Minimally Invasive Approach versus Traditional Open Approach for One Level Posterior Lumbar Interbody Fusion

2010 ◽  
Vol 53 (01) ◽  
pp. 21-24 ◽  
Author(s):  
V. Ntoukas ◽  
A. Müller
2002 ◽  
Vol 13 (6) ◽  
pp. 1-5 ◽  
Author(s):  
Anthony A. Salerni

Object Despite the technical innovations that posterior approaches for lumbar fusion have undergone, the goal of a significant reduction in the extent of dissection has remained elusive. Because extensive muscular dissection is related to both acute and chronic pain, a reproducible minimally invasive posterior approach to lumbar interbody fusion would have significant clinical value. The technical aspects of a minimally invasive approach to posterior lumbar inter-body fusion (μPLIF) with fixation involving tools developed for videoscopic discectomy will be described. Methods The technical description of this μPLIF procedure is based on experience gained in the first 38 cases. Outcomes categorized using a modified Macnab criteria are reported for 13 patients in whom 1 year or more of follow-up data were available. All procedures were completed. The section of anulus fibrosus that was exposed provided access for a thorough discectomy and endplate preparation. Outcome in 11 of the 13 patients in whom outcome data were available was excellent or good. Six of these patients returned to work between 3 and 12 weeks postoperatively. Two patients suffered complications related to insertion of the interbody device. Conclusions This procedure involves a reproducible technique that results in a construct that is radiographically identical to that which could be expected from any standard open procedure. The minimized muscular dissection results in a tremendous improvement in postoperative mobility. All complications in this series were related to the placement of femoral cortical allograft implants. The use of a modified cement restrictor should eliminate the risk of interbody device placement.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Fabio Roberti ◽  
Katie Arsenault

We present an illustrative report on the use of a minimally invasive, muscle-sparing, direct pars defect decompression with transforaminal lumbar interbody fusion (TLIF) and instrumentation for the treatment of low-grade adult isthmic spondylolysis with spondylolisthesis and discuss the surgical challenges and nuances associated with the technique.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Abdelsalam Wafa ◽  
Tameem Shafik Elkhateeb ◽  
Reda Shaaban Abdelhameed

Abstract Background Minimal invasive techniques for lumbar interbody fusion is a novel surgical procedure developed to reduce approach-related morbidity associated with traditional open techniques. Objective To determine the clinical comparative effectiveness and adverse event rates of posterior minimally invasive surgery (MIS) compared to open transforaminal or posterior lumbar interbody fusion (TLIF/PLIF) for early and late outcomes by using the visual analogue scale for back pain (VAS–back) and the Oswestry Disability Index (ODI). Data Sources Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2018. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion MIS techniques for lumbar interbody fusion is a safe alternative for classic open procedures but due to the limited number of the included RCTs, more well-designed multicenter RCTs with larger sample sizes and long-term follow-up are still needed to compare the clinical efficacy and safety of both techniques.


2014 ◽  
Vol 472 (6) ◽  
pp. 1792-1799 ◽  
Author(s):  
Gursukhman S. Sidhu ◽  
Erik Henkelman ◽  
Alexander R. Vaccaro ◽  
Todd J. Albert ◽  
Alan Hilibrand ◽  
...  

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