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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 72 - 81 (10page)
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Objective: Lateral lumbar interbody fusion (LLIF) is a highly useful lumbar fusion surgical technique for degenerative spinal disease. However, many complications have already been reported. The purpose of this study is to report the concept, surgical technique, and clinical results of the first 70 consecutive cases treated with a safer and minimally invasive endoscopic-assisted LLIF (ELLIF). Methods: This retrospective study included 70 cases involving 106 segments in which ELLIF was used to treat degenerative spinal disease. We examined the clinical progress, complications and analyzed radiographic images. Regarding the fusion rate, 49 cases involving 72 segments whose follow-up period was more than 7 months were evaluated. Results: The mean of preoperative Numerical Rating Scale (NRS) was 7.0 and postoperative NRS was 1.4. Postoperative NRS had a significant correlation with the number of fusion segments (p=0.028). The mean of preoperative disc space height, foraminal height, sagittal rotation angle, whole lumbar lordosis and sagittal translation distance were 3.3 mm, 14.3 mm, 2.4°, 9.7°, and 3.2 mm, respectively. Postoperative values were 9.4 mm, 17.9 mm, -4.9°, 36.3°, and 0.7 mm. The fusion rate was 79.2%. Complications included, transient psoas muscle weakness 1, sensory disturbance in the thigh 2, retroperitoneal injury 1, postoperative ileus possibly involving a retroperitoneal injury 1, and cage migration 4. Conclusion: Using the ELLIF in the degenerative spinal disease, we obtained good radiological reduction and good clinical results. Our study confirms that ELLIF is safer and provides better results for degenerative spinal disease. However, the issue of cage migration remains to be resolved.
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참고문헌 (10)
참고문헌 신청
Heo DH / 2017 / Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique : technical note and preliminary clinical results / Neurosurg Focus 43:E8
Lee SH / 2017 / Percutaneous transforaminal endoscopic lumbar interbody fusion : clinical and radiological results of mean 46-month follow-up / Biomed Res Int 2017:3731983
Nakamura H / 2000 / Psoas strapping technique : a new technique for laparoscopic anterior lumbar interbody fusion / J Am Coll Surg 191:686~688
Abe K / 2017 / Perioperative complications in 155 patients who underwent oblique lateral interbody fusion surgery: perspectives and indications from a retrospective, multicenter survey / Spine (Phila Pa 1976) 42:55~62
Balsano M / 2015 / A case report of a rare complication of bowel perforation in extreme lateral interbody fusion / Eur Spine J 24(Suppl 3):405~408
Lee SH / 2017 / Percutaneous transforaminal endoscopic lumbar interbody fusion : clinical and radiological results of mean 46-month follow-up / Biomed Res Int 2017:3731983
Nakamura H / 2000 / Psoas strapping technique : a new technique for laparoscopic anterior lumbar interbody fusion / J Am Coll Surg 191:686~688
Abe K / 2017 / Perioperative complications in 155 patients who underwent oblique lateral interbody fusion surgery: perspectives and indications from a retrospective, multicenter survey / Spine (Phila Pa 1976) 42:55~62
Balsano M / 2015 / A case report of a rare complication of bowel perforation in extreme lateral interbody fusion / Eur Spine J 24(Suppl 3):405~408
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