دورية أكاديمية
أعرض في EDS

Clinical and Radiological Results After Minimally Invasive Transpsoas Lateral Access Surgery for Degenerative Lumbar Stenosis.

التفاصيل البيبلوغرافية
العنوان: Clinical and Radiological Results After Minimally Invasive Transpsoas Lateral Access Surgery for Degenerative Lumbar Stenosis.
المؤلفون: Coutinho TP; Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, University of Sao Paulo (IOT HC FMUSP), Sao Paulo, Brazil.; Instituto Vita, Sao Paulo, Brazil., Cristante AF; Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, University of Sao Paulo (IOT HC FMUSP), Sao Paulo, Brazil., Marcon RM; Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, University of Sao Paulo (IOT HC FMUSP), Sao Paulo, Brazil., da Rocha ID; Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, University of Sao Paulo (IOT HC FMUSP), Sao Paulo, Brazil., Ono AH; Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, University of Sao Paulo (IOT HC FMUSP), Sao Paulo, Brazil., Meyer GPC; Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, University of Sao Paulo (IOT HC FMUSP), Sao Paulo, Brazil.; Instituto Vita, Sao Paulo, Brazil., Barros Filho TEP; Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, University of Sao Paulo (IOT HC FMUSP), Sao Paulo, Brazil.
المصدر: Global spine journal [Global Spine J] 2020 Aug; Vol. 10 (5), pp. 603-610. Date of Electronic Publication: 2019 Jul 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: England NLM ID: 101596156 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2192-5682 (Print) Linking ISSN: 21925682 NLM ISO Abbreviation: Global Spine J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2017- : London : SAGE Publications
Original Publication: New York, NY : Thieme Medical Publishers
مستخلص: Study Design: Prospective cohort study.
Objective: The lateral transpsoas access is a retroperitoneal approach for the lumbar spine to perform the lateral lumbar interbody fusion (LLIF), an intersomatic arthrodesis performed with a cage placed on the lateral borders of the epiphyseal ring. The procedure can be used to provide indirect decompression of the nervous structures through the discectomy and restoration of the disc height. The objective of the present study was to evaluate the indirect decompression following LLIF both with radiological and clinical parameters.
Methods: Prospective clinical and radiological study in a single center with 20 patients diagnosed with 1- or 2-level degenerative lumbar stenosis. Radiological analysis on magnetic resonance imaging included foramen height, canal area, canal diameter, and disc height. Clinical outcomes included visual analogue scale (VAS) and Oswestry Disability Index (ODI) collected up to 12 months. Complications and reoperations were recorded.
Results: In total, 25 levels were treated. No reoperation was required. Disc height was increased by an average of 25% ( P < .001). The canal area increased from 109 to 149 mm 2 ( P < .001) and from 9.3 to 12.2 mm ( P < .001) in anteroposterior diameter. The foramen area demonstrated the effect of indirect decompression on both sides ( P < .001). The height of the foramen showed significant average increase of 2.8 mm ( P < .001). The results from VAS and ODI questionnaires confirmed the clinical effect of indirect decompression.
Conclusion: We observed that indirect decompression by the LLIF method is feasible both radiologically and clinically with a low rate of complications and reoperations.
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فهرسة مساهمة: Keywords: lumbar spine; magnetic resonance imaging; minimally invasive surgical procedures; spinal stenosis; surgical procedures
تواريخ الأحداث: Date Created: 20200718 Latest Revision: 20220415
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7359694
DOI: 10.1177/2192568219865186
PMID: 32677573
قاعدة البيانات: MEDLINE
الوصف
تدمد:2192-5682
DOI:10.1177/2192568219865186