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Anterior Lumbar Interbody Fusion

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https://www.readbyqxmd.com/read/29766939/minimally-invasive-options-for-surgical-management-of-adjacent-segment-disease-of-the-lumbar-spine
#1
Mazda K Turel, Mena G Kerolus, Brian T David, Richard G Fessler
Background: The incidence of adjacent segment disease (ASD) after lumbar spine surgery is a condition that has become increasingly common as the rate of lumbar spine surgery continues to rise. Minimally invasive techniques continue to be refined and offer an opportunity to treat ASD with minimal tissue disruption, lower blood loss, a shorter hospital stay, and decreased morbidity. The aim of this report is to describe the various minimally invasive options for ASD with a comprehensive review of the existing literature...
May 2018: Neurology India
https://www.readbyqxmd.com/read/29751180/radiographic-study-of-lumbar-sympathetic-trunk-in-the-oblique-lateral-interbody-fusion-surgery
#2
Hongli Wang, Yuxuan Zhang, Xiaosheng Ma, Xinlei Xia, Feizhou Lu, Jianyuan Jiang
BACKGROUND: Oblique lateral interbody fusion (OLIF) surgery provides a convenient and minimal access to the lesion disc with few complications, however, the left lumbar sympathetic trunk (LST) lies in the surgical field with an certain incidence of injury. The aim of this study was to describe the anatomical structures of the left LST at risk for injury during oblique lateral interbody fusion at different lumbar segment levels based on radiological evaluations. METHODS: 44 healthy young people (22 males and 22 females) were recruited and routine lumbar MR radiograph were performed...
May 8, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29736802/management-of-aortic-injury-during-minimally-invasive-lateral-lumbar-interbody-fusion
#3
REVIEW
Michael M Safaee, Devin Zarkowsky, Charles M Eichler, Murat Pekmezci, Aaron J Clark
PURPOSE: Minimally invasive lateral approaches to the lumbar spine allow for interbody fusion with good visualization of the disk space, minimal blood loss, and decreased length of stay. Major neurologic, vascular, and visceral complications are rare with this approach; however, the steps in management for severe vascular injuries are not well defined. We present a case report of aortic injury during lateral interbody fusion and discuss the use of endovascular repair. METHODS: This study is a case report of an intraoperative aortic injury...
May 7, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29732435/rational-decision-making-in-a-wide-scenario-of-different-minimally-invasive-lumbar-interbody-fusion-approaches-and-devices
#4
REVIEW
Luiz Pimenta, Antoine Tohmeh, David Jones, Rodrigo Amaral, Luis Marchi, Leonardo Oliveira, Bruce C Pittman, Hyun Bae
With the proliferation of a variety of modern MIS spine surgery procedures, it is mandatory that the surgeon dominate all aspects involved in surgical indication. The information related to the decision making in patient selection for specific procedures is mandatory for surgical success. The objective of this study is to present decision-making criteria in minimally invasive surgery (MIS) selection for a variety of patients and pathologies. In this article, practicing surgeons who specialize in various MIS approaches for spinal fusion were engaged to provide expert opinion and literature review on decision making criteria for several MIS procedures...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732419/complications-following-single-level-interbody-fusion-procedures-an-acs-nsqip-study
#5
Jamal N Shillingford, Joseph L Laratta, Joseph M Lombardi, John D Mueller, Meghan Cerpa, Hemant P Reddy, Comron Saifi, Charla R Fischer, Ronald A Lehman
Background: Controversy exists over the ability of various lumbar interbody fusion techniques to realign global and regional balance and their effect on patient outcomes. This is a retrospective cohort study to compare thirty-day postoperative outcomes between anterior and posterior interbody fusion techniques within a large national database. Methods: A retrospective cohort study utilizing the National Surgical Quality Improvement Program (NSQIP) database included 2,372 (29...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29707553/minimally-invasive-anterior-lateral-and-oblique-lumbar-interbody-fusion-a-literature-review
