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minimally invasive lumbar interbody fusion

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https://www.readbyqxmd.com/read/28645595/transforaminal-endoscopic-decompression-for-a-displaced-endplate-fracture-after-lateral-lumbar-interbody-fusion-technical-note
#1
Ralf Wagner, Albert E Telfeian, Guntram Krzok, Menno Iprenburg
Lateral lumbar interbody fusion (LLIF) is a minimally-invasive approach to anterior spinal column fusion, deformity correction and indirect decompression of the lumbar spine. A rarely reported possible complication of the procedure is endplate fracture which has the potential for nerve root compression. Here we present a case of endplate fracture and nerve compression after stand-alone LLIF, its diagnosis, and its subsequent successful treatment with transforaminal endoscopic spine surgery. The case highlights the possible role for minimally invasive endoscopic surgery as a rescue procedure after fusion complication...
June 20, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28632565/neuroforaminal-bone-growth-following-minimally-invasive-transforaminal-lumbar-interbody-fusion-with-bmp-a-computed-tomographic-analysis
#2
Junyoung Ahn, Anton Y Jorgensen, Daniel D Bohl, Ehsan Tabaraee, Vincent J Rossi, Khaled Aboushaala, Kern Singh
STUDY DESIGN: Computed tomographic analysis. OBJECTIVE: To identify radiographic patterns of symptomatic neuroforaminal bone growth (NFB) in patients who have undergone a single-level minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) augmented with bone morphogenetic proteins (BMP) utilizing computed tomography (CT). SUMMARY OF BACKGROUND DATA: BMP induces osteoblast differentiation leading to new bone formation. The association of BMP utilization and heterotopic bone formation after an MIS-TLIF has been described...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28632558/the-long-term-clinical-effect-of-minimal-invasive-tlif-technique-in-1-segment-lumbar-disease
#3
Yi-Bing Li, Xiao-Dong Wang, Hong-Wei Yan, Ding-Jun Hao, Zheng-Hua Liu
STUDY DESIGN: A prospective cohort double-center study. OBJECTIVE: To assess the clinical effect of minimally invasive transforaminal lumbar interbody fusion (miTLIF) using the tunnel technique. SUMMARY OF BACKGROUND DATA: A series of short-term studies have indicated that miTLIF could reduce blood loss and improve clinical results. However, long-term clinical study and magnetic resonance imaging research are still scare. METHODS: From January 2008 to January 2009, 187 patients with 1-segment lumbar disease requiring intervertebral fusion were enrolled in this study...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28632547/a-less-invasive-retroperitoneal-lumbar-approach-animal-feasibility-study-and-primary-clinical-study
#4
Yu Qian, Zhen Lin, Cong Jin, Xing Zhao, Minghao Zheng
STUDY DESIGN: Surgical approach development in an animal model, and a prospective study comparing clinical outcomes between novel and conventional approaches in thoracolumbar burst fracture fixation. OBJECTIVE: To investigate the feasibility of a less-invasive retroperitoneal approach to the lumbar spine in a sheep model and to compare the clinical outcomes of anterior reconstruction in the treatment of thoracolumbar burst fractures using novel and conventional approaches...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28632545/computer-assisted-minimally-invasive-transforaminal-lumbar-interbody-fusion-may-be-better-than-open-surgery-for-treating-degenerative-lumbar-disease
#5
Wei Tian, Yun-Feng Xu, Bo Liu, Ya-Jun Liu, Da He, Qiang Yuan, Zhao Lang, Xiao-Guang Han
STUDY DESIGN: This study was a retrospective review of prospectively collected clinical data. OBJECTIVE: To evaluate the clinical and radiologic outcomes of computer-assisted minimally invasive spine surgery transforaminal lumbar interbody fusion (CAMISS-TLIF) and open TLIF for the treatment of 1-level degenerative lumbar disease. SUMMARY OF BACKGROUND DATA: Minimally invasive TLIF is becoming increasingly popular; however, the limited space and high rate of hardware complications associated with this method are challenging to surgeons...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28608178/minimally-invasive-spine-surgery-in-lumbar-spondylodiscitis-a-retrospective-single-center-analysis-of-67-cases
#6
Anja Tschugg, Sebastian Hartmann, Sara Lener, Andreas Rietzler, Neururer Sabrina, Claudius Thomé
BACKGROUND: Minimally invasive surgical techniques have been developed to minimize tissue damage, reduce narcotic requirements, decrease blood loss, and, therefore, potentially avoid prolonged immobilization. Thus, the purpose of the present retrospective study was to assess the safety and efficacy of a minimally invasive posterior approach with transforaminal lumbar interbody debridement and fusion plus pedicle screw fixation in lumbar spondylodiscitis in comparison to an open surgical approach...
