Minimally Invasive Thoracolumbar Facet Joint Fusion

2013 ◽  
pp. 363-367
Author(s):  
Oliver Tannous ◽  
Kelley Banagan ◽  
Steven C. Ludwig
Keyword(s):  
Minimally Invasive ◽  
Facet Joint ◽  
Joint Fusion ◽  
Facet Joint Fusion

Modified Facet Joint Fusion for Lumbar Degenerative Disease: Case Series of a Fusion Technique, Clinical Outcomes, and Fusion Rate in 491 Patients

2020 ◽  
Vol 19 (3) ◽  
pp. 255-263
Author(s):  
Zhinan Ren ◽  
Zheng Li ◽  
Shugang Li ◽  
Derong Xu ◽  
Xin Chen
Keyword(s):  
Clinical Outcomes ◽  
Facet Joint ◽  
Fusion Rate ◽  
Promising Alternative ◽  
Fusion Technique ◽  
Joint Fusion ◽  
Disease Case ◽  
Facet Joint Fusion ◽  
Lumbar Spondylolisthesis

Abstract BACKGROUND Controversy still exists regarding the optimal fusion technique for the treatment of unstable lumbar spondylolisthesis. OBJECTIVE To evaluate the safety and efficacy of modified facet joint fusion (MFF). METHODS A total of 491 patients with unstable lumbar spondylolisthesis who underwent MFF were retrospectively reviewed. Computed tomography was used to evaluate the fusion rate of MFF at 6- and 12-mo follow-up postoperatively. Clinical outcomes included visual analog scale pain scores for low back pain (VAS-LBP) and leg pain (VAS-LP), Japanese Orthopedic Association scores (JOA), and Oswestry Disability Index (ODI), all of which were obtained preoperatively and postoperatively at 1-, 3-, 6-, and 12-mo follow-up times. The clinical outcomes were determined to be excellent, good, fair, or poor according to the MacNab classification at the last follow-up time. RESULTS Of the 491 patients, the fusion rates at the 6-mo and 1-yr follow-up were 56.8% and 96.1%, respectively. Between baseline and 1-yr follow-up time, VAS-LP and VAS-LBP improved from 5.6 ± 0.9 to 0.4 ± 0.5 and 5.1 ± 1.2 to 1.5 ± 0.9, respectively (P < .001). JOA improved from 9.0 ± 2.0 to 27.7 ± 1.0, and ODI decreased from 64.0 ± 2.0 to 19 ± 1.0 (P < .001). At the final evaluation, 93.6% patients showed excellent or good results, and 3.2% showed fair results. There were no MFF technique-related complications. CONCLUSION MFF technique achieved satisfactory clinical outcomes and fusion rate and appears to be a promising alternative fusion technique for the treatment of unstable lumbar spondylolisthesis.

Potential significance of facet joint fusion or posteromedial fusion observed on CT imaging following attempted posterolateral or posterior interbody fusion

2020 ◽  
Vol 20 (3) ◽  
pp. 337-343 ◽  
Author(s):  
David H. Kim ◽  
Raymond W. Hwang ◽  
Gyu-Ho Lee ◽  
Riya Joshi ◽  
Kevin C. Baker ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Facet Joint ◽  
Ct Imaging ◽  
Potential Significance ◽  
Joint Fusion ◽  
Facet Joint Fusion

Discectomy combined with isolated facet joint fusion—as an alternative fusion technique. Our clinical experience

2008 ◽  
Vol 19 (1) ◽  
pp. 1-6
Author(s):  
Sudeep Jain ◽  
Devdatta Suhas Neogi ◽  
Baldeep Singh ◽  
Saurabh Singh ◽  
Ramesh Kumar ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Facet Joint ◽  
Fusion Technique ◽  
Joint Fusion ◽  
Facet Joint Fusion

Young Investigator Award: Percutaneous Facet Joint Fusion: Preliminary Experience

1993 ◽  
Vol 4 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Moni Stein ◽  
David Elliott ◽  
Jennifer Glen ◽  
Izabella Morava-Protzner
Keyword(s):  
Facet Joint ◽  
Young Investigator ◽  
Joint Fusion ◽  
Young Investigator Award ◽  
Facet Joint Fusion

scholarly journals Microendoscopy-assisted extraforaminal lumbar interbody fusion for treating single-level spondylodesis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Motohide Shibayama ◽  
Guang Hua Li ◽  
Li Guo Zhu ◽  
Zenya Ito ◽  
Fujio Ito
Keyword(s):  
Minimally Invasive ◽  
Spinal Canal ◽  
Interbody Fusion ◽  
Facet Joint ◽  
Clinical Results ◽  
Invasive Technique ◽  
Clinical Effects ◽  
Lumbar Interbody Fusion ◽  
Disc Space ◽  
Single Level

Abstract Background Lumbar interbody fusion is a standard technique for treating degenerative lumbar disorders involving instability. Due to its invasiveness, a minimally invasive technique, extraforaminal lumbar interbody fusion (ELIF), was introduced. On surgically approaching posterolaterally, the posterior muscles and spinal canal are barely invaded. Despite its theoretical advantage, ELIF is technically demanding and has not been popularised. Therefore, we developed a microendoscopy-assisted ELIF (mELIF) technique which was designed to be safe and less invasive. Here, we aimed to report on the surgical technique and clinical results. Methods Using a posterolateral approach similar to that of lateral disc herniation surgery, a tubular retractor, 16 or 18 mm in diameter, was placed at the lateral aspect of the facet joint. The facet joint was partially excised, and the disc space was cleaned. A cage and local bone graft were inserted into the disc space. All disc-related procedures were performed under microendoscopy. The spinal canal was not invaded. Bilateral percutaneous screw-rod constructs were inserted and fixed. Results Fifty-five patients underwent the procedure. The Oswestry Disability Index and visual analogue scale scores greatly improved. Over 90% of the patients obtained excellent or good results based on Macnab’s criteria. There were neither major adverse clinical effects nor the need for additional surgery. Conclusions mELIF is minimally invasive because the spinal canal and posterior muscles are barely invaded. It produces good clinical results with fewer complications. This technique can be applied in most single-level spondylodesis cases, including those involving L5/S1 disorders.

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