Incidence and Prevention of Intervertebral Cage Overhang With Minimally Invasive Lateral Approach Fusions

Regev, Gilad J.; Haloman, Sean; Chen, Lina; Dhawan, Mallika; Lee, Yu Po; Garfin, Steven R.; Kim, Choll W.

doi:10.1097/brs.0b013e3181c20fb5

Cited by 26 publications

(19 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both patients' neurologic deficits resolved after reoperation. A radiologic study by Regev et al 34 The XLIF is a formidable technique to achieve an indirect decompression and stabilization and in our experience a direct decompression may be unnecessary. Pimenta et al showed a 30% and 50% increase in central canal area and foraminal height respectively with XLIF.…”

Section: Discussionmentioning

confidence: 66%

Postoperative Complications Within the First Year After Extreme Lateral Interbody Fusion

Grimm

Leas

Poletti

et al. 2016

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

Transient ipsilateral thigh numbness, pain, and/or hip flexor weakness is a frequent postoperative finding most commonly when the L4-L5 level is instrumented. Dense femoral nerve palsy is a debilitating complication that may occur despite intraoperative neurophysiological monitoring. It should be noted that this retrospective study may underreport the true incidence of complications among these patients.

show abstract

Section: Discussionmentioning

confidence: 66%

Postoperative Complications Within the First Year After Extreme Lateral Interbody Fusion

Grimm

Leas

Poletti

et al. 2016

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

show abstract

“…In the emergency department, opioids are among the most commonly used agents (61.7%) followed by NSAIDs (49.5%) for LBP. The most commonly used combination is NSAIDs with skeletal muscle relaxants (26.2%), as seen in our case, followed by NSAIDs with opioids (25.9%) [9]. Adequate immediate pain relief has been reported with steroids and local anesthetic infiltration of anomalous lumbosacral articulations in eight out of 10 patients, but only one patient remained pain-free after two years [9].…”

Section: Discussionmentioning

confidence: 79%

“…The most commonly used combination is NSAIDs with skeletal muscle relaxants (26.2%), as seen in our case, followed by NSAIDs with opioids (25.9%) [9]. Adequate immediate pain relief has been reported with steroids and local anesthetic infiltration of anomalous lumbosacral articulations in eight out of 10 patients, but only one patient remained pain-free after two years [9]. For patients with BS who fail to respond to conservative management, surgical excision of the anomalous joint is indicated.…”

Section: Discussionmentioning

confidence: 84%

Transitional Vertebra and Spina Bifida Occulta Related with Chronic Low Back Pain in a Young Patient

Kundi

Habib

Babar

et al. 2016

Cureus

View full text Add to dashboard Cite

Bertolotti’s syndrome (BS) must be considered as a differential diagnosis in a young patient presenting with low back pain (LBP). We present a case of a 26-year-old male complaining of mild chronic LBP for six years, radiating to his left thigh for the past six months. He has been taking non-steroidal anti-inflammatory drugs (NSAIDs) with skeletal muscle relaxants for pain relief. The X-ray and computed tomography (CT) imagings showed congenital enlargement of the left transverse process of the fifth lumbar (L5) vertebra forming pseudo-articulation with the sacrum and unilateral pars interarticularis defect at the L4 level on the left side, respectively. He has managed with gabapentin 100 mg three times a day for his neuropathic left leg pain. On follow-up, the patient reported that his pain has improved with gabapentin and it decreased from 8/10 to 4/10 on the visual analogue scale.

show abstract

“…[26][27][28][29][30][31][32][33] There have already been various anatomical descriptions of the retroperitoneum, the psoas, and the lumbar plexus. [34][35][36][37][38][39] Rodgers et al 40 reported initial results in 100 patients who underwent XLIF for multiple degenerative conditions in 2007. He described the procedure as safe and reproducible, with a low rate of complications (2%), few days in hospital (average of 1.5 days), and good improvement of the VAS (68.7%).…”

Section: Discussionmentioning

confidence: 99%

Fusion via transpsoas lateral approach: considerations and initial results

Oliveira¹,

Fernandez

Falcon

et al. 2014

Coluna/Columna

View full text Add to dashboard Cite

OBJECTIVE: To present some technical considerations about interbody fusion by direct lateral retroperitoneal transpsoas approach and its initial results. METHODS: Non-randomized prospective study of 14 patients undergoing interbody fusion via lateral approach, with evaluation of initial results and complications. RESULTS: We collected and analyzed data from 14 patients with a total of 27 levels operated. The average operative time was 146 minutes and blood loss was on average less than 50 ml. Ten patients required supplemental percutaneous fixation with pedicle screws. VAS scores for the lumbar region and lower limbs and ODI had significant improvement in the postoperative period. There was an associated case of postoperative infection and thromboembolism that required reoperations. CONCLUSION: This technique has revolutionized the care of patients requiring fusion of T6-7 to L4-5. Following the five basic steps and using intraoperative monitoring, this technique is safe and reproducible with encouraging clinical results and low rate of serious complications.

show abstract

Incidence and Prevention of Intervertebral Cage Overhang With Minimally Invasive Lateral Approach Fusions

Cited by 26 publications

References 15 publications

Postoperative Complications Within the First Year After Extreme Lateral Interbody Fusion

Postoperative Complications Within the First Year After Extreme Lateral Interbody Fusion

Transitional Vertebra and Spina Bifida Occulta Related with Chronic Low Back Pain in a Young Patient

Fusion via transpsoas lateral approach: considerations and initial results

Contact Info

Product

Resources

About