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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 910 - 920 (11page)
이용수
초록· 키워드
오류제보하기
Objective: Percutaneous lumbar interbody fusion (PELIF) is a procedure that includes the use of new devices, which allow minimally invasive diskectomy under the percutaneous full-endoscopic guidance and safe percutaneous insertion of a standard-sized cage. This procedure can be applied to severe disk degeneration, spondylolisthesis, and all lumbar intervertebral levels including the L5–S1 level. We report the methods and the clinical outcomes of this procedure. Methods: Percutaneous diskectomy was performed with an outer sheath cutter and other devices. A cage was inserted with an L-shaped retract-slider. Hybrid facet screw fixation was performed for severe disk degeneration without spondylolisthesis. Conventional percutaneous pedicle screw fixation was performed for spondylolisthesis. The subjects consisted of 21 patients, who underwent PELIF and were followed up for 1 year or longer. Results: No complications related to cage insertion were detected. The mean visual analogue scale scores were improved from 6.1 to 1.9 for lower back pain in severe disc degeneration cases without spondylolisthesis, and from 7.6 to 1.0 for lower extremity symptoms in spondylolisthesis cases. Conclusion: The clinical outcomes were favorable. PELIF was found to be a minimally invasive method that did not compromise safety and efficiency. PELIF is a possible therapeutic option that should be considered for not only spondylolisthesis at various intervertebral levels but also for severe disk degeneration because of its minimal invasiveness.
목차
등록된 정보가 없습니다.
참고문헌 (32)
참고문헌 신청
Ohtori S / 2011 / Surgical versus nonsurgical treatment of selected patients with discogenic low back pain : a small-sized randomized trial / Spine 36:347~354
Joseph JR / 2015 / Comparison of complication rates of minimally invasive transforaminal lumbar interbody fusion and lateral lumbar interbody fusion : a systematic review of the literature / Neurosurg Focus 39:E4
Youssef JA / 2010 / Minimally invasive surgery : lateral approach interbody fusion : results and review / Spine 35:S302~311
Taher F / 2013 / Contralateral motor deficits after lateral lumbar interbody fusion / Spine 38:1959~1963
Lykissas MG / 2014 / Nerve injury after lateral lumbar interbody fusion : a review of 919 treated levels with identification of risk factors / Spine J 14:749~758
Joseph JR / 2015 / Comparison of complication rates of minimally invasive transforaminal lumbar interbody fusion and lateral lumbar interbody fusion : a systematic review of the literature / Neurosurg Focus 39:E4
Youssef JA / 2010 / Minimally invasive surgery : lateral approach interbody fusion : results and review / Spine 35:S302~311
Taher F / 2013 / Contralateral motor deficits after lateral lumbar interbody fusion / Spine 38:1959~1963
Lykissas MG / 2014 / Nerve injury after lateral lumbar interbody fusion : a review of 919 treated levels with identification of risk factors / Spine J 14:749~758
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