J Korean Soc Spine Surg.  2001 Sep;8(3):350-355. 10.4184/jkss.2001.8.3.350.

Anterior Interbody Fusion for the Spondylolisthesis

• Jeon CH

• KMID: 2209756
• DOI: http://doi.org/10.4184/jkss.2001.8.3.350

Abstract

Spondylolisthesis is defined as the anterior slippage of one vertebra on another. Spondylolisthesis is a common painful condition but can also be an incidental radiographic finding in asymptomatic persons. Mild spondylolisthesis predisposes to chronic low back pain. The purpose of surgical treatment are to reduce low back pain and radiating pain, to relieve the neurologic symptoms, and to improve the posture by eliminating the instability of the lumbosacral region. The operative procedures include anterior interbody fusion, posterior fusion, posterolateral fusion, Gill's procedure, and repair of the pars interarticularis. The biomechanics of anterior interbody fusion are based on the restoration of the intervertebral disc space and fusion on the intantaneous axis of ratation of the functional vetebral unit. The advantages of anterior interbody fusion are indirect decompression of the spinal canal, decreased posterior muscle injury, reduced bleeding from the operative site, early postoperative ambulation; reduced hospital days, and high fusion rate.

Keyword

Spondylolisthesis; Anterior interbody fusion

MeSH Terms

Axis, Cervical Vertebra
Decompression
Hemorrhage
Humans
Intervertebral Disc
Low Back Pain
Lumbosacral Region
Neurologic Manifestations
Posture
Spinal Canal
Spine
Spondylolisthesis*
Surgical Procedures, Operative
Walking

Figure

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  Fig. 1. Shear forces at lower lumbar spine.

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  Fig. 2. Resistance to shear forces by posterior musculature, facet joint architecture, and disc integrity. Fig. 2. ① disc ② facet joint ③ muscles

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