Fusion after minimally disruptive anterior lumbar interbody fusion: Analysis of extreme lateral interbody fusion by computed tomography

SAS journal Pub Date : 2010-06-01 DOI:10.1016/j.esas.2010.03.001

W.B. Rodgers MD, Edward J. Gerber PA-C, Jamie R. Patterson

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引用次数: 76

Abstract

Background

Less invasive fusion approaches, such as extreme lateral interbody fusion (XLIF), have proliferated, but few reports have critically assessed fusion rates. To date, no studies have reported computed tomography (CT) documented fusion rates following XLIF.

Methods

An institutional review board-approved prospective radiographic and CT assessment of minimally disruptive anterior lumbar interbody fusion (mini-ALIF) fusions performed through the XLIF approach. Sixty-six patients (88 operative levels) were examined 12 months after XLIF to determine the rate and quality of anterior lumbar fusion.

Results

Eighty five of the 88 levels (96.6%) were judged fused by CT. Sixty-four of the 66 patients (97.0%) were judged fused by CT. Patient satisfaction at 12 months after surgery was high, with 89.4% reportedly “satisfied or very satisfied” with their results. No revisions were necessary for pseudarthrosis.

Conclusion

Mini-ALIF using an XLIF approach reliably results in anterior lumbar fusion.

Abstract Image

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最小破坏性腰椎前路椎体间融合后的融合:计算机断层扫描分析极端外侧椎体间融合

无创融合入路，如极外侧椎体间融合(XLIF)，已经越来越多，但很少有报道严格评估融合率。到目前为止，还没有研究报道计算机断层扫描(CT)记录了XLIF后的融合率。方法经机构审查委员会批准的经XLIF入路行微创前路腰椎椎体间融合术(mini-ALIF)的前瞻性x线和CT评估。66例患者(88个手术水平)在XLIF后12个月接受检查，以确定腰椎前路融合的率和质量。结果88个节段中有85个(96.6%)被CT诊断为融合。66例患者中64例(97.0%)经CT诊断融合。术后12个月患者满意度高，89.4%的患者对手术结果“满意或非常满意”。假关节不需要翻修。结论mini - alif采用XLIF入路可可靠地实现腰椎前路融合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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SAS journal

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