Can Indirect Decompression Reduce Adjacent Segment Degeneration and the Associated Reoperation Rate After Lumbar Interbody Fusion? A Systemic Review and Meta-analysis

Chang, Sam Yeol; Chae, Ihn Seok; Mok, Sujung; Park, Sung Cheol; Chang, Bong Soon; Kim, Hyoungmin

doi:10.1016/j.wneu.2021.06.134

Cited by 6 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indirect decompression has the potential to reduce ASDeg and ASDis because it has advantages over direct decompression in the preservation of posterior spinal elements and restoration of sagittal alignment. A recent meta-analysis compared indirect and direct decompression and reported that patients who underwent indirect decompression had 0.34-fold lower odds of developing ASDeg and 0.40-fold lower odds of reoperation due to ASDeg than those who underwent direct decompression [ 92 ]. The pooled mean differences for the segmental and total lumbar lordosis angles were more significant in indirect decompression in this meta-analysis.…”

Section: Complications Requiring Special Considerationsmentioning

confidence: 99%

Pearls and Pitfalls of Oblique Lateral Interbody Fusion: A Comprehensive Narrative Review

Kim

Chang

2022

Neurospine

Self Cite

View full text Add to dashboard Cite

Lumbar degenerative disease is a common problem in an aging society. Oblique lateral interbody fusion (OLIF) is a minimally invasive surgical (MIS) technique that utilizes a retroperitoneal antepsoas corridor to treat lumbar degenerative disease. OLIF has theoretical advantages over other lumbar fusion techniques, such as a lower risk of lumbar plexus injury than direct lateral interbody fusion (DLIF). Previous studies have reported favorable clinical and radiological outcomes of OLIF in various lumbar degenerative diseases. The use of OLIF is increasing, and evidence on OLIF is growing in the literature. The indications for OLIF are also expanding with the help of recent technical developments, including stereotactic navigation systems and robotics. In this review, we present current evidence on OLIF for the treatment of lumbar degenerative disease, focusing on the expansion of surgical indications and recent advancements in the OLIF procedure.

show abstract

Section: Complications Requiring Special Considerationsmentioning

confidence: 99%

Pearls and Pitfalls of Oblique Lateral Interbody Fusion: A Comprehensive Narrative Review

Kim

Chang

2022

Neurospine

Self Cite

View full text Add to dashboard Cite

show abstract

“…Abordaje (abierto, mínimo invasivo): una de las ventajas de los abordajes mínimamente invasivos es la preservación de la musculatura y del complejo ligamentario, es por ello que una disección amplia favorecerá la presencia de PSA. 1,23 Balance sagital (BS): el disbalance sagital (DS) (> 50 mm) se asocia al aumento de PSA. 13 Balance espinopélvico (BEP): al igual que el disbalance sagital, el disbalance espino pélvico (DEP) incrementa la sobrecarga de los segmentos adyacentes, la disminución de la lordosis lumbar (LL), incidencia pélvica (IP), y pendiente sacra (PS) incrementa el riesgo de PSA al igual que el aumento de la inclinación pélvica (InP).…”

Section: B Factores Dependientesunclassified

Patología del segmento adyacente lumbar. Una revisión actualizada

Martínez Silva,

Del Valle Robles,

Méndez Padilla

et al. 2024

Cir Columna

View full text Add to dashboard Cite

Con el desarrollo de nuevas técnicas de manejo quirúrgico para las patologías de columna lumbar, la artrodesis y la fusión intersomática han presentado un importante aumento en su incidencia, ocasionando una mayor preocupación por las posibles complicaciones postoperatorias. La patología del segmento adyacente lumbar es una causa importante de insatisfacción y discapacidad, la cual puede condicionar una cirugía de revisión. La unidad funcional espinal es el punto clave de la biomecánica de la columna, en la cual, al presentar disfuncionamiento de alguna de sus estructuras, se favorece el desarrollo de una cascada degenerativa, que tendrá como consecuencia una entidad patológica. A nivel internacional se han postulado múltiples factores de riesgo para presentar esta entidad como son: 1) tipo de abordaje (clásico o mínimamente invasivo); 2) balance sagital, coronal y espinopélvico); 3) técnica de artrodesis intersomática; 4) fusión flotante; 5) lesión facetaria transquirúrgica; 6) técnica de descompresión; 7) técnica de estabilización; 8) longitud de fusión; 9) género; 10) edad; 11) índice de masa corporal; 12) sarcopenia; 13) osteoporosis; 14) degeneración discal adyacente previa y 15) tropismo facetario. Sin embargo, no todos han tenido asociación significativa, por lo cual, para poder esclarecer este panorama, en el presente estudio se realizó una revisión actualizada de la fisiopatología y de los factores de riesgo que favorecen la presentación de la patología del segmento adyacente lumbar.

show abstract

“…Zudem zeigten die indirekten Verfahren ein größeres Potenzial die segmentale Lordose wiederherzustellen. Dennoch betonen die Autoren die limitierte Aussagekraft ihrer Ergebnisse, da sie auf einer geringen Anzahl kohärenter Studien beruhen [46].…”

Section: Prävention Und Therapieansätzeunclassified

Vermeidung von Anschlussdegenerationen nach operativer Therapie lumbaler, degenerativer Wirbelsäulenpathologien

2022

View full text Add to dashboard Cite

Adjacent segment degeneration (ASD) is a common complication after spine surgery and often requires surgical revision. Given its importance and the multifactorial development, numerous articles on etiology, treatment options and prevention have been published. Prior to surgery, patient-related risk factors such as BMI, age, spinal anatomy and alignment need to be part of the decision-making process. The type and extent of surgery contribute to the development of ASD as well as the damage of dorsal anatomical structures such as facet joints and the paraspinal musculature. Current literature does not justify the use of motion-preserving procedures to diminish ASD occurrence. Importantly, it is recommended to act with regard to the individual spinopelvic alignment and limit the invasiveness of the given surgical procedure in order to prevent ASD. Nevertheless, despite significant research efforts, ASD remains a complication that has not yet been adequately addressed.

show abstract

Can Indirect Decompression Reduce Adjacent Segment Degeneration and the Associated Reoperation Rate After Lumbar Interbody Fusion? A Systemic Review and Meta-analysis

Cited by 6 publications

References 26 publications

Pearls and Pitfalls of Oblique Lateral Interbody Fusion: A Comprehensive Narrative Review

Pearls and Pitfalls of Oblique Lateral Interbody Fusion: A Comprehensive Narrative Review

Patología del segmento adyacente lumbar. Una revisión actualizada

Vermeidung von Anschlussdegenerationen nach operativer Therapie lumbaler, degenerativer Wirbelsäulenpathologien

Contact Info

Product

Resources

About