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Mini-Open Approach for Direct Lateral Lumbar Interbody Fusion
- Source :
- Asian Spine Journal, Vol 8, Iss 4, Pp 491-497 (2014), Asian Spine Journal
- Publication Year :
- 2014
- Publisher :
- Korean Spine Society, 2014.
-
Abstract
- Study design Retrospective analysis. Purposes To introduce the mini-open lateral approach for the anterior lumbar interbody fusion (ALIF), and to investigate the advantages, technical pitfalls and complications by providing basic knowledge on extreme lateral interbody fusion (XLIF) or direct lumbar interbody fusion (DLIF). Overview of literature Recently, minimally invasive lateral approach for the lumbar spine is revived and receiving popularity under the name of XLIF or DLIF by modification of mini-open method when using the sequential tubular dilator and special expandable retractor system. Methods Seventy-four patients who underwent surgery by the mini-open lateral approach from September 2000 to April 2008 with various disease entities were included. Blood losses, operation times, incision sizes, postoperative time to mobilization, length of hospital stays, technical problems and complications were all analyzed. Results The blood losses and operation times of patients who underwent simple ALIF were 61.2 mL and 86 minutes for one level, 107 mL and 106 minutes for two levels, 250 mL and 142.8 minutes for three levels, and 400 mL and 190 minutes for four levels of fusion. The incision sizes were on average 4.5 cm for one level, 6.3 cm for two levels, 8.5 cm for three levels and 10.0 cm for four levels of fusion. The complications were retroperitoneal hematoma (2 cases), pneumonia (1 case) and transient lumbosacral plexus palsy (3 cases). Conclusions Trials of mini-open lateral approach would be helpful before the trial of XLIF or DLIF. However, special attention is required for complications such as transient lumbosacral plexus palsy.
- Subjects :
- Mini open
medicine.medical_specialty
Palsy
Interbody fusion
business.industry
lcsh:R
lcsh:Medicine
Retroperitoneal hematoma
Surgery
Retractor
Lumbosacral plexus
Basic knowledge
Lumbar spine
Mini-open lateral approach
Lumbar interbody fusion
medicine
Clinical Study
Orthopedics and Sports Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 19767846 and 19761902
- Volume :
- 8
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Asian Spine Journal
- Accession number :
- edsair.doi.dedup.....e14321dd99ba1e58162e0f285a5c8a1d