Extreme lateral interbody fusion for the treatment of adult degenerative scoliosis

2013 ◽  
Vol 20 (11) ◽  
pp. 1558-1563 ◽  
Author(s):  
Adam M. Caputo ◽  
Keith W. Michael ◽  
Todd M. Chapman ◽  
Jason M. Jennings ◽  
Elizabeth W. Hubbard ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Degenerative Scoliosis ◽  
Lateral Interbody Fusion ◽  
Adult Degenerative Scoliosis ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody

scholarly journals Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Adam M. Caputo ◽  
Keith W. Michael ◽  
Todd M. Chapman ◽  
Gene M. Massey ◽  
Cameron R. Howes ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Interbody Fusion ◽  
Degenerative Lumbar Scoliosis ◽  
Degenerative Scoliosis ◽  
Lateral Interbody Fusion ◽  
Adult Degenerative Scoliosis ◽  
Outcome Scores ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody

Introduction. The use of extreme lateral interbody fusion (XLIF) and other lateral access surgery is rapidly increasing in popularity. However, limited data is available regarding its use in scoliosis surgery. The objective of this study was to evaluate the clinical outcomes of adults with degenerative lumbar scoliosis treated with XLIF.Methods. Thirty consecutive patients with adult degenerative scoliosis treated by a single surgeon at a major academic institution were followed for an average of 14.3 months. Interbody fusion was completed using the XLIF technique with supplemental posterior instrumentation. Validated clinical outcome scores were obtained on patients preoperatively and at most recent follow-up. Complications were recorded.Results. The study group demonstrated improvement in multiple clinical outcome scores. Oswestry Disability Index scores improved from 24.8 to 19.0 (P < 0.001). Short Form-12 scores improved, although the change was not significant. Visual analog scores for back pain decreased from 6.8 to 4.6 (P < 0.001) while scores for leg pain decreased from 5.4 to 2.8 (P < 0.001). A total of six minor complications (20%) were recorded, and two patients (6.7%) required additional surgery.Conclusions. Based on the significant improvement in validated clinical outcome scores, XLIF is effective in the treatment of adult degenerative scoliosis.

A Prospective, Nonrandomized, Multicenter Evaluation of Extreme Lateral Interbody Fusion for the Treatment of Adult Degenerative Scoliosis

Spine ◽  
2010 ◽  
Vol 35 (Supplement) ◽  
pp. S322-S330 ◽  
Author(s):  
Robert E. Isaacs ◽  
Jonathan Hyde ◽  
J. Allan Goodrich ◽  
William Blake Rodgers ◽  
Frank M. Phillips
Keyword(s):  
Interbody Fusion ◽  
Degenerative Scoliosis ◽  
Lateral Interbody Fusion ◽  
Adult Degenerative Scoliosis ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody

scholarly journals Contribution of Lateral Interbody Fusion in Staged Correction of Adult Degenerative Scoliosis

2018 ◽  
Vol 61 (6) ◽  
pp. 716-722 ◽  
Author(s):  
Seung Won Choi ◽  
Christopher Ames ◽  
Sigurd Berven ◽  
Dean Chou ◽  
Bobby Tay ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Degenerative Scoliosis ◽  
Lateral Interbody Fusion ◽  
Adult Degenerative Scoliosis ◽  
Lateral Interbody

scholarly journals Incisional hernia after extreme lateral interbody fusion on the lumbar spine: A case report

2021 ◽  
Vol 78 ◽  
pp. 130-132
Author(s):  
Masakazu Wakabayashi ◽  
Yurika Miyazaki ◽  
Kana Aoki ◽  
Hayato Yoshida ◽  
Kou Minoshima ◽  
...  
Keyword(s):  
Case Report ◽  
Lumbar Spine ◽  
Incisional Hernia ◽  
Interbody Fusion ◽  
Lateral Interbody Fusion ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody

Endoscope-Assisted Extreme-Lateral Interbody Fusion: Preliminary Experience and Technical Note

2017 ◽  
Vol 103 ◽  
pp. 869-875.e3 ◽  
Author(s):  
Claudio Schonauer ◽  
Martin Nikolaus Stienen ◽  
Oliver Pascal Gautschi ◽  
Karl Schaller ◽  
Enrico Tessitore
Keyword(s):  
Interbody Fusion ◽  
Technical Note ◽  
Lateral Interbody Fusion ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody

Comparison of the Safety Outcomes between Anterior Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376735-s-0034-1376735
Author(s):  
R. Hartl ◽  
F. Christensen ◽  
A. Korge ◽  
K. Lam ◽  
E. Vialle ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Lateral Interbody Fusion ◽  
Safety Outcomes ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody

Complications in Extreme Lateral Interbody Fusion (XLIF®): A Retrospective Study in Siriraj Hospital

2021 ◽  
Vol 104 (6) ◽  
pp. 1027-1032
Keyword(s):  
Postoperative Complications ◽  
Surgical Complications ◽  
Interbody Fusion ◽  
Early Postoperative Complications ◽  
Lateral Interbody Fusion ◽  
Siriraj Hospital ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody ◽  
Level Fusion

Background: Extreme Lateral Interbody Fusion (XLIF®) is a well-known transpsoas approach technique that confers advantages including excellent visualization, easy access to the lumbar disc, accommodation for a large anterior graft, restoration of disk height and lumbar alignment, and indirect decompression. However, no study in Thailand has investigated early postoperative complications after spinal fusion with XLIF surgery. Objective: To determine the early postoperative complication rates among Thai patients that underwent spinal fusion with XLIF procedure. Materials and Methods: The present study was a retrospective chart review to evaluate perioperative and early postoperative complications in patients that underwent spinal interbody fusion with XLIF procedure and were followed-up for a minimum of three months at the Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand between 2015 and 2019. Results: One hundred eighteen patients, including 82 females and 36 males, with a mean age of 64.2 years and 165 levels, that were operated upon, were included. Eighty patients (67.8%) underwent one-level fusion, 29 (24.6%) had two-level fusion, and 9 (7.6%) underwent three-level fusion. Immediate postoperative complications occurred in 66 patients (55.9%), consisting of eight (6.7%) with medical complications, 57 (48.3%) with surgical complications, and one (0.8%) with combined medical and surgical complications. Postoperative complications were resolved within three months after surgery in 48 patients. Forty-one patients (34.7%) had postoperative proximal lower limb neuropathy. Only 10 patients (24.4%) still had neuropathy at the 3-month follow-up, but it did not affect their function. Conclusion: Postoperative proximal limb neuropathy, including thigh numbness, pain, or hip flexor weakness, had a high prevalence in the present study despite intraoperative neurophysiologic monitoring; however, most cases resolved by the 3-month follow-up. Patient education about potential nerve irritation complication is recommended, and meticulous preoperative radiographic assessment and careful step-by-step intraoperative surgical approach may reduce the rates of these postoperative complications. Keywords: Extreme lateral interbody fusion; Complications; Neuropathy; Postoperative

Sign in / Sign up

Export Citation Format

Share Document