#6
REVIEW
David S Xu, Corey T Walker, Jakub Godzik, Jay D Turner, William Smith, Juan S Uribe
Lumbar interbody fusion involves insertion of a structural graft into an intervertebral disc space to promote bony arthrodesis. It is a well-established surgical strategy for multiple spinal disorders ranging from degenerative conditions to trauma, neoplastic diseases, and deformities requiring correction. Since the inception of lumbar interbody fusion, the most established techniques have been two posterior approaches, the posterior lumbar interbody fusion (PLIF) and the transforaminal lumbar interbody fusion (TLIF)...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29707550/complications-on-minimally-invasive-oblique-lumbar-interbody-fusion-at-l2-l5-levels-a-review-of-the-literature-and-surgical-strategies
#7
REVIEW
Javier Quillo-Olvera, Guang-Xun Lin, Hyun-Jin Jo, Jin-Sung Kim
Fusion is the cornerstone in the treatment of an unstable degenerative lumbar spinal disease. Various techniques have been developed. Amongst these techniques exists the oblique lumbar interbody fusion (OLIF), which is the ante-psoas approach. Adequate restoration of disc height with large cages placed in the intervertebral space, indirect decompression, and correction of sagittal and coronal alignment can be achieved with OLIF procedure with the advantage of minimal risk for the psoas muscle and lumbar plexus...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29705337/cost-effectiveness-of-circumferential-fusion-for-lumbar-spondylolisthesis-propensity-matched-comparison-of-transforaminal-lumbar-interbody-fusion-versus-anterior-posterior-fusion
#8
Ehsan Jazini, Jeffrey L Gum, Steven D Glassman, Charles H Crawford, Mladen Djurasovic, R Kirk Owens, John R Dimar, Katlyn E McGraw, Leah Y Carreon
BACKGROUND CONTEXT: Transforaminal Lumbar Interbody Fusion (TLIF) and dual approach antero-posterior (AP) are common techniques to achieve circumferential fusion for lumbar spondylolisthesis. It is unclear which approach is more cost-effective. PURPOSE: Our goal is to determine the incremental cost-effectiveness ratio (ICER) by calculating the cost per quality-adjusted life year (QALY) for each approach. STUDY DESIGN/SETTING: Propensity matched cost-effectiveness comparison...
April 26, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29673822/vascularized-spinous-process-graft-rotated-on-a-paraspinous-muscle-pedicle-for-lumbar-fusion-technique-description-and-early-clinical-experience
#9
Michael A Bohl, Kaith K Almefty, Mark C Preul, Jay D Turner, U Kumar Kakarla, Edward M Reece, Steve W Chang
BACKGROUND: Vascularized bone grafts (VBGs) are described as having superior osteogenicity, osteoconductivity, and osteoinductivity compared with other graft types, and have been used in high-risk patients to augment arthrodesis. Pedicled VBGs are rotated on an intact vascular pedicle and therefore maintain all the benefits of VBG, but avoid many of the challenges and additional morbidity of free-tissue transfer. This study describes a novel surgical technique for rotating vascularized spinous process into the posterolateral space for augmenting arthrodesis in patients undergoing posterolateral fusion (PLF)...
April 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29662743/trends-analysis-of-rhbmp2-utilization-in-single-level-anterior-lumbar-interbody-fusion-in-the-united-states
#10
Lifeng Lao, Jeremiah R Cohen, Zorica Buser, Darrel S Brodke, S Tim Yoon, Jim A Youssef, Jong-Beom Park, Hans-Joerg Meisel, Jeffrey C Wang
Study Design: Retrospective case study. Objective: To evaluate the trends and demographics of recombinant human bone morphogenetic protein 2 (rhBMP2) utilization in single-level anterior lumbar interbody fusion (ALIF) in the United States. Methods: Patients who underwent single-level ALIF from 2005 to 2011 were identified by searching ICD-9 diagnosis and procedure codes in the PearlDiver Patient Records Database (PearlDiver Technologies, Fort Wayne, IN), a national database of orthopedic insurance records...
