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Handbook of Spine Technology pp 1–30Cite as

Spinal Plates and the Anterior Lumbar Interbody Arthrodesis

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Abstract

Each year over 200,000 lumbar spine fusions are performed. Fusion can be accomplished through an anterior, retroperitoneal approach, posterior or posterolateral approach, or more recently, through the lateral or transpsoas approach as pioneered by Pimenta and colleagues. Traditionally though, anterior interbody fusion (ALIF) has been a workhorse for discogenic pain and sagittal deformity of the lower lumbosacral spine. Most commonly this procedure involves placement of an interbody device followed by anterior tension band plating. But over the past decade and a half, new implants and new fusion devices have become available, which increase the robustness of this procedure. Here we discuss the basic indications of the ALIF procedure, provide a description of the classical ALIF procedure, and discuss current technologies.

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  1. Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, MD, USA

    Zach Pennington, A. Karim Ahmed & Daniel M. Sciubba

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    Don K. Moore

  2. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    William C. Welch

  3. Department of Neurosurgery, Pennsylvania Hospital, Philadelphia, PA, USA

    William C. Welch

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Pennington, Z., Ahmed, A.K., Sciubba, D.M. (2020). Spinal Plates and the Anterior Lumbar Interbody Arthrodesis. In: Cheng, B. (eds) Handbook of Spine Technology. Springer, Cham. https://doi.org/10.1007/978-3-319-33037-2_125-1

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