Bilateral decompression using a unilateral pedicle construct for lumbar stenosis

Mao, Lu; Zhao, Jie; Dai, Kerong; Li, Hua; Sun, Xiaojiang

doi:10.1007/s00264-013-2225-6

Cited by 19 publications

(16 citation statements)

References 13 publications

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“…anterior or posterior), types of surgery (minimally invasive or open), types of graft (allograft and/or autograph), and cages used (yes or no). Information regarding the clinical care pathway after surgery was described in only six [53,[56][57][58][59]65] out of twenty-five studies.…”

Section: Selected Studiesmentioning

confidence: 99%

Pain and disability after first-time spinal fusion for lumbar degenerative disorders: a systematic review and meta-analysis

Koenders¹,

Rushton

Verra

et al. 2018

Eur Spine J

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Section: Selected Studiesmentioning

confidence: 99%

Pain and disability after first-time spinal fusion for lumbar degenerative disorders: a systematic review and meta-analysis

Koenders¹,

Rushton

Verra

et al. 2018

Eur Spine J

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“…Alternative surgical approaches such as stand-alone ALIF [42] or different screw entry points such as cortical screw-rod fixation [43] would completely avoid affection of the medial and intermediate branch nerves. Other studies showed that iatrogenic alterations decrease postoperative cross-sectional area (CSA) and contractile tissue density of back muscles [20,44,45].…”

Section: Discussionmentioning

confidence: 99%

Quantitative analysis of paraspinal muscle atrophy after oblique lateral interbody fusion alone vs. combined with percutaneous pedicle screw fixation in patients with spondylolisthesis

Sun

et al. 2020

BMC Musculoskelet Disord

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Background: There is no available literature for comparison on muscle atrophy between the "stand-alone" oblique lateral interbody fusion (OLIF) and regular OLIF (i.e., combined with percutaneous pedicle screws fixation (PPSF) in patients with spondylolisthesis). This study aimed to identify changes in back muscle atrophy between the two surgeries. Methods: This was a retrospective cohort study of patients who underwent OLIF or OLIF+PPSF at Beijing Jishuitan Hospital and Shanghai ChangZheng Hospital between 07/2014 and 10/2017. Computed tomography (CT) was used to measure functional cross-sectional area (FCSA) and fat infiltration percentage (FIP) of the multifidus and erector spinae before and 24 months after surgery. Result: There were no differences in FCSA and FIP between OLIF (n = 32) and OLIF+PPSF (n = 41) groups before surgery. In the OLIF group, the multifidus and erector spinae FCSA and FIP did not change at 24 months

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“…In our study, attening of the sagittal lumbar curvature happened in 7 cases (63.6%). Other studies demonstrated that attened spines are often associated with degeneration of multiple discs and back muscle weakness, which further signi cantly decreases spinal exibility and stability [25,26,27] .…”

Section: Discussionmentioning

confidence: 99%

Full-endoscopic lumbar discectomy for two contiguous level adolescent lumbar disc herniation

Mao

Zhu

Wu³

et al. 2020

Preprint

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Background Symptomatic lumbar disc herniation is rarely seen among adolescents. Adolescent lumbar disc herniation (ALDH) accounts for 0.5–6.8% of all those treated. Evidently, to our knowledge, no studies have emphasized the operative technique to treat two contiguous level adolescent lumbar disc herniation simultaneously. In this study, we aim to investigate the feasibility and advantages of one-stage full-endoscopic lumbar discectomy(FELD)for two contiguous level ALDH. This is the first paper, to my knowledge, dealing with two contiguous level ALDH simultaneously with one-stage full-endoscopic lumbar discectomy. Methods Between January 2014 and December 2019, patients received FELD surgery for lumbar disc herniation (LDH) in 2 main minimally invasive spine center of China were selected for screening of this study. Data of 5877 cases were retrospectively analyzed (2780 cases and 3097 cases, respectively). The inclusion criteria were patient under 21-year old, two contiguous level symptomatic lumbar disc herniation received one-stage 2 level PELD surgery. Visual analog scale (VAS) scores and modified Macnab criteria were used to assess the preoperative and postoperative clinical results. Results 11 patients were enrolled in this study (0.19%,11/5877), 8 patients were male and 3 were female. 9 patients with LDH in the same side underwent single-incision 2 level FELD surgery via transforaminal approach. 2 patients with LDH in different side underwent FELD surgery via combined transforaminal and interlaminar approach. There were no immediate perioperative complications. The visual analog scale (VAS) decreased significantly in both early and late follow-up evaluations and these score demonstrated significant improvement in late follow-up (P < 0.01). For the modified MacNab criteria, the final outcome results were excellent in 9 patients (81.8%), good in 1 patients (0.9%), fair in1 patients (0.9%), and the overall success rate was 90.9%. Conclusion One-stage full-endoscopic lumbar discectomy for 2 level symptomatic ALDH is an effective and less invasive method, which can be considered as an alternative good technique for selected adolescent patients.

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Bilateral decompression using a unilateral pedicle construct for lumbar stenosis

Abstract: Bilateral decompression via a unilateral approach using unilateral pedicle screw fixation for two-level lumbar stenosis with instability, which can maintain the lumbar lordosis and the disc space height, is an effective and less invasive method than with bilateral constructs.

Cited by 19 publications

References 13 publications

Pain and disability after first-time spinal fusion for lumbar degenerative disorders: a systematic review and meta-analysis

Pain and disability after first-time spinal fusion for lumbar degenerative disorders: a systematic review and meta-analysis

Quantitative analysis of paraspinal muscle atrophy after oblique lateral interbody fusion alone vs. combined with percutaneous pedicle screw fixation in patients with spondylolisthesis

Full-endoscopic lumbar discectomy for two contiguous level adolescent lumbar disc herniation

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