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minimally invasive lumbar interbody fusion

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https://www.readbyqxmd.com/read/29142637/lateral-lumbar-interbody-fusion-and-in-situ-screw-fixation-for-rostral-adjacent-segment-stenosis-of-the-lumbar-spine
#1
Young Hoon Choi, Shin Won Kwon, Jung Hyeon Moon, Chi Heon Kim, Chun Kee Chung, Sung Bae Park, Won Heo
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...
November 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/29137917/radiation-exposure-with-hybrid-image-guidance-based-minimally-invasive-transforaminal-lumbar-interbody-fusion
#2
Michael M Safaee, Taemin Oh, Murat Pekmezci, Aaron J Clark
The transforaminal lumbar interbody fusion (TLIF) is used for the treatment of back and leg pain secondary to spinal stenosis, degenerative disc disease, and spondylolisthesis. Minimally invasive surgery (MIS) is associated with less estimated blood loss (EBL), decreased length of stay, lower infection rates, and similar outcomes compared to the traditional TLIF. Fluoroscopy time has been reported with MIS-TLIF, but there are limited data on specific radiation dosages. We performed a retrospective analysis of a prospectively acquired cohort of patients undergoing MIS-TLIF...
November 11, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29133325/minimally-invasive-surgery-versus-open-surgery-in-the-treatment-of-lumbar-spondylolisthesis-study-protocol-of-a-multicentre-randomised-controlled-trial-misos-trial
#3
Mark P Arts, Jasper Fc Wolfs, Jos Ma Kuijlen, Godard Cw de Ruiter
INTRODUCTION: Patients with symptomatic spondylolisthesis are frequently treated with nerve root decompression, in addition to pedicle screw fixation and interbody fusion. Minimally invasive approaches are gaining attention in recent years, although there is no clear evidence supporting the proclamation of minimally invasive spine surgery (MISS) being better than open surgery. We present the design of the MISOS (Minimal Invasive Surgery versus Open Surgery) trial on the effectiveness of MISS versus open surgery in patients with degenerative or spondylolytic spondylolisthesis...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29114274/outcomes-of-minimally-invasive-surgery-compared-to-open-posterior-lumbar-instrumentation-and-fusion
#4
Low Yong Lee, Zamzuri Idris, Tan Boon Beng, Teo Yian Young, Wong Chung Chek, Jafri Malin Abdullah, Wong Sii Hieng
Introduction: Degenerative spine disease is increasingly common. There are many spinal fusion techniques used to treat degenerative spine disease. This study aims to compare the functional outcome of open versus minimally invasive surgery (MIS) technique in posterior lumbar instrumentation and fusion in degenerative spine disease and to evaluate the perioperative outcome and complications between MIS and open surgery. Materials and Methods: This is an observational cross-sectional study conducted on all degenerative spine disease patients who underwent both methods of posterior lumbar instrumentation and fusion from 2010 to 2014 by the Orthopedic and Neurosurgery Department, Sarawak General Hospital...
October 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29050895/minimal-invasive-lumbar-spine-revision-surgery-at-distance-from-the-dura-and-postsurgical-scar-tissue-extraforaminal-lumbar-interbody-fusion-elif
#5
Arthur R Kurzbuch, Didier Recoules-Arche
Lumbar spine revision surgery is considered as challenging and related to longer operation time and complications because of the loss of anatomical landmarks and the formation of postoperative epidural fibrosis. Minimal invasive lumbar spinal surgery techniques have been refined over the last 5 years but the reexposure of the dura, the formation of postsurgical scar tissue and related dural tears remain a source of complications. For lumbar spinal revision surgery we advocate the minimal invasive Extraforaminal Lumbar Interbody Fusion (ELIF) technique...
