Perioperative Complications in Transforaminal Lumbar Interbody Fusion Versus Anterior???Posterior Reconstruction for Lumbar Disc Degeneration and Instability

2006 ◽  
Vol 19 (2) ◽  
pp. 92-97 ◽  
Author(s):  
Alan T. Villavicencio ◽  
Sigita Burneikiene ◽  
Ketan R. Bulsara ◽  
Jeffrey J. Thramann
Keyword(s):  
Disc Degeneration ◽  
Interbody Fusion ◽  
Perioperative Complications ◽  
Lumbar Disc ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Lumbar Disc Degeneration ◽  
Posterior Reconstruction ◽  
Anterior Posterior

scholarly journals Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report

Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 478
Author(s):  
Tsuyoshi Harakuni ◽  
Hiroki Iwai ◽  
Yasushi Oshima ◽  
Hirokazu Inoue ◽  
Tomoaki Kitagawa ◽  
...  
Keyword(s):  
Disc Degeneration ◽  
Interbody Fusion ◽  
Rating Scale ◽  
Lumbar Disc ◽  
Disc Height ◽  
Height Loss ◽  
Foraminal Stenosis ◽  
Lumbar Interbody Fusion ◽  
Lumbar Disc Degeneration ◽  
The Mean

Background and Objectives: Lumbar disc degeneration (LDD) is the main cause of lower back pain and leads to corresponding disc height loss. Although lumbar interbody fusion (LIF) is commonly used for treating LDD, several different treatment strategies are available. We performed a minimally invasive full-endoscopic LIF (FELIF) using a uniportal full-endoscopic system. Materials and Methods: FELIF was performed for 12 patients with LDD with disc-height loss using a 4.1 mm working channel endoscope and a newly developed slider for cage insertion. The mean age of the patients was 68.3 years; the patients presented with single vertebral level involvement. The Brandner’s disc index was used for evaluating the postoperative increase in the disc height. Preoperative and postoperative leg pain was evaluated using the numerical rating scale (NRS) score. Results: The mean operation time for FELIF was 109.4 min. The mean duration of hospital stay after FELIF was 7.7 days. There were no operative and postoperative complications, even without drainage during the mean follow-up period of 6.2 months (range, 2–10 months). The Brandner’s disc index improved statistically significant (p > 0.01). The mean preoperative and postoperative NRS scores were 6.5 and 1.2, respectively. Conclusions: FELIF using a 4.1 mm working channel endoscope can be used for treating LDD with disc height loss. Radiculopathy caused by foraminal stenosis was the most suitable operative indication for FELIF.

Anterior Lumbar Interbody Fusion With Cage Retrieval for the Treatment of Pseudarthrosis After Transforaminal Lumbar Interbody Fusion: A Single-Institution Case Series

2020 ◽  
Author(s):  
Michael M Safaee ◽  
Alexander Tenorio ◽  
Alexander F Haddad ◽  
Bian Wu ◽  
Serena S Hu ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Medical Center ◽  
Perioperative Complications ◽  
Academic Medical Center ◽  
Case Series ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Additional Surgery ◽  
Tract Infections

Abstract BACKGROUND The treatment of pseudarthrosis after transforaminal lumbar interbody fusion (TLIF) can be challenging, particularly when anterior column reconstruction is required. There are limited data on TLIF cage removal through an anterior approach. OBJECTIVE To assess the safety and efficacy of anterior lumbar interbody fusion (ALIF) as a treatment for pseudarthrosis after TLIF. METHODS ALIFs performed at a single academic medical center were reviewed to identify cases performed for the treatment of pseudarthrosis after TLIF. Patient demographics, surgical characteristics, perioperative complications, and 1-yr radiographic data were collected. RESULTS A total of 84 patients were identified with mean age of 59 yr and 37 women (44.0%). A total of 16 patients (19.0%) underwent removal of 2 interbody cages for a total of 99 implants removed with distribution as follows: 1 L2/3 (0.9%), 6 L3/4 (5.7%), 37 L4/5 (41.5%), and 55 L5/S1 (51.9%). There were 2 intraoperative venous injuries (2.4%) and postoperative complications were as follows: 7 ileus (8.3%), 5 wound-related (6.0%), 1 rectus hematoma (1.1%), and 12 medical complications (14.3%), including 6 pulmonary (7.1%), 3 cardiac (3.6%), and 6 urinary tract infections (7.1%). Among 58 patients with at least 1-yr follow-up, 56 (96.6%) had solid fusion. There were 5 cases of subsidence (6.0%), none of which required surgical revision. Two patients (2.4%) required additional surgery at the level of ALIF for pseudarthrosis. CONCLUSION ALIF is a safe and effective technique for the treatment of TLIF cage pseudarthrosis with a favorable risk profile.

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