Mini-invasive bilateral transfacet screw fixation with reconstruction of the neural arch for lumbar stenosis: A two centre case series

Bochicchio, Michele; Aicale, Rocco; Romeo, Rocco; Nardi, Pier Vittorio; Maffulli, Nicola

doi:10.1016/j.surge.2021.05.006

Cited by 3 publications

(4 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Introductionmentioning

confidence: 99%

“…Degenerative lumbar disc diseases increase in frequency and severity with age, causing chronic back pain, neurogenic claudication, radiculopathy [ 1 ]. Once the conservative strategies prove ineffective, spinal fusion procedures may be used for neural decompression and segmental stabilization through a variety of approaches [ 1 , 2 ]. Oblique lumbar interbody fusion (OLIF) is a new surgical interbody fusion procedure for degenerative lumbar diseases including discogenic low back pain, lumbar instability, mild lumbar spondylolisthesis, mild‐to‐moderate spinal stenosis, and lumbar degenerative scoliosis [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Additional lateral plate fixation has no effect to prevent cage subsidence in oblique lumbar interbody fusion

et al. 2021

J Orthop Surg Res

View full text Add to dashboard Cite

Background For lumbar degenerative diseases, cage subsidence is a serious complication and can result in the failure of indirect decompression in the oblique lumbar interbody fusion (OLIF) procedure. Whether additional lateral plate fixation was effective to improve clinical outcomes and prevent cage subsidence was still unknown. This study aimed to compare the incidence and degree of cage subsidence between stand-alone oblique lumbar interbody fusion (SA-OLIF) and OLIF combined with lateral plate fixation (OLIF + LP) for the treatment of lumbar degenerative diseases and to evaluate the effect of the lateral plate fixation. Methods This was a retrospective comparative study. 20 patients with 21 levels underwent SA-OLIF and 21 patients with 26 levels underwent OLIF + LP. We compared clinical and radiographic outcomes between two groups. Clinical evaluation included Visual Analog Scale (VAS) for back pain and leg pain, Japanese Orthopaedic Association (JOA) scores and Oswestry Disability Index (ODI). Radiographical evaluation included disc height (DH), segmental lordosis angle (SL), and subsidence rate on standing lateral radiographs. Cage subsidence was classified using Marchi’s criteria. Results The mean follow-up duration was 6.3 ± 2.4 months. There were no significant differences among perioperative data (operation time, estimated intraoperative blood loss, and complication), clinical outcome (VAS, ODI, and JOA) and radiological outcome (SH and SL). The subsidence rate was 19.0% (4/21) in SA-OLIF group and 19.2% (5/26) in OLIF + LP group. 81.0% in SA-OLIF group and 80.8% in OLIF + LP group had Grade 0 subsidence, 14.3% in SA-OLIF group and 15.4% in OLIF + LP group had Grade I subsidence, and 4.8% in SA-OLIF group and 3.8% in OLIF + LP group had Grade II subsidence (P = 0.984). One patient with severe cage subsidence and lateral plate migration underwent revision surgery. Conclusions The additional lateral plate fixation does not appear to be more effective to prevent cage subsidence in the oblique lumbar interbody fusion, compared with stand-alone technique. If severe cage subsidence occurs, it may result in lateral plate migration in OLIF combined with lateral plate fixation.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Additional lateral plate fixation has no effect to prevent cage subsidence in oblique lumbar interbody fusion

et al. 2021

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…Когда ПС позвоночника не поддается КЛ, рекомендуется ХВ. Обычно декомпрессия канала сочетается с фиксацией позвоночного сегмента для получения прочного сращения [16]. Первая успешная операция по спондилодезу проведена в 1911 г. для предотвращения прогрессирующей деформации, вторичной по отношению к болезни Потта, т.е.…”

Section: Discussionunclassified

Efficacy of decompression combined with transpedicular screw fixation in mixed lumbar stenosis. Case report

Gaydash,

Lee,

Bashlachev

et al. 2024

Consilium Medicum

View full text Add to dashboard Cite

Degenerative stenosis is a common pathology of the lumbar spine, however, there is currently no consensus on the clinical significance of neuroimaging findings and management tactics for such patients. In this regard, the issues of diagnosis and treatment have been causing discussions among doctors of both therapeutic and surgical profiles for many years. The article presents an observation of a 65-year-old patient with mixed lumbar stenosis, in whom surgical intervention in the form of decompression and transpedicular screw fixation led to a complete regression of pain, motor disorders and a significant improvement in functional condition. The issues of diagnosis, conservative and surgical treatment of mixed lumbar stenosis are discussed.

show abstract

“…Bochicchio et al . [ 24 ] evaluated the effect of percutaneous lumbar transfacet screw placement with a “cross-link” system, called Facet-Link , in 46 patients affected by LSS (with or without mild instability). They found that quality of life (QoL) related questionaries (ODI and SF36) and back/leg VAS improved after surgery.…”

Section: Discussionmentioning

confidence: 99%

Lumbar facet joint stabilization for symptomatic spinal degenerative disease

Grasso

Musso

Buscemi

et al. 2022

Journal of Craniovertebral Junction and Spine

View full text Add to dashboard Cite

Objective: Lumbar spinal degenerative disease (LSDD), unresponsive to conservative therapy, is commonly treated by surgical decompression and interbody fusion. Since facet joint incompetence has been suggested as responsible for the entire phenomenon of spinal degeneration, facet stabilization can be considered as an alternative technique to treat symptomatic spinal degenerative disease. The purpose of this study was to systematically review the literature for studies utilizing lumbar facet joint fixation techniques for LSDD to assess their safety and efficacy. Methods: A systematic literature review was performed following the preferred reporting items for systematic reviews and meta-analyses statement, with no limits in terms of date of publication. Demographic data, inclusion criteria, clinical and radiological outcome, frequency of adverse events (AEs), and follow-up time were evaluated. Results: A total of 19 studies were included with a total of 1577 patients. The techniques used for facet arthrodesis were Goel intra-articular spacers in 21 patients (5.3%), Facet Wedge in 198 patients (15.8%), facet screws fixation techniques in 1062 patients (52.6%), and facet joints arthroplasty in 296 patients (26.3%). Clinical outcomes were assessed through the evaluation of pain relief and improvement in functional outcome. Radiological outcomes were assessed by the evaluation of proper positioning of instrumentation, solid bony fusion rate, and preservation of disk height. AE's mainly observed were pseudoarthrosis, reoperation, instrumentation displacement/malpositioning/migration, neurological impairment, deep vein thrombosis, and infections. The mean follow-up time ranged from 6 months to 11.7 years. Conclusion: Our data demonstrate that facet joint arthrodesis appears to be effective in managing LSDD. These findings, however, are limited by the small sample size of patients. Accordingly, larger series are needed before formal recommendations can be made.

show abstract

Mini-invasive bilateral transfacet screw fixation with reconstruction of the neural arch for lumbar stenosis: A two centre case series

Cited by 3 publications

References 35 publications

Additional lateral plate fixation has no effect to prevent cage subsidence in oblique lumbar interbody fusion

Additional lateral plate fixation has no effect to prevent cage subsidence in oblique lumbar interbody fusion

Efficacy of decompression combined with transpedicular screw fixation in mixed lumbar stenosis. Case report

Lumbar facet joint stabilization for symptomatic spinal degenerative disease

Contact Info

Product

Resources

About