October 16, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29047242/effect-of-sagittal-balance-on-risk-of-falling-after-lateral-lumbar-interbody-fusion-surgery-combined-with-posterior-surgery
#6
Byung Ho Lee, Jae Ho Yang, Hak Sun Kim, Kyung Soo Suk, Hwan Mo Lee, Jin Oh Park, Seong Hwan Moon
PURPOSE: To demonstrate the impact of correcting sagittal balance (SB) on functional outcomes of surgical treatment for degenerative spinal disease and actual falls via utilization of new minimally invasive lumbar fusion techniques via a lateral approach. MATERIALS AND METHODS: From November 2011 to March 2015, we enrolled 56 patients who underwent minimally invasive lateral lumbar interbody fusion (LLIF) and matched 112 patients receiving decompression/postero-lateral fusion (PLF) surgery for lumbar spinal stenosis...
November 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29038952/lateral-lumbar-interbody-fusion-outcomes-and-complications
#7
REVIEW
Stephan N Salzmann, Jennifer Shue, Alexander P Hughes
PURPOSE OF REVIEW: Lateral lumbar interbody fusion (LLIF) is a relatively new, minimally invasive technique for interbody fusion. The goal of this review is to provide a general overview of LLIF with a special focus on outcomes and complications. RECENT FINDINGS: Since the first description of the technique in 2006, the indications for LLIF have expanded and the rate of LLIF procedures performed in the USA has increased. LLIF has several theoretical advantages compared to other approaches including the preservation of the anterior and posterior annular/ligamentous structures, insertion of wide cages resting on the dense apophyseal ring bilaterally, and augmentation of disc height with indirect decompression of neural elements...
December 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29037186/comparison-of-serum-markers-for-muscle-damage-surgical-blood-loss-postoperative-recovery-and-surgical-site-pain-after-extreme-lateral-interbody-fusion-with-percutaneous-pedicle-screws-or-traditional-open-posterior-lumbar-interbody-fusion
#8
Tetsuro Ohba, Shigeto Ebata, Hirotaka Haro
BACKGROUND: The benefits of extreme lateral interbody fusion (XLIF) as a minimally invasive lumbar spinal fusion treatment for lumbar degenerative spondylolisthesis have been unclear. We sought to evaluate the invasiveness and tolerability of XLIF with percutaneous pedicle screws (PPS) compared with traditional open posterior lumbar interbody fusion (PLIF). METHODS: Fifty-six consecutive patients underwent open PLIF and 46 consecutive patients underwent single-staged treatment with XLIF with posterior PPS fixation for degenerative lumbar spondylolisthesis, and were followed up for a minimum of 1 year...
October 16, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28994028/treatment-for-degenerative-lumbar-spondylolisthesis-current-concepts-and-new-evidence
#9
REVIEW
Andre M Samuel, Harold G Moore, Matthew E Cunningham
PURPOSE OF REVIEW: Current guidelines for the optimal treatment degenerative spondylolisthesis are weak and based on limited high-quality evidence. RECENT FINDINGS: There is some moderate evidence that decompression alone may be a feasible treatment with lower surgical morbidity and similar outcomes to fusion when performed in a select population with a low-grade slip. Similarly, addition of interbody fusion may be best suited to a subset of patients with high-grade degenerative spondylolisthesis, although this remains controversial...
December 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28989845/comparison-perioperative-factors-during-minimally-invasive-pre-psoas-lateral-interbody-fusion-of-the-lumbar-spine-using-either-navigation-or-conventional-fluoroscopy
#10
Yue-Hui Zhang, Ian White, Eric Potts, Jean-Pierre Mobasser, Dean Chou
STUDY DESIGN: Retrospective clinical study. OBJECTIVES: The aim of this study was to compare intraoperative conditions and clinical results of patients undergoing pre-psoas oblique lateral interbody fusion (OLIF) using navigation or conventional fluoroscopy (C-ARM) techniques. METHODS: Forty-two patients (22 patients by navigation and 20 by fluoroscopy) underwent the OLIF procedure at 2 medical centers, and records were reviewed. Clinical data was collected and compared between the 2 groups...
