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<p>Facet syndrome, a common but often under-recognised condition, is frequently overlooked in clinical assessment. When conservative treatment fails, minimally invasive lumbar facet arthrodesis using an interarticular device (FFX®) offers joint-specific fusion while preserving segmental mobility. This article details the relevant anatomy, patient selection algorithm, and step-by-step surgical technique. We also provide preliminary clinical outcomes from the first 100 consecutive cases, demonstrating a 91% fusion rate, significant pain reduction (mean VAS 7.2 → 2.1), and functional improvement (ODI 46 → 18) at 12&#xa0;months, with low complication rates.</p>

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Minimally invasive lumbar facet arthrodesis with the FFX® device: surgical anatomy, patient selection, and technique

  • 期刊论文

  • 发表日期：

    2025年7月11日

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  • Keyvan MOSTOFI

摘要

Facet syndrome, a common but often under-recognised condition, is frequently overlooked in clinical assessment. When conservative treatment fails, minimally invasive lumbar facet arthrodesis using an interarticular device (FFX®) offers joint-specific fusion while preserving segmental mobility. This article details the relevant anatomy, patient selection algorithm, and step-by-step surgical technique. We also provide preliminary clinical outcomes from the first 100 consecutive cases, demonstrating a 91% fusion rate, significant pain reduction (mean VAS 7.2 → 2.1), and functional improvement (ODI 46 → 18) at 12 months, with low complication rates.