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Neurological Complications after Lateral Transpsoas Approach to Anterior Interbody Fusion with a Novel Flat-Blade Spine-Fixed Retractor
Joint Authors
Nunley, Pierce D.
Sandhu, Faheem
Frank, Kelly
Stone, Marcus
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-12
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
The lateral lumbar interbody fusion (LLIF) surgical approach has potential advantages over other approaches but is associated with some unique neurologic risks due to the proximity of the lumbosacral plexus.
The present study analyzed complications following LLIF surgical approach using a novel single flat-blade retractor system.
Methods.
A retrospective data collection of patients receiving LLIF using a novel single flat-blade retractor system at two institutions in the US.
Inclusion criteria were all patients receiving an LLIF procedure with the RAVINE® Lateral Access System (K2M, Inc., Leesburg, VA, USA).
There was no restriction on preoperative diagnosis or number of levels treated.
Approach-related neurologic complications were collected and analyzed postoperatively through a minimum of one year.
Results.
Analysis included 253 patients with one to four treated lateral levels.
Immediate postoperative neurologic complications were present in 11.1% (28/253) of patients.
At one-year follow-up the approach-related neurologic complications resolved in all except 5 patients (2.0%).
Conclusion.
We observed an 11.1% neurologic complication rate in LLIF procedures.
There was resolution of symptoms for most patients by 12-month follow-up, with only 2% of patients with residual symptoms.
This supports the hypothesis that the vast majority of approach-related neurologic symptoms are transient.
American Psychological Association (APA)
Nunley, Pierce D.& Sandhu, Faheem& Frank, Kelly& Stone, Marcus. 2016. Neurological Complications after Lateral Transpsoas Approach to Anterior Interbody Fusion with a Novel Flat-Blade Spine-Fixed Retractor. BioMed Research International،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099060
Modern Language Association (MLA)
Nunley, Pierce D.…[et al.]. Neurological Complications after Lateral Transpsoas Approach to Anterior Interbody Fusion with a Novel Flat-Blade Spine-Fixed Retractor. BioMed Research International No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1099060
American Medical Association (AMA)
Nunley, Pierce D.& Sandhu, Faheem& Frank, Kelly& Stone, Marcus. Neurological Complications after Lateral Transpsoas Approach to Anterior Interbody Fusion with a Novel Flat-Blade Spine-Fixed Retractor. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099060
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099060