Brain & spinePub Date : 2024-01-01DOI: 10.1016/j.bas.2024.102870
Martin N. Stienen , Gregor Fischer , Linda Bättig , Anand Veeravagu , Benjamin Martens
{"title":"Minimally-invasive lateral thoracic and lumbar interbody fusion (LLIF) with expandable interbody cages – Considerations, complications & outcomes","authors":"Martin N. Stienen , Gregor Fischer , Linda Bättig , Anand Veeravagu , Benjamin Martens","doi":"10.1016/j.bas.2024.102870","DOIUrl":"10.1016/j.bas.2024.102870","url":null,"abstract":"<div><h3>Introduction</h3><p>Reports about lateral lumbar or thoracic interbody fusion (LLIF) using expandable interbody spacers are sparse.</p></div><div><h3>Research question</h3><p>To report our experience with the use of expandable spacers for LLIF.</p></div><div><h3>Material and methods</h3><p>We reviewed all consecutive LLIF patients with use of an expandable titanium interbody implant (ELSA® Expandable Integrated LLIF Spacer, Globus Medical Inc, PA (USA)) between September 2018 and January 2024.</p></div><div><h3>Results</h3><p>We identified 503 patients, in which we performed LLIF at 732 levels. In 63 patients (12.5%) and 70 levels (9.6%) an expandable spacer was used. The mean age was 61.4 years, 57.1% were females. LLIF was performed between T11/12 – L4/5 in the setting of fusion procedures (mono-/bisegmental (20; 28.6%), 3–7 segments (29; 41.4%); >7 segments (21; 30.0%)), of which 21 (33.3%), 20 (31.8%) and 22 (34.9%) were for traumatic, deformity/revision and other diagnoses. Surgery included release of the anterior longitudinal ligament in 30 cases (42.9%). Intraoperative adverse events (AEs) were noted in 2 (3.2%), postoperative AEs in 27 (42.9%) at discharge, 17 (27.0%) at 3 months and 14 (22.2%) at 12 months. Segmental sagittal Cobb angle changed from 1.3° (preoperative) to 13.0° at discharge (p < 0.001), 12.7° at 3 months (p < 0.001) and 13.3° at 12 months (p < 0.001). Functional outcome was excellent/good in 43 (68.3%; 5 missing) at 3 months and in 37 (58.7%; 10 missing) at 12 months.</p></div><div><h3>Discussion and conclusion</h3><p>The use of LLIF with an expandable spacer was safe, promoted solid fusion and enabled powerful correction of sagittal segmental Cobb angle, which was maintained during follow-up.</p></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"4 ","pages":"Article 102870"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772529424001267/pdfft?md5=0147aecbd07aaeb10910838cd5c3d1cc&pid=1-s2.0-S2772529424001267-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain & spinePub Date : 2024-01-01DOI: 10.1016/j.bas.2024.102922
Dr Amna Sohail, Dr Raahim Bashir, Dr Haseeb Mehmood Qadri, Asif Bashir
{"title":"Unleashing the potential of epilepsy surgery in Pakistan: A possible game-changer for refractory epilepsy","authors":"Dr Amna Sohail, Dr Raahim Bashir, Dr Haseeb Mehmood Qadri, Asif Bashir","doi":"10.1016/j.bas.2024.102922","DOIUrl":"10.1016/j.bas.2024.102922","url":null,"abstract":"","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"4 ","pages":"Article 102922"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772529424001784/pdfft?md5=050fcaf2050728eefa0761e027031960&pid=1-s2.0-S2772529424001784-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain & spinePub Date : 2024-01-01DOI: 10.1016/j.bas.2024.102908
Silambarasan Tamil Selvan
{"title":"Letter to the editor \"Dural reconstruction with or without a bone graft of paranasal and anterior skull-base malignancies: Retrospective single-centre analysis of 11 cases and review of literature\"","authors":"Silambarasan Tamil Selvan","doi":"10.1016/j.bas.2024.102908","DOIUrl":"10.1016/j.bas.2024.102908","url":null,"abstract":"","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"4 ","pages":"Article 102908"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772529424001644/pdfft?md5=824727594216885c0c4d0776ec673358&pid=1-s2.0-S2772529424001644-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain & spinePub Date : 2024-01-01DOI: 10.1016/j.bas.2024.103005
A. Stratton , K. Skaik , P. Phan , C. Investigators
{"title":"Effect of elective cervical spine surgery on mental health of patients with degenerative cervical myelopathy (DCM): A CSORN study","authors":"A. Stratton , K. Skaik , P. Phan , C. Investigators","doi":"10.1016/j.bas.2024.103005","DOIUrl":"10.1016/j.bas.2024.103005","url":null,"abstract":"","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"4 ","pages":"Article 103005"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}