Randomized Trialhigh evidence

Posterior lumbar facet arthroplasty versus fusion for the treatment of spondylolisthesis: 3-year results from the Total Posterior Spine System investigational device exemption study.

Neurosurgical focus·July 1, 2026·PMID 42385242

Why it matters

Motion-preserving facet arthroplasty may offer a viable alternative to fusion for degenerative spondylolisthesis, potentially reducing adjacent-segment disease and the need for secondary procedures while maintaining stability.

Infographic summary of Posterior lumbar facet arthroplasty versus fusion for the treatment of spondylolisthesis: 3-year results from the Total Posterior Spine System investigational device exemption study.
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