Outcomes of direct lateral interbody fusion (DLIF) in an Australian cohort
| Autor: | Gordon Dandie, Kenneth Faulder, Prashanth J. Rao, Sean F. Mungovan, Kevin Phan, Daniel B. Scherman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Visual analogue scale Muscle weakness medicine.disease Spondylolisthesis Disc height Surgery Oswestry Disability Index 03 medical and health sciences 0302 clinical medicine Cohort Foramen medicine Orthopedics and Sports Medicine Original Study 030212 general & internal medicine medicine.symptom Complication business 030217 neurology & neurosurgery |
| Zdroj: | Journal of spine surgery (Hong Kong). 5(1) |
| ISSN: | 2414-469X |
| Popis: | Background: Direct lateral interbody fusion (DLIF) mitigates many of the vascular complications and bony resections associated with other interbody fusion techniques. However, there are concerns regarding postoperative neural complications and that indirect decompression of the foramen has not been consistently demonstrated. This study prospectively assessed the clinical and radiological outcomes and the complication rates of the DLIF approach. Methods: A prospective review was conducted of the first 50 consecutive DLIF cases of a single neurosurgeon between 2010 and 2014. Clinical outcomes were assessed using Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) and Roland Morris Disability Questionnaire (RMDQ) surveys. Radiological outcomes, including spondylolisthesis, disc height, local disc angle, lumbar lordosis and foraminal height and width, were measured using Surgimap Spine software at the preoperative, 6 weeks, 6 months, and 12 months postoperative follow-up. Complication rates were also reported. Results: A total of 50 patients (84 levels) were treated with DLIF. The mean patient age was 68.2±9.8 years and 62.0% were female. At latest follow-up, mean VAS pain score improved from 7.7±1.5 to 1.9±0.9 (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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