October 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28973529/analysis-of-intraoperative-cone-beam-computed-tomography-combined-with-image-guidance-for-lateral-lumbar-interbody-fusion
#11
Xilin Liu, Jacob R Joseph, Brandon W Smith, Yamaan Saadeh, Paul Park
BACKGROUND: Minimally invasive lateral lumbar interbody fusion (LLIF) is traditionally performed with biplanar fluoroscopy. Recent literature demonstrates that intraoperative cone-beam computed tomography combined with spinal navigation can be safely utilized for localization and cage placement in LLIF. OBJECTIVE: To evaluate the accuracy and safety of cage placement using spinal navigation in LLIF, as well as to evaluate the radiation exposure to surgeon and staff during the procedure...
August 2, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28960820/minimally-invasive-transforaminal-lumbar-interbody-fusion-and-unilateral-fixation-for-degenerative-lumbar-disease
#12
Hui-Wang Wang, Yong-Cheng Hu, Zhan-Yong Wu, Hua-Rong Wu, Chun-Fu Wu, Lian-Suo Zhang, Wei-Kun Xu, Hui-Long Fan, Jin-Sheng Cai, Jian-Qing Ma
OBJECTIVE: To evaluate the clinical effect of the minimally invasive transforaminal lumbar interbody fusion combined with posterolateral fusion and unilateral fixation using a tubular retractor in the management of degenerative lumbar disease. METHODS: A retrospective analysis was conducted to analyze the clinical outcome of 58 degenerative lumbar disease patients who were treated with minimally invasive transforaminal lumbar interbody fusion combined with posterolateral fusion and unilateral fixation during December 2012 to January 2015...
August 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28958177/use-of-minimally-invasive-spine-surgical-instruments-for-the-treatment-of-bone-tumors
#13
Russell A Reeves, Matthew C DeWolf, Peter J Shaughnessy, James B Ames, Eric R Henderson
Orthopedic oncologists often encounter patients with minor bony lesions that are difficult to access surgically and therefore require large exposures out of proportion to the severity of disease that confer significant patient morbidity. Minimally invasive surgical techniques offer the advantage of smaller incisions, shorter operative times, decreased tissue damage, and decreased costs. A variety of surgical procedures have emerged using minimally invasive technologies, particularly in the field of spine surgery...
October 4, 2017: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/28945854/reduced-acute-care-costs-with-the-eras%C3%A2-minimally-invasive-transforaminal-lumbar-interbody-fusion-compared-with-conventional-minimally-invasive-transforaminal-lumbar-interbody-fusion
#14
Michael Y Wang, Hsuan Kan Chang, Jay Grossman
BACKGROUND: Enhancing Recovery After Surgery (ERAS®) programs have been widely adopted throughout the world, but not in spinal surgery. In this report, we review the implementation of a "fast track" surgery for lumbar fusion and its effect on acute care hospitalization costs. OBJECTIVE: To determine if a "fast track" surgery methodology results in acute care cost savings. METHODS: Thirty-eight consecutive ERAS patients were compared with patients undergoing conventional minimally invasive transforaminal lumbar interbody fusion...
July 28, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28945642/clinical-and-radiologic-comparison-of-minimally-invasive-surgery-with-traditional-open-transforaminal-lumbar-interbody-fusion-a-review-of-452-patients-from-a-single-center
#15
Julian P Price, John M Dawson, James D Schwender, Kurt P Schellhas
STUDY DESIGN: Retrospective analysis of prospective data for parallel, consecutive series of patients (Level III). OBJECTIVE: Compare clinical results and radiographic outcomes of minimally invasive surgery (MIS) versus open techniques for transforaminal lumbar interbody fusion (TLIF). SUMMARY OF BACKGROUND DATA: Minimally invasive techniques allow transforaminal exposure with decreased soft tissue disruption, but the question remains whether surgical and functional outcomes are equivalent to open techniques...
