Changes in the Adjacent Segment 10 Years After Anterior Lumbar Interbody Fusion for Low-Grade Isthmic Spondylolisthesis

Choi, Kyung-Chul; Kim, Jin-Sung; Shim, Hyeong-Ki; Ahn, Yong; Lee, Sang-Ho

doi:10.1007/s11999-013-3256-4

Cited by 36 publications

(28 citation statements)

References 31 publications

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“…Limited studies, however, have reported on the details of procedures using the APS. As an effective means of pedicle screw xation, APS not only provides superior postoperative spinal stability for ALIF, but allows a shorter operating time, less blood loss, and minimal posterior muscle damage [4,5].…”

Section: Discussionmentioning

confidence: 99%

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Anterior Transpedicle Screw in Lumbosacral Spine and Radiographic Measurements: A Retrospective Analysis

Ding

et al. 2020

Preprint

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Background The anterior transpedicle screw technique for L5 and S1 is crucial for proper anterior lumbar interbody fusion. This study aimed to determine the projection, screw trajectory angle, and bone screw passageway length (BSPL) of the anterior transpedicle screw in L5 and S1, as well as the screw’s insertion regularity and the operating area that is safe for its insertion. Methods Forty patients with low back pain, all of whom had lumbar computed tomography scans available, were included in a retrospective analysis. Radiographic parameters were measured, including the distances from the projection to the upper endplate, lower endplate, and midline; the transverse and sagittal screws’ angles; and the BSPL. Ten fresh adult cadaveric lumbosacral spine segments were chosen to determine the safe anatomical area at which to operate. Finally, anterior transpedicle screws were inserted in L5 and S1 to determine the regularity of anterior pedicle screw insertion. Results We measured the anterior projection parameters, including the distances to the upper endplate (L5:12.5 ± 1.3 mm; S1: 4.54 ± 0.87 mm), lower endplate (L5: 17.3 ± 1.6 mm), and midline (L5: 6.6 ± 0.7 mm; S1: 6.6 ± 0.6 mm); the screw trajectory angle, including the transverse screw angle (L5: 25.3° ± 2.8°; S1: 25.7° ± 2.6°), sagittal screw angle (L5: 17.1° ± 1.7°; S1: 22.4° ± 1.1°); and the BSPL (L5: 48.6 ± 3.5 mm; S1: 48.0 ± 3.5 mm). We then identified the safe operating area and the regularity of L5 and S1 anterior pedicle screw insertions. Conclusions We determined the projection, screw trajectory angle, and BSPL of anterior transpedicle screws in L5 and S1, their insertion regularity, and the area in which the operation could be safely performed.

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Section: Discussionmentioning

confidence: 99%

“…However, ALIF-PPS would increase the number of incision, the operating time and blood loss. While stand-alone ALIF has potential bene t of shorter operating time, less blood loss and sparing of posterior muscle damage [4,5].…”

Section: Introductionmentioning

confidence: 99%

Anterior Transpedicle Screw in Lumbosacral Spine and Radiographic Measurements: A Retrospective Analysis

Ding

et al. 2020

Preprint

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“…Recent studies have shown that ALIF with PPF can be performed to attain the surgical goals and successful outcomes in the management of isthmic spondylolisthesis. 2,7 However, hypoplasia of the lumbar pedicle also increases the difficulty of performing PPF. In the cases featured in this paper, we performed PPF only for normal pedicles.…”

Section: Discussionmentioning

confidence: 99%

Congenital hypoplasia of the lumbar pedicle with spondylolisthesis: report of 2 cases

Hsieh¹,

Lee

et al. 2017

SPI

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Congenital hypoplasia of the spinal pedicle is a rare condition. Previously reported cases were treated conservatively or with posterior instrumented fusion. However, the absence or hypoplasia of the lumbar pedicle may increase the difficulty of pedicle screw fixation and fusion. Herein, the authors describe 2 cases of rare adult congenital hypoplasia of the right lumbar pedicles associated with spondylolisthesis. The patients underwent anterior lumbar interbody fusion with a stand-alone cage as well as percutaneous pedicle screw fixation. This method was used to avoid the difficulties associated with pedicle screw fixation and to attain solid fusion. Both patients achieved satisfactory outcomes after a minimum of 2 years of follow-up. This method may be an alternative for patients with congenital hypoplasia of the lumbar spinal pedicle.

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“…This procedure offers an anterior access at L4-L5 and L5-S1 levels, allowing for a complete discectomy, better end-plate preparation, direct insertion of the cage, and adequate distraction for the development of lordosis. Moreover, this approach does not damage the posterior vertebral elements so that it can result in less postoperative axial back pain and a reduced possibility of adjacent segmental disease (ASD) (20). The complications described in the ALIF include damage to the abdominal viscera and anterior lumbar vessels, retrograde ejaculation, intestinal adhesions, and abdominal hernia (21)(22)(23).…”

Section: Advantages and Disadvantages Of The Lumbar Fusion Techniquesmentioning

confidence: 99%

Complications on minimally invasive oblique lumbar interbody fusion at L2–L5 levels: a review of the literature and surgical strategies

Quillo-Olvera¹,

Lin²,

Jo³

et al. 2018

Ann. Transl. Med.

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Fusion is the cornerstone in the treatment of an unstable degenerative lumbar spinal disease. Various techniques have been developed. Amongst these techniques exists the oblique lumbar interbody fusion (OLIF), which is the ante-psoas approach. Adequate restoration of disc height with large cages placed in the intervertebral space, indirect decompression, and correction of sagittal and coronal alignment can be achieved with OLIF procedure with the advantage of minimal risk for the psoas muscle and lumbar plexus. Nevertheless, this technique entails complications directly associated with the anatomical location where the fusion takes place. This surgical area is a window between the left lateral border of the aorta, or the left common iliac artery, and the anterior belly of the left psoas muscle. Vascular complications associated with the injury of the main vessels, segmental artery or iliolumbar vein of the lumbar spine have been reported, as well as urologic lesions due to ureter transgression, amongst others. Although these complications have been described in the literature, an article that complements this information with technical advice for its avoidance is yet to be published. This article is a review of the most frequent complications associated with the OLIF procedure in L2-L5 lumbar levels, as well as a description of technical strategies for the prevention of such complications.

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Changes in the Adjacent Segment 10 Years After Anterior Lumbar Interbody Fusion for Low-Grade Isthmic Spondylolisthesis

Cited by 36 publications

References 31 publications

Anterior Transpedicle Screw in Lumbosacral Spine and Radiographic Measurements: A Retrospective Analysis

Anterior Transpedicle Screw in Lumbosacral Spine and Radiographic Measurements: A Retrospective Analysis

Congenital hypoplasia of the lumbar pedicle with spondylolisthesis: report of 2 cases

Complications on minimally invasive oblique lumbar interbody fusion at L2–L5 levels: a review of the literature and surgical strategies

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