April 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29662742/total-disc-replacement-versus-anterior-posterior-interbody-fusion-in-the-lumbar-spine-and-lumbosacral-junction-a-cost-analysis
#11
Timo Stubig, Malik Ahmed, Amir Ghasemi, Luigi Aurelio Nasto, Michael Grevitt
Study Design: Prospective observational cohort study. Objectives: To analyze clinical and economic results in patients with degenerative disc disease in the lumbar area for patients who received combined anterior and posterior fusion or total disc replacement (TDR). Methods: The study included 75 patients, 38 in the fusion group and 37 in the TDR group, who received either anterior/posterior fusion or TDR for lumbar disc disease from January 2005 to December 2008 with a minimum follow-up of 24 months...
April 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29653271/risk-factors-additional-length-of-stay-and-cost-associated-with-postoperative-ileus-following-anterior-lumbar-interbody-fusion-in-the-elderly
#12
Jason A Horowitz, Amit Jain, Varun Puvanesarajah, Rabia Qureshi, Hamid Hassanzadeh
OBJECTIVE: Identify the independent risk factors, additional length of stay, and additional cost associated with postoperative ileus following anterior lumbar interbody fusion in the elderly. METHODS: The PearlDiver Patient Records Database (Young & Ellison, LLC, Colorado Springs, CO) was queried for all Medicare patients 65 years of age and older undergoing 1 or 2 level primary elective anterior lumbar interbody fusion from 2005-2014. Independent risk factors, additional length of stay, and additional cost associated with postoperative ileus were evaluated with multivariate analysis...
April 10, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29643712/surgical-results-of-a-one-stage-combined-anterior-lumbosacral-fusion-and-posterior-percutaneous-pedicle-screw-fixation
#13
Chien-Yuan Huang, Kuang-Ting Yeh, Tzai-Chiu Yu, Ru-Ping Lee, Ing-Ho Chen, Cheng-Huan Peng, Kuan-Lin Liu, Jen-Hung Wang, Wen-Tien Wu
Objectives: Lumbosacral fusion through either an anterior or a posterior approach to achieve good lordosis and stability is always a challenging surgical operation and is often accompanied by a higher rate of pseudarthrosis than when other lumbar segments are involved. This study evaluated the clinical and radiological results of lumbosacral fusions achieved through a combined anterior and posterior approach. Materials and Methods: From June 2008 to 2012, 20 patients who had L5-S1 instability and stenosis were consecutively treated, first by anterior interbody fusion using an allogenous strut bone graft through the pararectus approach and then by posterior pedicle screw fixation...
January 2018: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/29608699/development-of-proximal-junctional-kyphosis-after-minimally-invasive-lateral-anterior-column-realignment-for-adult-spinal-deformity
#14
Shashank V Gandhi, Jacob Januszewski, Konrad Bach, Randall Graham, Andrew C Vivas, Jason Paluzzi, Adam Kanter, David Okonkwo, Zachary J Tempel, Nitin Agarwal, Juan S Uribe
BACKGROUND: Development of proximal junctional kyphosis (PJK) after correction of adult spinal deformity (ASD) undermines sagittal alignment. Minimally invasive anterior column realignment (ACR) is a powerful tool for correction of ASD; however, long-term PJK rates are unknown. OBJECTIVE: To characterize PJK after utilization of ACR in ASD correction. METHODS: A retrospective multi-institution cohort analysis per STROBE criteria was conducted of all patients who underwent lateral lumbar interbody fusion (LLIF) or ACR for ASD from 2010 to 2015...
March 28, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29588241/facet-joint-fixation-and-alif-dlif-or-tlif-for-treatment-of-degenerative-lumbar-disc-diseases-retrospective-cohort-study-of-a-new-minimally-invasive-technique
#15
Evgenii Belykh, Andrey A Kalinin, Nikolay L Martirosyan, Talgat Kerimbayev, Nicholas Theodore, Mark C Preul, Vadim A Byvaltsev
BACKGROUND: Anterior, direct lateral and transforaminal lumbar interbody fusions (ALIF, DLIF, and TLIF) are usually combined with posterior fixation to treat degenerative spinal diseases. Outcomes of ALIF, TLIF, or DLIF combined with a new wedge-shaped, interfacet cage-plate have not been reported. We assessed early clinical outcomes of patients treated with interbody fusion and facet fixation using a titanium wedge-shaped cage-plate. METHODS: This retrospective observational cohort study included patients (n=80) who underwent 1-level interbody fusion and facet joint fixation via ALIF (n=24) or DLIF (n=26) with bilateral facet fixation or TLIF with ipsilateral pedicle screws and contralateral facet fixation (n=30)...