September 22, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28944950/comparison-of-unilateral-versus-bilateral-pedicle-screw-fixation-in-transforaminal-lumbar-interbody-fusion-for-single-level-lumbar-degenerative-diseases-and-review-of-literature
#16
Hasan Serdar Işik, Özerk Okutan, Timur Yildirim, Elif Akpinar, Ali Yilmaz
AIM: There are some recognized treatment modalities in the literature for the treatment of lumbar degenerative diseases,which cause pain and avoidance of daily life activities for the patients.The most widely accepted algorithm in the literature is medical treatment,physical therapy and minimally invasive pain-relieving therapies,if necessary,followed by surgical interventions.The common procedure used in neurosurgery practice is the decompression of neural elements followed by fusion...
July 30, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28944127/minimally-invasive-versus-open-laminectomy-discectomy-transforaminal-lumbar-and-posterior-lumbar-interbody-fusions-a-systematic-review
#17
REVIEW
Allicia O Imada, Tridu R Huynh, Doniel Drazin
Minimally invasive spine surgeries (MISS) are becoming increasingly favored as alternatives to open spine procedures because of the reduced blood loss, postoperative pain, and recovery time. Studies have shown mixed results regarding the efficacy and safety of minimally invasive procedures compared to the traditional, open counterparts. The objectives of this systematic analysis are to compare clinical outcomes between the three MISS and open procedures: (1) laminectomy/discectomy, (2) transforaminal lumbar interbody fusion (TLIF), and (3) posterior lumbar interbody fusion (PLIF)...
July 18, 2017: Curēus
https://www.readbyqxmd.com/read/28906383/comparing-minimally-invasive-transforaminal-lumbar-interbody-fusion-and-posterior-lumbar-interbody-fusion-for-spondylolisthesis-a-strobe-compliant-observational-study
#18
COMPARATIVE STUDY
Dapeng Zhang, Keya Mao, Xiaojun Qiang
Although spondylolisthesis was traditionally treated with posterior lumbar interbody fusion (PLIF), minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) was recently proposed as an alternative treatment for spondylolisthesis. However, no studies have focused on the comparison of these 2 techniques' outcome on spondylolisthesis.The operative reports and perioperative data of patients who underwent single-level primary open PLIF (n = 29) and MIS-TLIF (n = 26) for I/II spondylolisthesis were retrospectively evaluated...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28870824/spine-navigation-based-on-three-dimensional-robotic-fluoroscopy-for-accurate-percutaneous-pedicle-screw-placement-a-prospective-study-of-66-consecutive-cases
#19
Edward Fomekong, Salah Edine Safi, Christian Raftopoulos
BACKGROUND: Minimally invasive spine surgery is associated with obstructed visibility of anatomical landmarks and increased radiation exposure, leading to higher incidence of pedicle screw mispositioning. To address these drawbacks, intraoperative three-dimensional fluoroscopy (io3DF) and navigation are being increasingly used. We aimed to present our dedicated multifunctional hybrid operating room (HyOR) setup and evaluate the accuracy and safety of io3DF image-guided spinal navigation in transforaminal lumbar interbody fusion with percutaneous pedicle screw (PPS) placement...
September 1, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28844914/comparison-of-the-total-and-hidden-blood-loss-in-patients-undergoing-open-and-minimally-invasive-transforaminal-lumbar-interbody-fusion
#20
Hui Zhang, Ze-Xin Chen, Ze-Ming Sun, Chao Jiang, Wen-Fei Ni, Yan Lin, Yao-Sen Wu
PURPOSE: This study examined the volume of hidden blood loss (HBL) and compared perioperative blood loss between minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) and open transforaminal lumbar interbody fusion (O-TLIF). METHODS: Forty-eight patients who were treated with MI-TLIF and 59 patients treated with O-TLIF were enrolled in this study. Patients' height, weight, and preoperative and postoperative hematocrit (Hct) were recorded and used to calculate total blood loss (TBL) according to the Gross formula...
November 2017: World Neurosurgery
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