الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 161 |  |  |
| | | from | 161 | | |
Abstract
Background: Posterior lumbar fixation surgery is common procedure associated with lumbar fusion with different technique. The most frequent type of spine fusion is lumbar spine fusion, which can be done for a variety of reasons. There are two main techniques for lumbar spine fusion, posterolateral fusion and lumbar interbody fusion. This review aims to summarise, evaluate systematic reviews and analyze the therapeutic efficacy and outcome of posterior lumbar fixation surgeries and lumbar fusion including posterolateral fusion, PLIF and TLIF for most common diagnoses. In cases of recurrent lumbar disc herniation, there is no evidence that spine fusion has therapeutic advantage over repeated discectomy. There was no difference in the rates of re-operation between the two surgical procedures. According to lumbar fracture, we found no superiority in clinical benefit, system failure rate and other radiological parameters of arthrodesis over fixation only, in thoracolumbar burst fracture. The no-fusion group had much less surgical time and blood loss. Results of review for patients receiving fusion surgery for spondylolisthesis show that, In terms of attaining radiographic fusion, TLIF is superior to PLF without any observable increased risk for infection. However, There is very little evidence, that TLIF is better than PLF for attaining clinical improvement. If surgical intervention for spondylodiscitis is needed, less invasive surgical approaches (single-stage anterior or posterior fusion techniques) are strongly recommended, since they can have a better therapeutic outcome than more complex mixed anterior–posterior procedures. For more accurate evaluation of the efficacy of spinal fusion surgery on all indications, more evidence is required.