June 12, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28593626/safety-of-lateral-interbody-fusion-surgery-without-intraoperative-monitoring
#7
Hong-Jae Lee, Kyeong-Sik Ryu, Jung-Woo Hur, Ji-Hoon Seong, Hyun-Jin Cho, Jin-Sung Kim
AIM: Oblique lateral interbody fusion (OLIF) is a minimally invasive surgical method that can access lumbar spine without direct dissection of psoas muscle and the need for intraoperative neuromonitoring (IOM) is questionable. The purpose of this study is to examine and document the transient and persistent perioperative complications in patients who underwent OLIF for degenerative lumbar disease without IOM. MATERIAL AND METHODS: Total 129 consecutive patients who were diagnosed as degenerative spinal disease from L1 to S1 and underwent the mini-open OLIF, were identified and retrospectively reviewed...
May 7, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28587633/insidious-intraoperative-ureteral-injury-as-a-complication-in-oblique-lumbar-interbody-fusion-surgery-a-case-report
#8
Go Kubota, Sumihisa Orita, Tomotaka Umimura, Kazuhisa Takahashi, Seiji Ohtori
BACKGROUND: Oblique lumbar interbody fusion surgery is a recently introduced minimally invasive lateral interbody fusion surgery for degenerative lumbar disease. There have been no reports of associated ureteral injury. CASE PRESENTATION: A 77-year-old Japanese woman underwent oblique lumbar interbody fusion surgery for lumbar spondylolisthesis with refractory low back pain and pain in both legs. The patient experienced abdominal pain 2 days after surgery. Delayed contrast-enhanced computed tomography and retrograde urography revealed leakage of contrasted urine from the ureter into the retroperitoneal space, indicating a ureteral injury...
June 6, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28576710/evaluation-of-screw-placement-accuracy-in-circumferential-lumbar-arthrodesis-utilizing-robotic-assistance-and-intra-operative-flat-panel-ct
#9
Louis Chenin, Cyrille Capel, Anthony Fichten, Johann Peltier, Michel Lefranc
BACKGROUND: Neuronavigation has become a common means of placing pedicle screws in vertebral arthrodesis, since it reduces the incidence of complications related to poor screw positioning. OBJECTIVE: The objective of the present study was to evaluate the accuracy of pedicle screw placement during lumbar arthrodesis performed with the new ROSA® Spine robot and intraoperative flat-panel CT (fpCT) guidance. METHODS: We performed a descriptive, observational, retrospective, single-center study of patients having undergone transforaminal lumbar interbody fusion (TLIF) for degenerative pathologies using the ROSA® Spine robot and intraoperative fpCT guidance...
May 30, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28560607/femoral-nerve-and-lumbar-plexus-injury-after-minimally-invasive-lateral-retroperitoneal-transpsoas-approach-electrodiagnostic-prognostic-indicators-and-a-roadmap-to-recovery
#10
Naomi A Abel, Jacob Januszewski, Andrew C Vivas, Juan S Uribe
Injury to the lumbosacral (LS) plexus is a well-described complication after lateral retroperitoneal transpsoas approaches to the spine. The prognosis for functional recovery after lumbosacral plexopathy or femoral/obturator neuropathy is unclear. We designed a retrospective case-control study with patients undergoing one-level lateral retroperitoneal transpsoas lumbar interbody fusion (LLIF) between January 2011 and June 2016 to correlate electrodiagnostic assessments (EDX) to physiologic concepts of nerve injury and reinnervation, and attempt to build a timeline for patient evaluation and recovery...
