Abstract
Lumbar interbody fusion is a common procedure for treating lower back pain related to degenerative disc diseases. The Coflex-F is a recently developed interspinous spacer, the makers of which claim that it can provide stabilisation similar to pedicle screw fixation. Therefore, this study compares the biomechanical behaviour of the Coflex-F device and pedicle screw fixation with transforaminal lumbar interbody fusion (TLIF) or anterior lumbar interbody fusion (ALIF) surgeries by using finite element analysis. The results show that the Coflex-F device combined with ALIF surgery can provide stability similar to the pedicle screw fixation combined with TLIF or ALIF surgery. Also, the posterior instrumentations (Coflex-F and pedicle screw fixation) combined with TLIF surgery had lower stability than when combined with ALIF surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 947-956 |
| Number of pages | 10 |
| Journal | Computer Methods in Biomechanics and Biomedical Engineering |
| Volume | 14 |
| Issue number | 11 |
| DOIs | |
| State | Published - 2011 |
| Externally published | Yes |
Keywords
- Anterior lumbar interbody fusion
- Finite element analysis; posterior instrumentations
- Interspinous spacer
- Pedicle screw fixation
- Transforaminal lumbar interbody fusion