Long-Term Results of Anterior Interbody Fusion for Treatment of Degenerative Spondylolisthesis

Takahashi, Kazuhisa; Kitahara, Hiroshi; Yamagata, Masatsune; Murakami, Masazumi; Takata, Keiichi; Miyamoto, Kazuhisa; Mimura, Masaya; Akahashi, Yuzuru; Moriya, Hideshige

doi:10.1097/00007632-199011010-00022

Cited by 107 publications

(58 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding the effects of long -term wearing of a lumbar support on the myodynamia of the trunk muscles in healthy people, one report has indicated that weakening of the paravertebral muscles, which is generally considered to occur, was not observed 12) . In the present study, based on the %MPF, which was used as an indicator of muscle fatigue, muscle fatigue did not increase even after wearing a corset for 6 months.…”

Section: Fig 2 Comparison Of Joa Scores Between the Two Groupsmentioning

confidence: 99%

Effects of Long-Term Corset Wearing on Chronic Low Back Pain

Sato¹,

Sekiguchi²,

Kikuchi³

et al. 2012

FJMS

View full text Add to dashboard Cite

: There are few studies of the therapeutic effects of long -term corset wearing in patients with chronic low back pain. The aim of this study was to evaluate the effects of long -term corset wearing on chronic low back pain and to examine the myoelectrical activities of the paravertebral muscles.Forty subjects with chronic low back pain were enrolled and randomly divided into two groups : a group wearing corsets for 6 months (CW) group and a group not wearing corsets (NW). The treatment effects were measured using the Japanese Orthopaedic Association (JOA) score. Muscle endurance was evaluated during the Biering -Sorensen test (S -test), and the degree of muscle fatigue was evaluated by the change in percent mean power frequency (%MPF) of the paravertebral muscles.Corset treatment for chronic low back pain improved low back pain and increased muscle endurance for a short period of time. Paravertebral muscle fatigue was not increased by long -term corset wearing for chronic low back pain, and weakening of the paravertebral muscles was not observed up to 6 months after the start of corset wearing.

show abstract

Section: Fig 2 Comparison Of Joa Scores Between the Two Groupsmentioning

confidence: 99%

Effects of Long-Term Corset Wearing on Chronic Low Back Pain

Sato¹,

Sekiguchi²,

Kikuchi³

et al. 2012

FJMS

View full text Add to dashboard Cite

show abstract

“…Anterior lumbar interbody fusion was introduced by Carpener in 1932 [9], and since then has been modified and refined by numerous authors for various surgical indications [8,10,17,21,27,35,45]. Regardless of the approach used to achieve anterior lumbar interbody fusion (anterior midline, pararectal, anterolateral, retroperitoneal, transperitoneal, or others), a major challenge is management of the retroperitoneal blood vessels.…”

Section: Introductionmentioning

confidence: 99%

The Oblique Anterolateral Approach to the Lumbar Spine Provides Access to the Lumbar Spine With Few Early Complications

Mehren

Mayer

Zandanell

et al. 2016

Clinical Orthopaedics &Amp; Related Research

133

View full text Add to dashboard Cite

Background During the last 20 years several less-invasive anterior approaches to the lumbar spine have become standard, including the extreme lateral transpsoas approach. Although it is associated with a lower risk of vascular injury compared with anterior midline approaches, neuromonitoring is considered mandatory to avoid neurologic complications. Interestingly, despite neuromonitoring, the reported risk of neurologic deficits with the extreme lateral transpsoas approach is greater than observed with other anterior approaches. An alternative lateral, oblique, psoassparing approach, recently named the oblique lumbar interbody fusion, uses the anatomic pathway between the abdominal vessels anteriorly and the lumbar plexus laterally to decrease the risk of neurologic and vascular injury; however, as yet, little on this new approach has been reported. Questions/purposesWe asked: what proportion of patients experienced (1) perioperative complications (overall complications), (2) vascular complications, and (3) neurologic complications after less-invasive anterior lumbar interbody fusion through the oblique lumbar interbody approach at one high-volume center? Methods We performed a chart review of intra-and perioperative complications of all patients who had undergone minimally invasive anterior lumbar interbody fusion through a lateral psoas-sparing approach from L1 to L5 during a 12-year period (1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010). During the study period, the oblique, psoas-sparing approach was the preferred approach of the participating surgeons in this study, and it was performed in 812 patients, all of whom are studied here, and all of whom have complete data for assessment of the short-term (inpatient-only) complications that we studied. In general, we performed this approach whenever possible, although it generally was avoided when a patient previously had undergone an open retro-or transperitoneal abdominal procedure, or previous implantation of hernia mesh in the abdomen. During the study period, posterior fusion techniques were used in an additional 573 patients instead of the oblique lumbar interbody fusion when we needed to decompress the spinal canal beyond what is possible through the anterior approach. In case of spinal stenosis calling for fusion in combination with a high disc space, severe endplate irregularity, or severe biomechanical instability, we combined posterior decompression with oblique lumbar interbody fusion in 367 patients. Complications were evaluated by an independent observer who was not involved in the decisionmaking process, the operative procedure, nor the Each author certifies that he or a member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 ed...