May 30, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/28544495/posterior-lumbar-interbody-fusion-with-interspinous-fastener-provides-comparable-clinical-outcome-and-fusion-rate-to-pedicle-screws
#11
Wei-Min Huang, Xing-Ming Yu, Xiao-Duo Xu, Ruo-Xian Song, Li-Li Yu, Xiu-Chun Yu
OBJECTIVE: To investigate the clinical feasibility and validity of interspinous fastener (ISF) for lumbar degenerative diseases. METHODS: From October 2013 to March 2014, a total of 46 patients suffering from lumbar degenerative diseases underwent posterior lumbar interbody fusion (PLIF) randomly augmented by ISF or pedicle screws. The clinical outcome was primarily measured by Oswestry Disability Index (ODI) score. The minimal clinical important difference (MCID) was defined as an eight-point decrease in ODI...
May 24, 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28540127/learning-curves-for-minimally-invasive-spine-surgeries-are-they-worth-it
#12
EDITORIAL
Nancy E Epstein
BACKGROUND: Minimally invasive surgery (MIS) spine procedures were developed to limit operative time, the extent of dissection, and reduce perioperative morbidity. Here, we asked what are the "learning curves" for these MIS spine procedures? METHODS: We reviewed studies in the literature that discussed the "learning curves" attributed to performing different MIS spine surgical procedures. Of interest, the majority were single-surgeon series. RESULTS: Very few articles assessed the learning curves for different MIS spine procedures...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28538369/significant-reduction-of-fluoroscopy-repetition-with-lumbar-localization-system-in-minimally-invasive-spine-surgery-a-prospective-study
#13
Guoxin Fan, Hailong Zhang, Xin Gu, Chuanfeng Wang, Xiaofei Guan, Yunshan Fan, Shisheng He
The conventional location methods for minimally invasive spinal surgery (MISS) were mainly based on repeated fluoroscopy in a trial-and-error manner preoperatively and intraoperatively. Localization system mainly consisted of preoperative applied radiopaque frame and intraoperative guiding device, which has the potential to minimize fluoroscopy repetition in MISS. The study aimed to evaluate the efficacy of a novel lumbar localization system in reducing radiation exposure to patients.Included patients underwent minimally invasive transforaminal lumbar interbody fusion (MISTLIF) or percutaneous transforaminal endoscopic discectomy (PTED)...
May 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28538082/risk-factors-associated-with-failure-to-reach-minimal-clinically-important-difference-in-patient-reported-outcomes-following-minimally-invasive-transforaminal-lumbar-interbody-fusion-for-spondylolisthesis
#14
Fady Y Hijji, Ankur S Narain, Daniel D Bohl, Kelly H Yom, Krishna T Kudaravalli, Gregory D Lopez, Kern Singh
STUDY DESIGN: Retrospective cohort. OBJECTIVE: To determine risk factors associated with failure to reach the minimal clinically important difference (MCID) in patient-reported outcomes (PROs) for patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) for spondylolisthesis. SUMMARY OF BACKGROUND DATA: The MCID of PROs are often utilized to determine the benefit of spinal procedures. However, negative predictive factors for reaching MCID in patients surgically treated for lumbar spondylolisthesis have been difficult to elucidate...
May 19, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28538081/is-body-mass-index-a-risk-factor-for-revision-procedures-after-minimally-invasive-transforaminal-lumbar-interbody-fusion
#15
Ankur S Narain, Fady Y Hijji, Daniel D Bohl, Kelly H Yom, Krishna T Kudaravalli, Kern Singh
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To determine if an association exists between body mass index (BMI) and the rate of revision surgery after single-level minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA: MIS TLIF is an effective treatment for lumbar degenerative disease. Previous studies in the orthopedic literature have associated increased BMI with increased postoperative complications and need for revision...
