Lumbar Interbody Fusion and Osteobiologics for Lumbar Fusion

December 27, 2022

doi: 10.31616/asj.2022.0435.

Online ahead of print.

Young-Hoon Kim¹, Kee-Yong Ha², Youn-Soo Kim³, Ki-Won Kim⁴, Kee-Won Rhyu⁵, Jong-Beom Park⁶, Jae-Hyuk Shin⁵, Young-Yul Kim⁷, Jun-Seok Lee⁸, Hyung-Youl Park⁸, Jaeryong Ko¹, Sang-Il Kim

Affiliations

¹ Department of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
² Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
³ Department of Orthopaedic Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
⁴ Department of Orthopaedic Surgery, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
⁵ Department of Orthopaedic Surgery, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
⁶ Department of Orthopaedic Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
⁷ Department of Orthopaedic Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
⁸ Department of Orthopaedic Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

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Young-Hoon Kim et al.

Asian Spine J.

2022.

doi: 10.31616/asj.2022.0435.

Online ahead of print.

Authors

Young-Hoon Kim¹, Kee-Yong Ha², Youn-Soo Kim³, Ki-Won Kim⁴, Kee-Won Rhyu⁵, Jong-Beom Park⁶, Jae-Hyuk Shin⁵, Young-Yul Kim⁷, Jun-Seok Lee⁸, Hyung-Youl Park⁸, Jaeryong Ko¹, Sang-Il Kim

Affiliations

¹ Department of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
² Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
³ Department of Orthopaedic Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
⁴ Department of Orthopaedic Surgery, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
⁵ Department of Orthopaedic Surgery, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
⁶ Department of Orthopaedic Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
⁷ Department of Orthopaedic Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
⁸ Department of Orthopaedic Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

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Abstract

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.

Keywords:

Bone transplantation; Interbody fusion; Lumbar vertebrae; Spinal fusion.