March 24, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29538716/spine-surgery-in-the-ambulatory-surgery-center-setting-value-based-advancement-or-safety-liability
#16
Ahilan Sivaganesan, Brandon Hirsch, Frank M Phillips, Matthew J McGirt
Here, we systematically review clinical studies that report morbidity and outcomes data for cervical and lumbar surgeries performed in ambulatory surgery centers (ASCs). We focus on anterior cervical discectomy and fusion (ACDF), posterior cervical foraminotomy, cervical arthroplasty, lumbar microdiscectomy, lumbar laminectomy, and minimally invasive transforaminal interbody fusion (TLIF) and lateral lumbar interbody fusion, as these are prevalent and surgical spine procedures that are becoming more commonly performed in ASC settings...
March 12, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29529003/selective-anterior-lumbar-interbody-fusion-for-low-back-pain-associated-with-degenerative-disc-disease-versus-nonsurgical-management
#17
John P Kleimeyer, Ivan Cheng, Todd F Alamin, Serena S Hu, Thomas Cha, Vijay Yanamadala, Kirkham B Wood
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: To evaluate the long-term outcomes of selective one- to two-level anterior lumbar interbody fusions (ALIFs) in the lower lumbar spine versus continued nonsurgical management. SUMMARY OF BACKGROUND DATA: Low back pain associated with lumbar intervertebral disc degeneration is common with substantial economic impact, yet treatment remains controversial. Surgical fusion has previously provided mixed results with limited durable improvement of pain and function...
March 9, 2018: Spine
https://www.readbyqxmd.com/read/29526639/the-effect-of-inter-body-fusion-cage-design-on-the-stability-of-the-instrumented-spine-in-response-to-cyclic-loading-an-experimental-study
#18
Ron N Alkalay, Robert Adamson, Michael W Groff
BACKGROUND CONTEXT: In the lumbar spine, end plate preparation for the interbody fusion cages may critically affect the cage's long term performance. This study investigated the effect of the interbody cage design on the compliance and cage subsidence of instrumented spines under cyclic compression. PURPOSE: To quantify the role of cage geometry and bone density on the stability of the spinal construct in response to cyclic compressive loads. STUDY DESIGN: Changes in the cage-bone interface and the effect of bone density on these changes were evaluated in a human cadaveric model for three intervertebral cage designs...
March 8, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29505978/clinical-and-radiological-outcomes-after-stand-alone-alif-for-single-l5-s1-degenerative-discopathy-using-a-peek-cage-filled-with-hydroxyapatite-nanoparticles-without-bone-graft
#19
Gilles Norotte, Carlos Barrios
OBJECTIVE: Recent improvements in cage designs with integral fixation and screw attachments have made stand-alone ALIF a viable option with several possible advantages. The aim of this study was to confirm the efficacy and safety of a PEEK cage filled with hydroxyapatite nanoparticles without adding a bone graft for stand-alone ALIF in the treatment of L5-S1 isolated degenerative disc discopathy (DDD). PATIENTS AND METHODS: Sixty-five patients who required surgery for DDD were evaluated...
May 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29505853/use-of-motor-evoked-potentials-during-lateral-lumbar-interbody-fusion-reduces-postoperative-deficits
#20
Michael R Riley, Adam T Doan, Richard W Vogel, Alexander O Aguirre, Kayla S Pieri, Edward H Scheid
BACKGROUND CONTEXT: Intraoperative neurophysiological monitoring (IONM) has gained rather widespread acceptance as a method to mitigate risk to the lumbar plexus during lateral lumbar interbody fusion (LLIF) surgery. The most common approach to IONM involves using only electromyography (EMG) monitoring, and the rate of postoperative deficit remains unacceptably high. Other test modalities, such as transcranial electric motor-evoked potentials (tcMEPs) and somatosensory-evoked potentials, may be more suitable for monitoring neural integrity, but they have not been widely adopted during LLIF...
April 3, 2018: Spine Journal: Official Journal of the North American Spine Society
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