posterior view of one of the most endearing.

In life, there are many different types of fusions. This is a posterior view of one of the most endearing.

In a posterior lumbar interbody fusion (PLIF) the incision is made in the midline and the dissection is carried down to the spine. The laminae and spinous process are resected as an integral part of the procedure exposing the disc space and the nerve roots, which are gently retracted out of the way. The midline approach provides excellent bilateral exposure of pars interarticularis of the vertebrae and the pedicles deep to it. This allows for the placement of bilateral pedicle screws, which may be helpful in reducing large spondylolistheses. A PLIF is often the operation of choice for our patients at Schlesinger Pain Centers who have spondylolisthesis with central stenosis as well as foraminal stenosis.


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