Lateral Lumbar Interbody Fusion and in Situ Screw Fixation for Rostral Adjacent Segment Stenosis of the Lumbar Spine
| Autor: | Jung Hyeon Moon, Won Heo, Shin Won Kwon, Chi Heon Kim, Young Hoon Choi, Chun Kee Chung, Sung Bae Park |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Spinal stenosis business.industry General Neuroscience medicine.medical_treatment medicine.disease Surgery 03 medical and health sciences Stenosis 0302 clinical medicine Lumbar Lumbar interbody fusion Spinal fusion Radiological weapon medicine 030212 general & internal medicine Neurology (clinical) Neurosurgery business Anterior compartment of thigh 030217 neurology & neurosurgery |
| Zdroj: | Journal of Korean Neurosurgical Society. 60:755-762 |
| ISSN: | 1598-7876 2005-3711 |
| DOI: | 10.3340/jkns.2017.0606.003 |
| Popis: | Objective The purpose of this study is to describe the detailed surgical technique and short-term clinical and radiological outcomes of lateral lumbar interbody fusion (LLIF) and in situ lateral screw fixation using a conventional minimally invasive screw fixation system (MISF) for revision surgery to treat rostral lumbar adjacent segment disease. Methods The medical and radiological records were retrospectively reviewed. The surgery was indicated in 10 consecutive patients with rostral adjacent segment stenosis and instability. After the insertion of the interbody cage, lateral screws were inserted into the cranial and caudal vertebra using the MISF through the same LLIF trajectory. The radiological and clinical outcomes were assessed preoperatively and at 1, 3, 6, and 12 months postoperatively. Results The median follow-up period was 13 months (range, 3-48 months). Transient sensory changes in the left anterior thigh occurred in 3 patients, and 1 patient experienced subjective weakness; however, these symptoms normalized within 1 week. Back and leg pain were significantly improved (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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