Current Tendencies of Posterior Lumbar Interbody Fusion with a Pedicle Screw in the Osteoporotic Spine-Advances and Concerns

PLIF with PS has brought a great evolution in spinal instrumentation surgery because it enables us to perform 3-D correction and solid stabilization of the affected segment immediately after surgery. But complications of PLIF with PS, such as screw loosening, non-union and PJF have not been completely solved, especially in elderly patients with osteoporosis. Herein, we review articles focusing on PLIF with PS and its complication in the osteoporotic spine. Moreover, the current tendencies are discussed with our personal experiences in clinical cases.