Cyclic testing of standalone ALIF versus TLIF in lumbosacral spines of low bone mineral density: an ex vivo biomechanical study.
Alina JacobMaximilian HeumannIvan ZdericPeter VargaNicolas IonBogdan BoceaDaniel HaschtmannTamas FeketeChristian Rainer WirtzR Geoff RichardsBoyko GueorguievMarkus LoiblPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2024)
Axial compression loading caused loosening of SALIF in Flex-Ext and LB, but not TLIF at L5/S1 in low BMD specimens. Nevertheless, Post-cyclic ROM and NZ of SALIF is comparable to TLIF. This suggests that, neither construct is optimal for the use in patients with reduced BMD.