Direct lateral access lumbar and thoracolumbar fusion: preliminary results

被引:55
作者
Berjano, Pedro [1 ]
Balsano, Massimo [2 ]
Buric, Josip [3 ]
Petruzzi, Mary [1 ]
Lamartina, Claudio [1 ]
机构
[1] IRCCS Ist Ortoped Galeazzi, Milan, Italy
[2] Reg Spinal Dept, Vicenza, Italy
[3] CDC Villa Torri, Neurospine Team, Bologna, Italy
关键词
XLIF; Extreme lateral interbody fusion; Anterior lumbar interbody fusion; Spinal fusion; Outcomes; Complications; INTERBODY FUSION; CLINICAL ARTICLE; OUTCOMES; SURGERY;
D O I
10.1007/s00586-012-2217-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose To describe the clinical outcomes and complications in a consecutive series of extreme lateral interbody fusion cases. Methods Retrospective cohort review of 97 consecutive patients from three centers with minimum 6-month follow-up (mean 12 months). Functional status was evaluated by preoperative and last follow-up Oswestry Disability Index score. Leg and back pain were evaluated by visual analog scales. Complications were recorded and permanent complications and neurological impairment was actively investigated at last follow-up. Results No permanent neurological impairment, vascular or visceral injuries were observed. Transient neurological symptoms presented in 7% of cases, all resolved within 1 month from surgery. Transient thigh discomfort was observed in 9%. Clinical success was recorded in 92% of cases. Conclusions Extreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.
引用
收藏
页码:S37 / S42
页数:6
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