show abstract

“…Sometimes more invasive corrective osteotomy surgeries such as pedicle subtraction osteotomy 6) or vertebral column resection 7,8) are performed to achieve more dramatic LL correction, but these procedures are invasive and associated with massive hemorrhaging after osteotomy and epidural bleeding [9][10][11] . Surgical procedures associated with effective sagittal alignment correction other than posterior surgery include anterior lumbar interbody fusion and lumbar lateral interbody fusion (LLIF), which enables surgeons to approach the anterior spine with the least amount of exposure and perform anterior column interbody fusion by using cages designed for oblique or lateral placement.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the location of intervertebral cages during oblique lateral interbody fusion surgery to achieve sagittal correction

Orita

Inage

Sato

et al. 2017

Spine Surg Relat Res

Self Cite

View full text Add to dashboard Cite

Abstract:Introduction: Oblique lateral interbody fusion (OLIF) can achieve recovery of lumbar lordosis (LL) in minimally invasive manner. The current study aimed to evaluate the location of lateral intervertebral cages during OLIF in terms of LL correction.Methods: The subjects were patients who underwent OLIF for lumbar degenerative diseases, including lumbar spinal stenosis, spondylolisthesis, and discogenic low back pain. Their clinical outcome was evaluated using visual analogue scale on lower back pain (LBP), leg pain and numbness. The following parameters were retrospectively evaluated on plain radiographic images and computed tomography scans before and at 1 year after OLIF: the intervertebral height, vertebral translation, and sagittal angle. The cage position was defined by equally dividing the caudal endplate into five zones (I to V), and its association with segmental lordosis restoration was analyzed. Subjects were also evaluated for a postoperative endplate injury.Results: Eighty patients (121 fused levels) with lumbar degeneration who underwent OLIF were included. There were no significant specific distribution in preoperative disc pathology such as disc angle, height, and translation. After OLIF, sagittal alignment was improved with an average correction angle of 3.8 at the instrumented segments in a level-independent fashion. All cases showed significant improvement in clinical outcomes, and had improvement in the radiological parameters (P<0.05). A detailed analysis of the cage position showed that the most significant sagittal correction and the most postoperative endplate injuries occurred in the farthest anterior zone (I). Cages with a 12-mm height were associated with more endplate injuries compared with shorter cages (8 or 10 mm).Conclusions: OLIF improves sagittal alignment with an average correction angle of 3.8 at the instrumented segments. We suggest that the optimal cage position for better lordosis correction and the fewest endplate injuries is zone II with a cage height of up to 10 mm.

show abstract

Long-Term Results of Anterior Interbody Fusion for Treatment of Degenerative Spondylolisthesis

Cited by 107 publications

References 0 publications

Effects of Long-Term Corset Wearing on Chronic Low Back Pain

Effects of Long-Term Corset Wearing on Chronic Low Back Pain

The Oblique Anterolateral Approach to the Lumbar Spine Provides Access to the Lumbar Spine With Few Early Complications

Evaluation of the location of intervertebral cages during oblique lateral interbody fusion surgery to achieve sagittal correction

Contact Info

Product

Resources

About