Biomechanical comparison of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion by finite element analysis.

Abstract:

BACKGROUND:The transforaminal lumbar interbody fusion (TLIF) procedure may reduce many of the risks and limitations associated with posterior lumbar interbody fusion (PLIF). However, little is known about the biomechanical difference between PLIF and TLIF. OBJECTIVE:To determine the biomechanical difference between PLIF and TLIF by finite-element analysis. METHODS:Three validated finite-element models of L3-5 lumbar segment were created (intact model, PLIF model, and TLIF model). To analyze the biomechanics of these models, flexion, extension, rotation, and lateral bending moments of 7.5 N-m with a compressive preload of 400 N were imposed on the superior surfaces of the L3 vertebral body. RESULTS:The range of motion at the L4-5 level of the PLIF and TLIF models decreased for all loading cases, compared with the intact model. Differences in the range of motion between PLIF and TLIF were not significant at less than 1 degree for all loading cases. The stress of the cage was found to be high in the PLIF model at the cage-endplate interface under all loading conditions. The stress exerted on the pedicle screw was greater in TLIF than PLIF. Particularly in flexion loading, the stress experienced by the pedicle screw in the TLIF model was 70.7% greater than that in the PLIF model. CONCLUSION:The TLIF procedure increases the approximate biomechanical stability and reduces stress at the cage-endplate interface, except for a slight increase in screw stress. Clinically, the TLIF procedure may reduce many of the risks and limitations associated with PLIF and offer a useful alternative to the PLIF procedure.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Xu H,Tang H,Guan X,Jiang F,Xu N,Ju W,Zhu X,Zhang X,Zhang Q,Li M

doi

10.1227/NEU.0b013e3182742a69

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

21-6

issue

1 Suppl Operative

eissn

0148-396X

issn

1524-4040

journal_volume

72

pub_type

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