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Clinical Outcomes of Lateral Lumbar Interbody Fusion with Percutaneous Pedicle Screw for Dialysis-Related Spondyloarthropathy – Lumbar Fusion

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The article examines the effectiveness and challenges of using lateral lumbar interbody fusion (LLIF) with percutaneous pedicle screw (PPS) in patients with dialysis-related spondyloarthropathy. A total of 77 patients were studied, with 15 in the dialysis-related spondyloarthropathy group and 62 in the lumbar degenerative disease group. The study found that LLIF with PPS was an effective treatment option for dialysis-related spondyloarthropathy, with surgical invasiveness and outcomes similar to those for lumbar degenerative disease. However, complications such as endplate failure and reduced bone fusion rate were observed in dialysis patients, indicating that careful patient selection and additional therapies may be necessary

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Background: The usefulness and problems with lateral lumbar interbody fusion (LLIF) with a percutaneous pedicle screw (PPS) for dialysis-related spondyloarthropathy are not clear. Therefore, we investigated the usefulness and problems with LLIF with PPS in dialysis-related spondyloarthropathy. Methods: In total, 77 patients who underwent LLIF with PPS were divided into two groups: the dialysis-related spondyloarthropathy group (“Group D”) consisted of 15 patients (10 males and 5 females) with a…

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J Clin Med. 2024 Feb 14;13(4):1089. doi: 10.3390/jcm13041089.ABSTRACTBackground: The usefulness and problems with lateral lumbar interbody fusion (LLIF) with a percutaneous pedicle screw (PPS) for dialysis-related spondyloarthropathy are not clear. Therefore, we investigated the usefulness and problems with LLIF with PPS in dialysis-related spondyloarthropathy. Methods: In total, 77 patients who underwent LLIF with PPS were,

J Clin Med. 2024 Feb 14;13(4):1089. doi: 10.3390/jcm13041089.

ABSTRACT

Background: The usefulness and problems with lateral lumbar interbody fusion (LLIF) with a percutaneous pedicle screw (PPS) for dialysis-related spondyloarthropathy are not clear. Therefore, we investigated the usefulness and problems with LLIF with PPS in dialysis-related spondyloarthropathy. Methods: In total, 77 patients who underwent LLIF with PPS were divided into two groups: the dialysis-related spondyloarthropathy group (“Group D”) consisted of 15 patients (10 males and 5 females) with a mean age of 70.4 years and a mean duration of hemodialysis of 10.8 years; and the lumbar degenerative disease group (“Group L”) included 62 patients (31 males and 31 females) with a mean age of 71.0 years. The mean follow-up period was 4 years in Group D and 3 years 9 months in Group L. We compared surgical invasiveness (operative time, blood loss), perioperative complications, clinical outcomes (Improvement ratio of the JOA score), bone fusion rate, reoperation, sagittal alignment, and coronal imbalance between the two groups. Results: There were no significant differences in operative time, blood loss, or the improvement ratio of the JOA score, but dialysis-related spondyloarthropathy was observed in one patient with superficial infection, three patients with endplate failure, and one patient with restenosis due to cage subsidence. s: We consider LLIF with PPS for dialysis-related spondyloarthropathy to be an effective treatment option because its surgical invasiveness and clinical outcomes were comparable to those for cases of lumbar degenerative disease. However, as endplate failure due to bone fragility and a reduced bone fusion rate were observed in dialysis spondylolisthesis cases, we advise a careful selection of indications for indirect decompression as well as the application of suitable pre- and postoperative adjuvant therapies.

PMID:38398402 | DOI:10.3390/jcm13041089

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Clinical Outcomes of Lateral Lumbar Interbody Fusion with Percutaneous Pedicle Screw for Dialysis-Related Spondyloarthropathy

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J Clin Med. 2024 Feb 14;13(4):1089. doi: 10.3390/jcm13041089.ABSTRACTBackground: The usefulness and problems with lateral lumbar interbody fusion (LLIF) with a percutaneous pedicle screw (PPS) for dialysis-related spondyloarthropathy are not clear. Therefore, we investigated the usefulness and problems with LLIF with PPS in dialysis-related spondyloarthropathy. Methods: In total, 77 patients who underwent LLIF with PPS were

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