scholarly journals Clinical and Radiographic Outcomes of Lateral Interbody Fusion for Adjacent Segment Degeneration

10.14444/8010 ◽  
2021 ◽  
Vol 15 (1) ◽  
pp. 74-81
Author(s):  
Siamak Yasmeh ◽  
James Bernatz ◽  
Eli Garrard ◽  
Miranda Bice ◽  
Seth K. Williams
Keyword(s):  
Interbody Fusion ◽  
Adjacent Segment Degeneration ◽  
Adjacent Segment ◽  
Lateral Interbody Fusion ◽  
Radiographic Outcomes ◽  
Lateral Interbody

Biomechanical analysis of lateral interbody fusion strategies for adjacent segment degeneration in the lumbar spine

2017 ◽  
Vol 17 (7) ◽  
pp. 1004-1011 ◽  
Author(s):  
Melodie F. Metzger ◽  
Samuel T. Robinson ◽  
Ruben C. Maldonado ◽  
Jeremy Rawlinson ◽  
John Liu ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Interbody Fusion ◽  
Adjacent Segment Degeneration ◽  
Biomechanical Analysis ◽  
Adjacent Segment ◽  
Lateral Interbody Fusion ◽  
Lateral Interbody

Biomechanical Evaluation of Lumbar Lateral Interbody Fusion for the Treatment of Adjacent Segment Disease

2017 ◽  
Vol 17 (10) ◽  
pp. S181
Author(s):  
Mark Shasti ◽  
Scott J. Koenig ◽  
Luke Brown ◽  
Ehsan Jazini ◽  
Kelley E. Banagan ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Adjacent Segment Disease ◽  
Adjacent Segment ◽  
Lateral Interbody Fusion ◽  
Biomechanical Evaluation ◽  
Lateral Interbody

scholarly journals Preliminary clinical and radiographic outcomes of oblique lateral interbody fusion combined with percutaneous transforaminal endoscopic discectomy for degenerative lumbar disease accompanied by prolapsed disc herniation

2020 ◽  
Author(s):  
Chao Lou ◽  
Shijie Liu ◽  
Weiyang Yu ◽  
Feijun Liu ◽  
Zhenzhong Chen ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Interbody Fusion ◽  
Lateral Interbody Fusion ◽  
Radiographic Outcomes ◽  
Endoscopic Discectomy ◽  
Percutaneous Transforaminal Endoscopic Discectomy ◽  
Degenerative Lumbar Disease ◽  
Prolapsed Disc ◽  
Oblique Lateral Interbody Fusion ◽  
Lateral Interbody

Abstract Objective: To investigate the preliminary clinical and radiographic outcomes of oblique lateral interbody fusion (OLIF) combined with percutaneous transforaminal endoscopic discectomy (PTED) for the degenerative lumbar disease accompanied by prolapsed disc herniation.Methods: From March 2016 to December 2018, 15 patients with degenerative lumbar spondylolisthesis, lumbar spine instability or lumbar spinal stenosis accompanied by prolapsed disc herniation were underwent OLIF combined with PTED in our spine surgery center, including 6 males and 9 females, the mean age was 61.4±7.1 years. Clinical results, radiological parameters, and related complications were collected and analyzed.Results: All patients firstly received PTED with local anesthesia and then underwent OLIF with general anesthesia. All patients were followed up for an average of 14.6±3.7 months. Mean preoperative visual analog scale scores and Oswestry Disability Index scores were significantly improved postoperatively (P<0.05). The radiographic results include the intervertebral disc height, vertical diameter of intervertebral foramen, spinal canal anteroposterior diameter, segment angle and lumbar lordosis angle were significantly improved postoperatively, respectively (P<0.05). None major implant-related and other severe complications were happened.Conclusions: OLIF combined with PTED can successfully enables direct neural decompression without posterior decompressive procedures and might be an alternative minimally invasive surgical option for properly selected patients.

scholarly journals Minimally invasive lateral interbody fusion for the treatment of rostral adjacent-segment lumbar degenerative stenosis without supplemental pedicle screw fixation

2014 ◽  
Vol 21 (6) ◽  
pp. 861-866 ◽  
Author(s):  
Michael Y. Wang ◽  
Ram Vasudevan ◽  
Stefan A. Mindea
Keyword(s):  
Minimally Invasive ◽  
Interbody Fusion ◽  
Lumbar Fusion ◽  
Ct Scanning ◽  
Lateral Approach ◽  
Leg Pain ◽  
Adjacent Segment ◽  
Lateral Interbody Fusion ◽  
The Mean ◽  
Lateral Interbody

