Minimally invasive transaxial lumbosacral interbody fusion: a ten year single-centre experience

被引:6
作者
Zeilstra, Dick J. [1 ]
Staartjes, Victor E. [2 ]
Schroder, Marc L. [1 ]
机构
[1] Bergman Clin, Naarden, Netherlands
[2] Univ Zurich, Fac Med, Zurich, Switzerland
关键词
Transaxial; Fusion; Axialif; Discopathy; Back Pain; DDD; MODIC CHANGES; SPINE SURGERY; RISK-FACTORS; DISCOGRAPHY; COMPLICATIONS; ASSOCIATION; DISEASE; DISC;
D O I
10.1007/s00264-016-3273-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose Our aim was to evaluate mid- and long-term results in a cohort of patients who underwent minimally invasive transaxial lumbosacral fixation and to identify clinical and other parameters that can aid in proper patient selection. Methods Over a period of ten years, we assessed 164 patients who had a complete follow-up of a minimum of one year (average 54 months). On follow-up, we recorded clinical status, fusion status, visual analogue scale (VAS), Oswestry Lower Back Pain Disability Index (ODI) scores and patient satisfaction. Results There were no intra- or peri-operative complications. Overall clinical success rate was 73.8 %. Only sex (female), working status (still working), body mass index (BMI) (lower) and presence of Modic II changes (absent) were correlated with a good result. Conclusion Transaxial fixation is a safe, minimally invasive technique that can offer good results in patients with single-level degenerative disc disease (DDD) at the lumbosacral level, with minimal operative risk.
引用
收藏
页码:113 / 119
页数:7
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