Lumbar degenerative spondylolisthesis remains one of the most common — and hotly debated — pathologies in spine surgery. For decades, the standard surgical answer to symptomatic grade I spondylolisthesis with stenosis has been decompression combined with fusion, most commonly via transforaminal lumbar interbody fusion (TLIF).
Fusion is predictable, familiar, and biomechanically intuitive. But it sacrifices motion at the treated segment and raises long-standing concerns about adjacent segment degeneration.
Subscribe to continue reading
- Unlimited access to our content and archive
- Exclusive access to our newsletter
- Join the Conversation! Exclusive access to article comments.
