Direct lateral access lumbar and thoracolumbar fusion: preliminary results

Berjano, Pedro; Balsano, Massimo; Buric, Josip; Petruzzi, Maria Noel Marzano Rodrigues; Lamartina, Claudio

doi:10.1007/s00586-012-2217-z

Cited by 76 publications

(44 citation statements)

References 12 publications

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“…Rodgers's 2010 study, focusing on patients 80 years of age and older, reported no use of perioperative transfusion in MIS XLIF patients, but a 70% rate of transfusion in PLIF patients [12] . Regarding non controlled studies, Rodgers et al [13] reported a 0.2% rate of transfusion in XLIF patients, while Berjano et al [34] reported a 1% transfusion rate. Three noncontrolled studies reported on peri 999 WJO|www.wjgnet.com [14] 2007 Split process laminectomy: Marmot operation LSS 40 30 Usman et al [15] 2013…”

Section: Tlifmentioning

confidence: 99%

“…-0 1 -0% ---Lykissas et al [31] 295 ± 180 ---135% ---Grimm et al [32] 122 -181 -20% -3.0 -Tohmeh et al [33] ----48% ---Berjano et al [34] ----16% ---Lee et al [26] 52 ± 19 -0 [35] 73 ± 31 -< 50 -29% ---Sharma et al [36] ----70% ---Pimenta et al [25] 130 ---28% -1.4 -Ahmadian et al [37] --94 ---3.5 -Caputo et al [38] ----2 ---Malham et al [39] 84 -70 -20% ---Pimenta et al [40] 69 ± 11 -< 50 -13% ---Elowitz et al [41] ----20% 3 ---Oliveira et al [42] cutive, odd/even patient order). In Table 6 [45] polled patients on postoperative day 2, finding a VAS back of 2.2 ± 0.6 in MIS patients and 4.3 ± 0.5, a statistically significant difference (P < 0.05).…”

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confidence: 99%

“…Berjano et al [34] 2012 XLIF RCS DDD, LSS, spondylolisthesis 97 -Lee et al [26] 2014 DLIF RCS LSS, spondylolisthesis, scoliosis, post-infectious…”

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Perioperative outcomes in minimally invasive lumbar spine surgery: A systematic review

Skovrlj¹

2015

WJO

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AIM:To compare minimally invasive (MIS) and open techniques for MIS lumbar laminectomy, direct lateral and transforaminal lumbar interbody fusion (TLIF) surgeries with respect to length of surgery, estimated blood loss (EBL), neurologic complications, perioperative transfusion, postoperative pain, postoperative narcotic use, and length of stay (LOS). METHODS:A systematic review of previously published studies accessible through PubMed was performed. Only articles in English journals or published with English language translations were included. Level of evidence of the selected articles was assessed. Statistical data was calculated with analysis of variance with P < 0.05 considered statistically significant. RESULTS:

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Section: Tlifmentioning

confidence: 99%

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Perioperative outcomes in minimally invasive lumbar spine surgery: A systematic review

Skovrlj¹

2015

WJO

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“…15,18,19 An extremely variable incidence of sensory (1%-75%) and motor (0%-30%) complications in the ipsilateral (nondependent) lower extremity has been documented in transpsoas clinical publications. 1,2,4,6,12,13,[20][21][22]25,29,31,32,35,36,39 Muscle and nerve injury, either independently or in combination, are suspected to play a role in these postoperative complications.…”

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confidence: 99%

Retroperitoneal oblique corridor to the L2–S1 intervertebral discs: an MRI study

Molinares¹,

Davis²,

Fung³

2016

SPI

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OBJECT The purpose of this study was to analyze MR images of the lumbar spine and document: 1) the oblique corridor at each lumbar disc level between the psoas muscle and the great vessels, and 2) oblique access to the L5–S1 disc space. Access to the lumbar spine without disruption of the psoas muscle could translate into decreased frequency of postoperative neurological complications observed after a transpsoas approach. The authors investigated the retroperitoneal oblique corridor of L2–S1 as a means of surgical access to the intervertebral discs. This oblique approach avoids the psoas muscle and is a safe and potentially superior alternative to the lateral transpsoas approach used by many surgeons. METHODS One hundred thirty-three MRI studies performed between May 4, 2012, and February 27, 2013, were randomly selected from the authors’ database. Thirty-three MR images were excluded due to technical issues or altered lumbar anatomy due to previous spine surgery. The oblique corridor was defined as the distance between the left lateral border of the aorta (or iliac artery) and the anterior medial border of the psoas. The L5–S1 oblique corridor was defined transversely from the midsagittal line of the inferior endplate of L-5 to the medial border of the left common iliac vessel (axial view) and vertically to the first vascular structure that crossed midline (sagittal view). RESULTS The oblique corridor measurements to the L2–5 discs have the following mean distances: L2–3 = 16.04 mm, L3–4 = 14.21 mm, and L4–5 = 10.28 mm. The L5–S1 corridor mean distance was 10 mm between midline and left common iliac vessel, and 10.13 mm from the first midline vessel to the inferior endplate of L-5. The bifurcation of the aorta and confluence of the vena cava were also analyzed in this study. The aortic bifurcation was found at the L-3 vertebral body in 2% of the MR images, at the L3–4 disc in 5%, at the L-4 vertebral body in 43%, at the L4–5 disc in 11%, and at the L-5 vertebral body in 9%. The confluence of the iliac veins was found at lower levels: 45% at the L-4 level, 19.39% at the L4–5 intervertebral disc, and 34% at the L-5 vertebral body. CONCLUSIONS An oblique corridor of access to the L2–5 discs was found in 90% of the MR images (99% access to L2–3, 100% access to L3–4, and 91% access to L4–5). Access to the L5–S1 disc was also established in 69% of the MR images analyzed. The lower the confluence of iliac veins, the less probable it was that access to the L5–S1 intervertebral disc space was observed. These findings support the use of lumbar MRI as a tool to predetermine the presence of an oblique corridor for access to the L2–S1 intervertebral disc spaces prior to lumbar spine surgery.

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“…In 2012, a retrospective study [4] on the neurological safety of the procedure (one of the hottest topics related to transpsoas surgery) was published in the Journal. Other papers have shown clinical results [5,6] for early applications, such as degenerative disc disease and degenerative spondylolisthesis or stenosis.…”

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confidence: 99%