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.

scholarly journals Clinical Outcomes after Minimally Invasive Trans-Psoas Lateral Lumbar Interbody Fusion for the Treatment of Adult Degenerative Scoliosis: Four Years’ Multicenter Study

2020 ◽  
Vol 9 (03) ◽  
pp. 225-229
Author(s):  
Sheikh Asad ◽  
Arjun Dubey ◽  
Arvind Dubey ◽  
Chester Sutterlin
Keyword(s):  
Clinical Outcome ◽  
Minimally Invasive ◽  
Clinical Outcomes ◽  
Interbody Fusion ◽  
Degenerative Lumbar Scoliosis ◽  
Lumbar Interbody Fusion ◽  
Degenerative Scoliosis ◽  
Lumbar Scoliosis ◽  
Adult Degenerative Scoliosis ◽  
Outcome Scores

AbstractThe use of minimally invasive transpsoas lateral lumbar interbody fusion (LLIF) surgery for treatment of adult degenerative scoliosis is rapidly increasing in popularity. However, limited data is available regarding its use in adult degenerative lumbar scoliosis surgery. The objective of this study was to evaluate the clinical outcomes of adults with degenerative lumbar scoliosis who were treated with minimally invasive LLIF. Thirty-two consecutive patients with adult degenerative scoliosis treated by a single surgeon at two spine centers were followed up for an average of 13.2 months. Interbody fusion was completed using the minimally invasive LLIF technique with supplemental 360 degrees’ posterior instrumentation. Oswestry disability index (ODI) scores were obtained preoperatively and at most recent follow-up. Complications were recorded. The study group demonstrated improvement in clinical outcome scores. ODI scores improved from 36.8 to 23.4 (p < 0.00001). A total of four complications (12%) were recorded, and two patients (6%) required additional surgery. Based on the significant improvement in validated clinical outcome scores, minimally invasive LLIF can be considered an effective procedure 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

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

Radiological and clinical outcomes following extreme lateral interbody fusion

2014 ◽  
Vol 20 (6) ◽  
pp. 623-635 ◽  
Author(s):  
Marjan Alimi ◽  
Christoph P. Hofstetter ◽  
Guang-Ting Cong ◽  
Apostolos John Tsiouris ◽  
Andrew R. James ◽  
...  
Keyword(s):  
Cobb Angle ◽  
Clinical Outcomes ◽  
Interbody Fusion ◽  
Large Population ◽  
Thoracolumbar Spine ◽  
Radiological Outcome ◽  
Lateral Interbody Fusion ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody

Object Extreme lateral interbody fusion (ELIF) is a popular technique for anterior fixation of the thoracolumbar spine. Clinical and radiological outcome studies are required to assess safety and efficacy. The aim of this study was to describe the functional and radiological impact of ELIF in a degenerative disc disease population with a longer follow-up and to assess the durability of this procedure. Methods Demographic and perioperative data for all patients who had undergone ELIF for degenerative lumbar disorders between 2007 and 2011 were collected. Trauma and tumor cases were excluded. For radiological outcome, the preoperative, immediate postoperative, and latest follow-up coronal Cobb angle, lumbar sagittal lordosis, bilateral foraminal heights, and disc heights were measured. Pelvic incidence (PI) and PI–lumbar lordosis (PI-LL) mismatch were assessed in scoliotic patients. Clinical outcome was evaluated using the Oswestry Disability Index (ODI) and visual analog scale (VAS), as well as the Macnab criteria. Results One hundred forty-five vertebral levels were surgically treated in 90 patients. Pedicle screw and rod constructs and lateral plates were used to stabilize fixation in 77% and 13% of cases, respectively. Ten percent of cases involved stand-alone cages. At an average radiological follow-up of 12.6 months, the coronal Cobb angle was 10.6° compared with 23.8° preoperatively (p < 0.0001). Lumbar sagittal lordosis increased by 5.3° postoperatively (p < 0.0001) and by 2.9° at the latest follow-up (p = 0.014). Foraminal height and disc height increased by 4 mm (p < 0.0001) and 3.3 mm (p < 0.0001), respectively, immediately after surgery and remained significantly improved at the last follow-up. Separate evaluation of scoliotic patients showed no statistically significant improvement in PI and PI-LL mismatch either immediately postoperatively or at the latest follow-up. Clinical evaluation at an average follow-up of 17.6 months revealed an improvement in the ODI and the VAS scores for back, buttock, and leg pain by 21.1% and 3.7, 3.6, and 3.7 points, respectively (p < 0.0001). According to the Macnab criteria, 84.8% of patients had an excellent, good, or fair functional outcome. New postoperative thigh numbness and weakness was detected in 4.4% and 2.2% of the patients, respectively, which resolved within the first 3 months after surgery in all but 1 case. Conclusions This study provides what is to the authors' knowledge the most comprehensive set of radiological and clinical outcomes of ELIF in a fairly large population at a midterm follow-up. Extreme lateral interbody fusion showed good clinical outcomes with a low complication rate. The procedure allows for at least midterm clinically effective restoration of disc and foraminal heights. Improvement in coronal deformity and a small but significant increase in sagittal lordosis were observed. Nonetheless, no significant improvement in the PI-LL mismatch was achieved in scoliotic patients.

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 Allograft Cellular Bone Matrix in Extreme Lateral Interbody Fusion: Preliminary Radiographic and Clinical Outcomes

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Antoine G. Tohmeh ◽  
Blake Watson ◽  
Mirna Tohmeh ◽  
Xavier J. Zielinski
Keyword(s):  
Bone Graft ◽  
Clinical Outcomes ◽  
Interbody Fusion ◽  
Bone Matrix ◽  
Autogenous Bone ◽  
Complete Fusion ◽  
Lateral Interbody Fusion ◽  
Extreme Lateral Interbody Fusion ◽  
Lateral Interbody ◽  
Cellular Bone

Introduction. Extreme lateral interbody fusion (XLIF) is a minimally disruptive alternative for anterior lumbar interbody fusion. Recently, synthetic and allograft materials have been increasingly used to eliminate donor-site pain and complications secondary to autogenous bone graft harvesting. The clinical use of allograft cellular bone graft has potential advantages over autograft by eliminating the need to harvest autograft while mimicking autograft's biologic function. The objective of this study was to examine 12-month radiographic and clinical outcomes in patients who underwent XLIF with Osteocel Plus, one such allograft cellular bone matrix.Methods. Forty (40) patients were treated at 61 levels with XLIF and Osteocel Plus and included in the analysis.Results. No complications were observed. From preoperative to 12-month postoperative followup, ODI improved 41%, LBP improved 55%, leg pain improved 43.3%, and QOL (SF-36) improved 56%. At 12 months, 92% reported being “very” or “somewhat” satisfied with their outcome and 86% being either “very” or “somewhat likely” to choose to undergo the procedure again. Complete fusion was observed in 90.2% (55/61) of XLIF levels.Conclusions. Complete interbody fusion with Osteocel Plus was shown in 90.2% of XLIF levels, with the remaining 9.8% being partially consolidated and progressing towards fusion at 12 months.

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
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