The Wilhelm Tell technique for anterior lumbar interbody fusion

Technical note

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  • 1 Neurosurgery, Bern-Muri; Department of Surgery, The Hirslanden Group, Klinik Beau-Site, Bern; Orthopedics, Zürich-Zollikerberg, Switzerland; and Department of Orthopedics, Centre d'Etude et de Chirurgie du Rachis, Point Médical, Dijon, France
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✓ Experience indicates that stand-alone cages may lack the necessary stability to secure highly unstable motion segments at the lumbosacral junction.

The authors have designed a special carbon fiber composite interbody cage that allows additional screw placement in anterior lumbar interbody fusion procedures performed at the lumbosacral junction.

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Contributor Notes

Address reprint requests to: Thomas-Marc Markwalder, M.D., Thunstrasse 160, CH-3074 Bern-Muri, Switzerland. email: thomasmarc.markwalder@bluewin.ch.
  • 1.

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  • 2.

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  • 4.

    Lund T, , Oxland TR, & Jost B, et al: Interbody cage stabilisation in the lumbar spine: biomechanical evaluation of cage design, posterior instrumentation and bone density. J Bone Joint Surg Br 80:351359, 1998 Lund T, Oxland TR, Jost B, et al: Interbody cage stabilisation in the lumbar spine: biomechanical evaluation of cage design, posterior instrumentation and bone density. J Bone Joint Surg Br 80:351–359, 1998

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    Markwalder TM: The unstable lumbar spine: indications for internal fixation and fusion with practical biomechanical considerations with respect to implant joice. Rivista di Neuroradiologia 12 (Suppl 1):141156, 1999 Markwalder TM: The unstable lumbar spine: indications for internal fixation and fusion with practical biomechanical considerations with respect to implant joice. Rivista di Neuroradiologia 12 (Suppl 1):141–156, 1999

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    Oxland TR, & Lund T: Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature review. Eur Spine J 9:S95S101, 2000 Oxland TR, Lund T: Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature review. Eur Spine J 9:S95–S101, 2000

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  • 8.

    Tsantrizos A, , Andreou A, & Aebi M, et al: Biomechanical stability of five stand-alone anterior lumbar interbody fusion constructs. Eur Spine J 9:1422, 2000 Tsantrizos A, Andreou A, Aebi M, et al: Biomechanical stability of five stand-alone anterior lumbar interbody fusion constructs. Eur Spine J 9:14–22, 2000

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