scholarly journals Safety Profile and Radiographic and Clinical Outcomes of Stand-Alone 2-Level Anterior Lumbar Interbody Fusion: A Case Series of 41 Consecutive Patients

Cureus ◽  
2020 ◽  
Author(s):  
Osama Kashlan ◽  
Jason M Frerich ◽  
James G Malcolm ◽  
Matthew F Gary ◽  
Gerald E Rodts ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Safety Profile ◽  
Interbody Fusion ◽  
Case Series ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion

Anterior Lumbar Interbody Fusion With Cage Retrieval for the Treatment of Pseudarthrosis After Transforaminal Lumbar Interbody Fusion: A Single-Institution Case Series

2020 ◽  
Author(s):  
Michael M Safaee ◽  
Alexander Tenorio ◽  
Alexander F Haddad ◽  
Bian Wu ◽  
Serena S Hu ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Medical Center ◽  
Perioperative Complications ◽  
Academic Medical Center ◽  
Case Series ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Additional Surgery ◽  
Tract Infections

Abstract BACKGROUND The treatment of pseudarthrosis after transforaminal lumbar interbody fusion (TLIF) can be challenging, particularly when anterior column reconstruction is required. There are limited data on TLIF cage removal through an anterior approach. OBJECTIVE To assess the safety and efficacy of anterior lumbar interbody fusion (ALIF) as a treatment for pseudarthrosis after TLIF. METHODS ALIFs performed at a single academic medical center were reviewed to identify cases performed for the treatment of pseudarthrosis after TLIF. Patient demographics, surgical characteristics, perioperative complications, and 1-yr radiographic data were collected. RESULTS A total of 84 patients were identified with mean age of 59 yr and 37 women (44.0%). A total of 16 patients (19.0%) underwent removal of 2 interbody cages for a total of 99 implants removed with distribution as follows: 1 L2/3 (0.9%), 6 L3/4 (5.7%), 37 L4/5 (41.5%), and 55 L5/S1 (51.9%). There were 2 intraoperative venous injuries (2.4%) and postoperative complications were as follows: 7 ileus (8.3%), 5 wound-related (6.0%), 1 rectus hematoma (1.1%), and 12 medical complications (14.3%), including 6 pulmonary (7.1%), 3 cardiac (3.6%), and 6 urinary tract infections (7.1%). Among 58 patients with at least 1-yr follow-up, 56 (96.6%) had solid fusion. There were 5 cases of subsidence (6.0%), none of which required surgical revision. Two patients (2.4%) required additional surgery at the level of ALIF for pseudarthrosis. CONCLUSION ALIF is a safe and effective technique for the treatment of TLIF cage pseudarthrosis with a favorable risk profile.

A Case Series of Retroperitoneal Lymphocele Following Anterior Lumbar Interbody Fusion

2020 ◽  
Vol 140 ◽  
pp. 114-118
Author(s):  
Sidney Roberts ◽  
Ram Alluri ◽  
Hannah Hageman Licari ◽  
Jihoon T. Choi ◽  
Jeffrey C. Wang ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Case Series ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion

Impact of Elderly Age on Complications and Clinical Outcomes Following Anterior Lumbar Interbody Fusion Surgery

2017 ◽  
Vol 105 ◽  
pp. 503-509 ◽  
Author(s):  
Kevin Phan ◽  
Vignesh Ramachandran ◽  
Tommy Tran ◽  
Steven Phan ◽  
Prashanth J. Rao ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Elderly Age ◽  
Fusion Surgery

scholarly journals Vulnerability of the L5 nerve root during anterior lumbar interbody fusion at L5–S1: case series and review of the literature

2020 ◽  
Vol 49 (3) ◽  
pp. E7
Author(s):  
Ehsan Dowlati ◽  
Hepzibha Alexander ◽  
Jean-Marc Voyadzis
Keyword(s):  
Nerve Root ◽  
Interbody Fusion ◽  
Preoperative Planning ◽  
Case Series ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Review Of The Literature ◽  
Single Center ◽  
Nerve Root Injury ◽  
Root Injury

OBJECTIVENerve root injuries associated with anterior lumbar interbody fusion (ALIF) are uncommonly reported in the literature. This case series and review aims to describe the etiology of L5 nerve root injury following ALIF at L5–S1.METHODSThe authors performed a single-center retrospective review of prospectively collected data of patients who underwent surgery between 2017 and 2019 who had postoperative L5 nerve root injuries after stand-alone L5–S1 ALIF. They also reviewed the literature with regard to nerve root injuries after ALIF procedures.RESULTSThe authors report on 3 patients with postoperative L5 radiculopathy. All 3 patients had pain that improved. Two of the 3 patients had a neurological deficit, one of which improved.CONCLUSIONSStretch neuropraxia from overdistraction is an important cause of postoperative L5 radiculopathy after L5–S1 ALIF. Judicious use of implants and careful preoperative planning to determine optimal implant sizes are paramount.

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