الفهرس 
Lumbar Interbody FusionOnly 14 pages are availabe for public view
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Abstract
Symptomatic lumbar degenerative disease is essentially characterized by pain and walking difficulties due to abnormal motion or compression of neural structures and their vessels. This reflects specific situations, such as narrowing of the spinal canal, degenerative disc disease, and herniated disc, as well as any degenerative impairment of the posterior arch e.g arthropathy and spondylolisthesis.
The management of chronic low back pain caused by lumbar degenerative disease remain controversial with variety of treatment options. The traditional and routine approach is nonsurgical treatment as physiotherapy, analgesia and spinal injections.
Failure of the nonsurgical treatment lead to alternative options, one of these options is spinal fusion which could be done via anterior, lateral or posterior aspect of lumber spine to access the diseased motion segment.
Lumbar fusion surgery is the procedure that unites two or more vertebral bodies together to eliminate pathologic segmental motion alleviating the associated symptoms. Lumber fusion is classified into posterolateral fusion (create fusion of transverse processes and the lateral aspect of the facet joint) and interbody fusion (create fusion of vertebral bodies).
The objective of spinal fusion surgery is to achieve a solid arthrodesis of spinal segments while restoring disc height, immobilizing the unstable segment, and restoring load bearing to anterior structures. Nowadays, both posterior lumber interbody fusion and transforaminal lumber interbody fusion has been widely and successfully used in the management of lumber degenerative diseases.