The importance of the posterior osteoligamentous complex of the lumbar spine: dogma changing biomechanical insights
The experiment indicates that the POLC is the primary passive stabilizer of the fully flexed lumbar spine. Surgical resection of this structure can redistribute loads and increase stresses on remaining spinal tissues, potentially leading to spinal instability, accelerated degeneration, and poor clinical long-term outcomes.
Authors
- Jonas Widmer (ORCID: https://orcid.org/0000-0003-3676-008X)
- Cooper Lars Harshbarger (ORCID: https://orcid.org/0000-0002-0379-9706)
- Mazda Farshad (ORCID: https://orcid.org/0000-0002-7190-1127)
- Moritz Jokeit (ORCID: https://orcid.org/0000-0003-1890-9178)
- Frédéric Cornaz (ORCID: https://orcid.org/0000-0001-7911-0445)
- Sascha Jecklin (ORCID: https://orcid.org/0000-0001-6529-487X)
- Anna‐Katharina Calek (ORCID: https://orcid.org/0000-0002-5499-5096)
- Jess G. Snedeker (ORCID: https://orcid.org/0000-0002-8115-0275)
- Jana Felicitas Schader (ORCID: https://orcid.org/0000-0002-5755-7278)
Institutions
- University of Zurich (CH)
- ETH Zurich (CH)
- Institute for Biomedical Engineering (CH)
- Universitätsklinik Balgrist (CH)
Publication Details
- Journal
- European Spine Journal
- Published
- 2025-02-06
- DOI
- https://doi.org/10.1007/s00586-025-08690-7
- Citations
- 1
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 1.47
Funders
- Universität Zürich
- Promedica Stiftung