Lumbar_Interbody Fusion (Anterior/Posterior/Lateral)

Definition

Anterior Lumbar Interbody Fusion

Involves making a skin incision of 5-6 cm, avoiding the internal organs, approaching the spine, removing the disc, and replacing with an artificial disc or transplanting a bone.

Lateral Lumbar Interbody Fusion

A surgical technique when the anterior approach is not available due to vascular anomaly, severe calcification of aorta, common iliac arteries, or veins, or severe adhesion. Minimal bleeding and restoration of the posterior structures.

Posterior Lumbar Interbody Fusion

Technique to treat the cause selectively and directly

Indication

▶ Anterior Lumbar Interbody Fusion

  • Degenerative disc disease
  • Collapse of disc
  • Stenosis of bilateral intervertebral foramen
  • Changes of end plates
  • Back pain due to disc herniation
  • Failure of posterior lumbar interbody fusion
  • Infection
  • Spinal cord tumor
  • Deformity

▶ Lateral Lumbar Interbody Fusion

  • Severe calcification of aorta, common iliac arteries, or veins

▶ Posterior Lumbar Interbody Fusion

  • Degenerative disc disease
  • Collapse of disc
  • Stenosis of bilateral intervertebral foramen
  • Changes of end plates
  • Back pain due to disc herniation
  • Failure of posterior lumbar interbody fusion
  • Infection
  • Spinal cord tumor
  • Deformity

Procedure

Anterior Lumbar Interbody Fusion

  • Involves making a skin incision of 5~6 cm on the abdomen, avoiding the internal organs, approaching the anterior surface of the spine, and performing the fusion.

Lateral Lumbar Interbody Fusion

  • Involves making an incision on the flank, dissecting the muscles, approaching the spine, removing the disc and performing the fusion.

Posterior Lumbar Interbody Fusion

  • Removing lamina and ligamentum flavum, removing the disc and performing the fusion.

Duration

  • Anterior Lumbar Interbody Fusion: approximately 2~3 hour
  • Lateral Lumbar Interbody Fusion: approximately 2~3 hour
  • Posterior Lumbar Interbody Fusion: 2~3 hours
  • May vary by the extent of the surgery or the condition of the patient.

Hospital stay

Approximately 7~9 days

  • Removing stitches after 7-9 days
  • After removing stitches, a light shower is allowed three days later and bathing is allowed four weeks later
  • Brace for 2~3 month after cervical surgery, 2~3 months after lumbar surgery
  • Driving allowed 1 month later after cervical surgery, 2~3 months later after lumbar surgery
  • Soft food recommended after cervical surgery due to pain
  • No hot pad or acupuncture on procedure sites due to concern of infection
  • Follow-up visit required after 2-4 weeks