Artrodese lombar intersomática anterior por via única – Complicações e resultados perioperatórios

Amaral, Rodrigo; Ferreira, R. A.; Marchi, Luís; Jensen, Rubens; Nogueira‐Neto, Joes; Pimenta, Luiz

doi:10.1016/j.rbo.2016.09.006

Cited by 23 publications

(10 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding POP after lumbar arthrodesis, its evolution seems variable. The study 16 observed that patients submitted to lumbar arthrodesis surgery showed a reduction in pain one week The findings in the present study are not similar to the literature regarding the evolution and temporality of POP. Patients with CP reported worse POP compared to the pain before surgery when evaluated by the NVS, on the other hand, they reported improvement in pain perception (p<0.0001) and other aspects that reflect functionality and quality of life such as mood and relationship with people when evaluated by the BPI.…”

Section: Discussioncontrasting

confidence: 99%

Pain assessment in patients undergoing lumbar spine arthrodesis: application of unidimensional and multidimensional scale

Maciel¹,

Lima²,

Pontin³

et al. 2021

Brazilian Journal of Pain

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES:It is possible that patients submitted to lumbar spine surgery present chronic pain and need a multidimensional assessment of postoperative pain due to the variables that influence pain. The objective of this study was to evaluate the correlation between uni and multidimensional scales for postoperative pain assessment. METHODS: Longitudinal and observational study carried out in the inpatient units of an orthopedic reference hospital in São Paulo. 53 patients were selected in the preoperative period of lumbar spine arthrodesis, 28 were excluded and 25 were evaluated with the numerical verbal scale and Brief Pain Inventory on the preoperative day and on postoperative day 2. RESULTS: In the sample, all patients had chronic pain with a mean previous pain time of 9.24 years. There was variation between the pre and postoperative periods on the Brief Pain Inventory in almost all items, but only the item regarding the amount of pain ''right now'' (in the moment) was equivalent to the numerical verbal scale (Kappa=almost complete correlation). CONCLUSION: The numerical verbal scale and Brief Pain Inventory were not comparable since the Numerical Verbal Scale showed a worsening of postoperative pain, while the Brief Pain Inventory reflected improvement in the perception of postoperative pain.

show abstract

Section: Discussioncontrasting

confidence: 99%

Pain assessment in patients undergoing lumbar spine arthrodesis: application of unidimensional and multidimensional scale

Maciel¹,

Lima²,

Pontin³

et al. 2021

Brazilian Journal of Pain

View full text Add to dashboard Cite

show abstract

“…The stand-alone option (without additional supplementation) performed in 35 patients (77.8%) consists of a technique performed with interbody cages only impacted or threaded into the disc space, without the additional use of screws and plates as occurs in traditional techniques. 17 Its use should be recommended for less unstable lumbar levels, including spondylolisthesis; however, in cases with bone defects, they may generate abnormal movement and result in arthrodesis failure. 18 In patients with bone loss (for example, osteoporosis) or instability, supplementary fixation (posterior or anterior) is recommended to avoid complications such as subsidence and cage displacement.…”

Section: Discussionmentioning

confidence: 99%

Thoracic-Lumbar Arthrodesis via Extreme Lateral Approach: A Retrospective Study

LAZZARI,

KULCHESKI,

SEBBEN

et al. 2023

Coluna/Columna

View full text Add to dashboard Cite

Objective: To evaluate the epidemiological, clinical, and radiological data of patients treated with XLIF, including the impact on quality of life, pain parameters, and improvement of lumbar lordosis. Methods: Retrospective longitudinal study, in which medical records of patients who underwent XLIF between 2017 and 2020 at Hospital do Trabalhador/UFPR were reviewed. Demographic characteristics and radiological aspects, such as the Cobb angle, were recorded. Clinical characteristics using parameters such as pain by VAS and the disability index by ODI were evaluated before surgery and 12 months after. Results: Female patients predominated (66.7%), with a mean age of 59.1 years (35-82 years). The length of stay, in the median, was three days, and the time to return to daily activities was three months. Only four patients (8.9%) had complications. The questionnaire analysis showed a significant difference between all scales’ pre and postoperative scores. The ODI showed an average reduction of 39.2%, and the median score of VAS in the postoperative period was half the preoperative period (reduction of 50%; p <0.001). The lordosis angle increased by 26.3% in the postoperative period (p <0.001). Conclusion: XLIF presents low complication rates, improves lumbar lordosis, and allows recovery from daily activities in a short period, in addition to performing a statistically significant improvement in quality of life and pain according to the VAS and ODI scales, being, therefore, a viable and effective treatment technique. Level of Evidence II; Retrospective Study.

show abstract

“…[10][11][12] Over the years, anterior access was improved into a less invasive form, the mini-ALIF, that uses a retroperitoneal approach with blunt dissection of the abdominal wall muscles and a smaller skin incision, with low complication rates. [13][14] This technique has gained many adepts over the years and, in parallel, interbody spacers have evolved from the bone graft blocks used in the early days of the technique, to the first synthetic threaded cages (BAK), to the auto-locking PEEK (polyetheretherketone) and titanium alloy cages currently being used. 15 Self-locking cages with screws directed to the adjacent vertebral bodies offer stability comparable to an ALIF with fixation with pedicle screws in movements of flexion, extension, and lateral inclination and they present superior biomechanical properties in rotation.…”

Section: Discussionmentioning

confidence: 99%

Alif With Auto-Locking Cage Without Supplementation - Tomographic Analysis of Interbody Bone Fusion

et al. 2018

Self Cite

View full text Add to dashboard Cite

Objective: The objective of this work is to study the fusion rate and complications of the mini-ALIF with an auto-locking device at the L5-S1 level. Methods: Retrospective and radiological study. The inclusion criteria were mini-ALIF in L5-S1 with auto-locking cage, DDD and/or low grade spondylolisthesis. The exclusion criteria were posterior/anterior supplementation; lack of 12-month follow-up images, and previous surgery at L5-S1 level. The primary endpoint was fusion assessed in CT images and/or lateral lumbar flexion/extension radiographs. The secondary endpoint was the revision surgery due to device movement/migration or pseudoarthrosis. Lumbar TCs and radiographs were analyzed during 12 months of follow-up. Fusion was defined according to Bridwell/Lenke classification. Results: Sixty-one cases were included in this study. Complete or ongoing fusion was found in 57 cases (93%). Forty-two of the 61 levels (65%) were completely fused after 12 months. Fifteen levels (28%) had evident bone growth, two levels (3%) showed lysis lines around the implant, and two levels (3%) presented lysis lines and depression. Reoperation for pedicular screw supplementation was necessary in two cases (3%), one with vertebral sliding progression (12 months), and one with symptomatic micro-movement (six months). No implant has undergone migration or expulsion of the disc space. Conclusions: Mini-ALIF in L5-S1 level using an auto-blocking interbody implant construction in cases of low segmental instability results in good interbody fusion index and low failure rate, even without the need for further supplementation, but should not be applied indiscriminately. Evidence Level: IV. Type of study: Case series.

show abstract

Artrodese lombar intersomática anterior por via única – Complicações e resultados perioperatórios

Cited by 23 publications

References 29 publications

Pain assessment in patients undergoing lumbar spine arthrodesis: application of unidimensional and multidimensional scale

Pain assessment in patients undergoing lumbar spine arthrodesis: application of unidimensional and multidimensional scale

Thoracic-Lumbar Arthrodesis via Extreme Lateral Approach: A Retrospective Study

Alif With Auto-Locking Cage Without Supplementation - Tomographic Analysis of Interbody Bone Fusion

Contact Info

Product

Resources

About