May 19, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28526641/elimination-of-subsidence-with-26mm-wide-cages-in-extreme-lateral-interbody-fusion
#16
Gernot Lang, Rodrigo Navarro-Ramirez, Lena Gandevia, Ibrahim Hussain, Jonathan Nakhla, Micaella Zubkov, Roger Härtl
BACKGROUND: Extreme lateral interbody fusion (ELIF) has gained popularity as minimally invasive technique for indirect decompression. However, graft subsidence potentially threatens the long-term success of ELIF. The aim of the study was to evaluate whether 26mm wide cages can eliminate subsidence and subsequent loss of decompression in ELIF. METHODS: Patients undergoing ELIF surgery using a 26mm wide cage were analyzed retrospectively. Patient demographics and peri-operative data for radiographic and clinical outcomes were recorded...
May 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28523382/adult-spinal-deformity-effectiveness-of-interbody-lordotic-cages-to-restore-disc-angle-and-spino-pelvic-parameters-through-completely-mini-invasive-trans-psoas-and-hybrid-approach
#17
Giuseppe Barone, Laura Scaramuzzo, Antonino Zagra, Fabrizio Giudici, Andrea Perna, Luca Proietti
PURPOSE: The aim of the study is to assess and quantify the effectiveness of interbody lordotic cages applied by trans-psoas approach to improve radiographic parameters, showing the differences between completely mini-invasive and hybrid approach. METHODS: We collected data of 65 patients affected by degenerative lumbar deformity/diseases and underwent mini-invasive lateral interbody fusion followed by percutaneous (group A, completely mini-invasive) or open (group B, hybrid) posterior instrumentation...
May 18, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28499016/minimally-invasive-transforaminal-lumbar-interbody-fusion-using-banana-shaped-and-straight-cages-radiological-and-clinical-results-from-a-prospective-randomized-clinical-trial
#18
Won-Suh Choi, Jin-Sung Kim, Jung-Woo Hur, Ji-Hoon Seong
BACKGROUND: In minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF), cage type and position play important roles in fusion achievement and sagittal alignment correction. However, no prospective randomized comparison of the results using different types of cage has been reported to date. OBJECTIVE: To compare the radiological and clinical outcomes of unilateral MIS-TLIF using 2 types of cage. METHODS: All candidates for single-level MIS-TLIF were randomized into banana-shaped cage and straight-cage groups...
May 10, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28491486/crest-calcinosis-affecting-the-lumbar-and-cervical-spine-and-the-use-of-minimally-invasive-surgery
#19
Kassem Faraj, Kristin Perez-Cruet, Mick Perez-Cruet
Calcinosis in CREST (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia) syndrome can affect the spinal and paraspinal areas. We present the first case to our knowledge where a CREST syndrome patient required surgery for spinal calcinosis in both the cervical and lumbar areas. A 66-year-old female with a history of CREST syndrome presented with right-sided lower extremity radicular pain. A computed tomography (CT) scan showed bilateral lumbar masses (5.8 cm on the right, 3...
April 8, 2017: Curēus
https://www.readbyqxmd.com/read/28481388/minimally-invasive-transforaminal-lumbar-interbody-fusion-with-percutaneous-bilateral-pedicle-screw-fixation-for-lumbosacral-spine-degenerative-diseases-a-retrospective-database-of-40-consecutive-treated-cases-and-literature-review
#20
Daniele Francesco Millimaggi, Valerio DI Norcia, Sabino Luzzi, Tommaso Alfiero, Renato Juan Galzio, Alessandro Ricci
AIM: To report our results about minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) with bilateral pedicle screw fixation, in patients with degenerative lumbosacral spine disease. To describe the indications, surgical technique and results of a consecutive series of 40 patients undergone MI-TLIF. Despite the limited number of clinical studies, published data suggest tremendous potential advantages of this technique. MATERIAL AND METHODS: Forty patients with radiological findings of degenerative lumbosacral spine disease were undergone MI-TLIF between July 2012 and January 2015...
April 12, 2017: Turkish Neurosurgery
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