Gasless endoscopic anterior lumbar interbody fusion utilizing the B.E.R.G. approach
| Autor: | M. Timlin, F. T. Jordan, J. M. Giuffre, M. D. Daubs, J. A. Ameriks, J. S. Thalgott, A. K. Chin, K. Fritts |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Transperitoneal approach Arthrodesis medicine.medical_treatment Endoscopic surgery Sensitivity and Specificity Lumbar interbody fusion medicine Humans Aged Endoscopes Lumbar Vertebrae Surgical approach business.industry Endoscopy Middle Aged Surgery Vertebral body Spinal Fusion Treatment Outcome Female Spinal Diseases Gases Peritoneum business Pneumoperitoneum Artificial Follow-Up Studies |
| Zdroj: | Surgical Endoscopy. 14:546-552 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s004640020086 |
| Popis: | Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5.The B.E.R.G. approach was attempted in 202 patients who required anterior lumbar interbody fusion (ALIF). Of those, 168 were completed successfully without conversion to an open procedure. The anterior retroperitoneal approach required no gas insufflation. The gasless environment allowed for the use of standard anterior instrumentation and a variety of fusion grafts and devices.Mean hospital stay was 1.95 days, with 73% of patients discharged in47 h following surgery. Clinical results from the first 50 patients, with a minimum 2-year follow-up, include a 92% fusion rate and 78% of patients reporting significant pain relief of greater than 50%.The B.E.R.G. approach offers significant technical advantages over the standard gas-mediated transperitoneal approach for ALIF. The clinical results are similar to those reported for open approaches and the gas-mediated transperitoneal approach. |
| Databáze: | OpenAIRE |
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