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Open laminectomy plus posterolateral fusion versus open laminectomy plus transforaminal lumbar interbody fusion surgical approaches for fusing degenerated L4-L5 segment: A comparative finite element study

Authors: Kishore Pradeep,Bidyut Pal
Publisher: Elsevier BV
Publish date: 2024-12
ISSN: 1350-4533 DOI: 10.1016/j.medengphy.2024.104261
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The study effectively analyzes stress and strain distributions but does not provide a detailed discussion on the long-term effects of these surgical approaches. Were considerations such as bone remodeling, implant migration, or potential changes in adjacent segment degeneration over time included in the analysis or planned for future work? Additionally, the strain values reported exceed the vertebra’s compressive yield limit. Could the authors clarify whether these findings suggest a need for adjustments in surgical load management or modifications to implant design?

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