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Title

RADIOGRAPHIC AND SURGICAL OUTCOMES AFTER STAND-ALONE LATERALLUMBAR INTERBODY FUSION

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Abstract

 Objectives: Laterallumbarinterbody fusion (LLIF) is increasingly being utilized in isolation to achieve a large surface-area interbodyfusion with an indirect decompression for SPINAL STENOSIS. This retrospective chart review was done to determine the viability ofperforming stand-alone (SA) LLIF. Methods: Forty-nine patients at least 18 years of age with minimum one-year follow-up at a single institution underwent SA-LLIFusing MINIMALLY INVASIVE SURGERY (MIS) approach without further posterior surgery between 2011 and 2015. One to five-level fusionswere included. Retrospective review of surgical outcomesandradiographic parameters were examined preoperatively, acutely postoperativelyand at 1 year postoperatively. Results: Forty-nine patients (102 spinal segments) underwent SA-LLIF. Fusion levels ranged from one to five with a mean of 2. 1  2. 1. Mean blood loss was 68  63. 2cc and mean surgical time was 143. 4  66. 5 minutes. Fifty-seven percent had undergone priorspine surgery unrelated to their index procedure. Complication rate was 38. 9% and reoperation rate was 20. 4%. No difference incomplication rates was noted between constructs with three or more levels fused versus less than three levels fused. At one-year, significant improvement was noted with pelvic tilt, pelvic incidence, and lumbar lordosis. Conclusions: SA-LLIF is an optional MIS treatment of stable DEGENERATIVE DISC DISEASE and SPINAL STENOSIS, with good one-year correctionand maintenance of radiographic parameters. With complication rate of 38. 9% and reoperation rate of 20. 4%, true benefitof forgoing posterior supplemental fixation may be questioned.

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    APA: Copy

    KHALSA, AMRIT S., MUNDIS, GREGORY M., LEDESMA, JUSTIN B., HOSSEINI, POORIA, BRUFFEY, JAMES D., NGUYEN, STACIE, AKBARNIA, BEHROOZ A., & EASTLACK, ROBERT K.. (2018). RADIOGRAPHIC AND SURGICAL OUTCOMES AFTER STAND-ALONE LATERALLUMBAR INTERBODY FUSION. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), 5(3), 0-0. SID. https://sid.ir/paper/353019/en

    Vancouver: Copy

    KHALSA AMRIT S., MUNDIS GREGORY M., LEDESMA JUSTIN B., HOSSEINI POORIA, BRUFFEY JAMES D., NGUYEN STACIE, AKBARNIA BEHROOZ A., EASTLACK ROBERT K.. RADIOGRAPHIC AND SURGICAL OUTCOMES AFTER STAND-ALONE LATERALLUMBAR INTERBODY FUSION. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL)[Internet]. 2018;5(3):0-0. Available from: https://sid.ir/paper/353019/en

    IEEE: Copy

    AMRIT S. KHALSA, GREGORY M. MUNDIS, JUSTIN B. LEDESMA, POORIA HOSSEINI, JAMES D. BRUFFEY, STACIE NGUYEN, BEHROOZ A. AKBARNIA, and ROBERT K. EASTLACK, “RADIOGRAPHIC AND SURGICAL OUTCOMES AFTER STAND-ALONE LATERALLUMBAR INTERBODY FUSION,” JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), vol. 5, no. 3, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/353019/en

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