Grade 2 Spondylolisthesis at L4-5 Treated by XLIF : Safety and Midterm Results in the “Worst Case Scenario”
Joint Authors
Gerber, Edward J.
Lehmen, Jeffrey A.
Rodgers, Jody A.
Rodgers, W. B.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-17
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
Spondylolisthesis is one of the most common indications for spinal surgery.
However, no one approach has been proven to be more effective in treating spondylolisthesis.
Recent advances in minimally invasive spine technology have allowed for different approaches to be applied to this indication, notably extreme lateral interbody fusion (XLIF).
The risk, however, of using XLIF in treating grade II spondylolisthesis is the ventral position of the lumbar plexus, particularly at L4-5.
Objective.
This study reports the safety and midterm clinical and radiographic outcomes of patients with grade II lumbar spondylolisthesis treated with XLIF.
Methods.
63 patients with grade II spondylolisthesis and spinal stenosis were treated with XLIF and were available for 12-month followup.
Of those, 61 (97%) were treated at L4-5.
Clinical (VAS, complications, and reoperation rate) and radiographic (anterolisthesis, disk height, and fusion) parameters were assessed.
Study Design.
Data were collected via a prospective registry and analyzed retrospectively.
Results.
Sixty-three patients were available for evaluations at least one year postoperatively.
Average pain (visual analog scale) decreased from a score of 8.7 at baseline to 2.2 at 12 months postoperatively.
Average anterior slippage was reduced by 73% and was well maintained.
Average disk height (4.6 mm pre-op and 9.0 mm post-op) nearly doubled after surgery.
Slight settling (average 1.3 mm) occurred over the twelve-month follow-up period.
There were no neural injuries and no nonunions noted.
Conclusions.
XLIF is a safe and effective minimally invasive treatment alternative for grade II spondylolisthesis.
Real-time neurological monitoring and attention to technique are mandatory.
American Psychological Association (APA)
Rodgers, W. B.& Lehmen, Jeffrey A.& Gerber, Edward J.& Rodgers, Jody A.. 2012. Grade 2 Spondylolisthesis at L4-5 Treated by XLIF : Safety and Midterm Results in the “Worst Case Scenario”. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-465437
Modern Language Association (MLA)
Rodgers, W. B.…[et al.]. Grade 2 Spondylolisthesis at L4-5 Treated by XLIF : Safety and Midterm Results in the “Worst Case Scenario”. The Scientific World Journal No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-465437
American Medical Association (AMA)
Rodgers, W. B.& Lehmen, Jeffrey A.& Gerber, Edward J.& Rodgers, Jody A.. Grade 2 Spondylolisthesis at L4-5 Treated by XLIF : Safety and Midterm Results in the “Worst Case Scenario”. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-465437
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-465437