Standardizing Lumbar Interbody Fusion Nomenclature

Abstract

Study Design: This article is a research methodology study. Objective: We summarize current ambiguities and inaccuracies regarding lumbar interbody fusion nomenclature and propose a standardized reporting method to improve the clarity of future research and communication among spine surgeons and researchers. Summary of Background Data: Lumbar interbody fusion techniques have seen an impressive degree of refinement over recent years. This innovation has ushered in a plethora of naming conventions for these new surgical approaches. Many of the current trends in naming lumbar fusion techniques are, however, redundant and contradictory, creating unnecessary confusion in the field. Methods: Following an extensive literature review, we developed a 4-part naming convention that highlights the crucial features of lumbar fusion surgical procedures. Results: Current literature regarding lumbar fusions is rife with inconsistent usage and privatization of terminology that can inadvertently result in ambiguous operative vocabulary, potentially compromising the accuracy of future research. We propose a 4-part naming system that highlights crucial features of lumbar interbody fusions, including (1) intra-operative repositioning, (2) patient position, (3) surgical technique, and (4) orientation of the surgical corridor to the psoas muscle. Conclusions: This study raises awareness of current inconsistencies in naming conventions and proposes a standardized system for improving the clarity of lumber interbody fusion terminology for the broader spine community. Level of Evidence: Level V.

Research Progress in Lumbar Interbody Fusion (LIF) Techniques and Bone Biomaterials

“…Traditional lumbar interbody fusion/arthrodesis (LIF) is a treatment option that utilizes posterior or anterior internal fixation to stabilize painful motion segments, restore lumbar physiological lordosis, correct deformities, and provide indirect decompression [4]. Currently, various surgical approaches have been developed for lumbar interbody fusion, including anterior LIF (ALIF), posterior LIF (PLIF), transforaminal LIF (TLIF), extreme or lateral LIF (XLIF/LLIF), oblique LIF (OLIF), and minimally invasive TLIF (MIS-TLIF) [5]. Published by Francis Academic Press, UK -94-techniques and interbody fusion cage design for treating low back pain [6].…”