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Mini-Open Anterior Retroperitoneal Lumbar Interbody Fusion: Oblique Lateral Interbody Fusion for Lumbar Spinal Degeneration Disease
Yonsei Medical Journal ; : 1051-1059, 2015.
Artículo en Inglés | WPRIM | ID: wpr-150478
ABSTRACT

PURPOSE:

Surgery for lumbar spinal degeneration disease is widely performed. While posterior decompression and fusion are popular, anterior lumbar interbody fusion (ALIF) is also used for treatment. Extreme lateral interbody fusion (XLIF) is commonly used for noninvasive ALIF; however, several complications, such as spinal nerve and psoas muscle injury, have been reported. In the current study, we examined the clinical efficacy and complications of oblique lateral interbody fusion (OLIF) for lumbar spinal degeneration disease. MATERIALS AND

METHODS:

Thirty-five patients with degenerated spondylolisthesis, discogenic pain, and kyphoscoliosis were examined. All patients underwent OLIF surgery (using a cage and bone graft from the iliac crest) with or without posterior decompression, without real-time electromyography monitoring. Posterior screws were used in all patients. Visual analog scale (VAS) score and Oswestry Disability Index (ODI) were evaluated before and 6 months after surgery. Surgical complications were also evaluated.

RESULTS:

Pain scores significantly improved after surgery, compared to those before surgery (p<0.05). There was no patient who underwent revision surgery. There was no spinal nerve, major vessel, peritoneal, or urinary injury. Few patients showed symptoms from psoas invasion.

CONCLUSION:

OLIF surgery produced good surgical results without any major complication.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Dolor / Escoliosis / Enfermedades de la Columna Vertebral / Fusión Vertebral / Dimensión del Dolor / Espondilolistesis / Resultado del Tratamiento / Descompresión Quirúrgica / Electromiografía / Vértebras Lumbares Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: Yonsei Medical Journal Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Dolor / Escoliosis / Enfermedades de la Columna Vertebral / Fusión Vertebral / Dimensión del Dolor / Espondilolistesis / Resultado del Tratamiento / Descompresión Quirúrgica / Electromiografía / Vértebras Lumbares Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: Yonsei Medical Journal Año: 2015 Tipo del documento: Artículo