Object Adjacent-segment degeneration and stenosis are common in patients who have undergone previous lumbar fusion. Treatment typically involves a revision posterior approach, which requires management of postoperative scar tissue and previously implanted instrumentation. A minimally invasive lateral approach allows the surgeon to potentially reduce the risk of these hazards. The technique relies on indirect decompression to treat central and foraminal stenosis and placement of a graft with a large surface area to promote robust fusion and stability in concert with the surrounding tensioned ligaments. The goal in this study was to determine if lateral interbody fusion without supplemental pedicle screws is effective in treating adjacent-segment disease. Methods For a 30-month study period at two institutions, the authors obtained all cases of lumbar fusion with new back and leg pain due to adjacent-segment stenosis and spondylosis failing conservative measures. All patients had undergone minimally invasive lateral interbody fusion from the side of greater leg pain without supplemental pedicle screw fixation. Patients were excluded from the study if they had undergone surgery for a nondegenerative etiology such as infection or trauma. They were also excluded if the intervention involved supplemental posterior instrumented fusion with transpedicular screws. Postoperative metrics included numeric pain scale (NPS) scores for leg and back pain. All patients underwent dynamic radiographs and CT scanning to assess stability and fusion after surgery. Results During the 30-month study period, 21 patients (43% female) were successfully treated using minimally invasive lateral interbody fusion without the need for subsequent posterior transpedicular fixation. The mean patient age was 61 years (range 37–87 years). Four patients had two adjacent levels fused, while the remainder had single-level surgery. All patients underwent surgery without conversion to a traditional open technique, and recombinant human bone morphogenetic protein–2 was used in the interbody space in all cases. The mean follow-up was 23.6 months. The mean operative time was 86 minutes, and the mean blood loss was 93 ml. There were no major intraoperative complications, but one patient underwent subsequent direct decompression in a delayed fashion. The leg pain NPS score improved from a mean of 6.3 to 1.9 (p < 0.01), and the back pain NPS score improved from a mean of 7.5 to 2.9 (p < 0.01). Intervertebral settling averaged 1.7 mm. All patients had bridging bone on CT scanning at the last follow-up, indicating solid bony fusion. Conclusions Adjacent-segment stenosis and spondylosis can be treated with a number of different operative techniques. Lateral interbody fusion provides an attractive alternative with reduced blood loss and complications, as there is no need to re-explore a previous laminectomy site. In this limited series a minimally invasive lateral approach provided high fusion rates when performed with osteobiological adjuvants.

scholarly journals Medium-term effects of Dynesys dynamic stabilization versus posterior lumbar interbody fusion for treatment of multisegmental lumbar degenerative disease

2017 ◽  
Vol 45 (5) ◽  
pp. 1562-1573 ◽  
Author(s):  
Haiting Wu ◽  
Qingjiang Pang ◽  
Guoqiang Jiang
Keyword(s):  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Adjacent Segment Degeneration ◽  
Degenerative Disease ◽  
Adjacent Segment ◽  
Lumbar Interbody Fusion ◽  
Medium Term ◽  
Lumbar Degenerative Disease ◽  
Radiographic Outcomes

Objective To compare the medium-term clinical and radiographic outcomes of Dynesys dynamic stabilization and posterior lumbar interbody fusion (PLIF) for treatment of multisegmental lumbar degenerative disease. Methods Fifty-seven patients with multisegmental lumbar degenerative disease underwent Dynesys stabilization (n = 26) or PLIF (n = 31) from December 2008 to February 2010. The mean follow-up period was 50.3 (range, 46–65) months. Clinical outcomes were evaluated using a visual analogue scale (VAS) and the Oswestry disability index (ODI). Radiographic evaluations included disc height and range of motion (ROM) of the operative segments and proximal adjacent segment on lumbar flexion-extension X-rays. The intervertebral disc signal change was defined by magnetic resonance imaging, and disc degeneration was classified by the Pfirrmann grade. Results The clinical outcomes including the VAS score and ODI were significantly improved in both groups at 3 months and the final follow-up, but the difference between the two was not significant. At the final follow-up, the disc height of stabilized segments in both groups was significantly increased; the increase was more notable in the Dynesys than PLIF group. The ROM of stabilized segments at the final follow-up decreased from 6.20° to 2.76° and 6.56° to 0.00° in the Dynesys and PLIF groups, respectively. There was no distinct change in the height of the proximal adjacent segment in the two groups. The ROM of the proximal adjacent segment in both groups increased significantly at the final follow-up; the change was significantly greater in the PLIF than Dynesys group. Only one case of adjacent segment degeneration occurred in the PLIF group, and this patient underwent a second operation. Conclusions Both Dynesys stabilization and PLIF can improve the clinical and radiographic outcomes of multisegmental lumbar degenerative disease. Compared with PLIF, Dynesys stabilization can maintain the mobility of the stabilized segments with less influence on the proximal adjacent segment and may help to prevent the occurrence of adjacent segment degeneration. Dynesys is reliable for the treatment of multisegmental lumbar degenerative disease at the medium-term follow-up.

Biomechanical evaluation of lumbar lateral interbody fusion for the treatment of adjacent segment disease

2019 ◽  
Vol 19 (3) ◽  
pp. 545-551 ◽  
Author(s):  
Mark Shasti ◽  
Scott J. Koenig ◽  
Alysa B. Nash ◽  
Shahrzad Bahrami ◽  
Julio J. Jauregui ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Adjacent Segment Disease ◽  
Adjacent Segment ◽  
Lateral Interbody Fusion ◽  
Biomechanical Evaluation ◽  
Lateral Interbody
Sign in / Sign up

Export Citation Format

Share Document