[Correction of kyphotic fixed lumbar segments and hypolordosis with the transforaminal lumbar interbody fusion technique].
Oper Orthop Traumatol. 2018 Feb 02;:
Authors: Lattig F, Stettin E, Weckbach S
OBJECTIVE: Correction of a segmental or world lumbar hypolordosis to enhance a sagittal imbalance.
INDICATIONS: Lumbar segments mounted in kyphosis; degenerative or posttraumatic hypolordotic deformity of the lumbar backbone with sagittal imbalance.
CONTRAINDICATIONS: Bechterew illness; prolonged adhesions within the retroperitoneum.
SURGICAL TECHNIQUE: Segmental correction of a kyphotic mounted phase utilizing a unilateral transforaminal strategy to launch the annulus and anterior longitudinal ligament. With an extra posterior V?formed osteotomy, a segmental correction of greater than 20° might be achieved to enhance a world sagittal imbalance.
POSTOPERATIVE MANAGEMENT: Again-friendly mobilisation beginning the primary day after surgical procedure with help of a physiotherapist. No sports activities for Three-Four months.
RESULTS: In all, 25 sufferers with 33 kyphotic mounted lumbar segments had been handled utilizing a full anterior launch of the annulus and anterior longitudinal ligament by way of a unilateral transforaminal strategy. This enabled a lordosizing correction of the phase between 5° and 29° (imply 11.Four°) with none neurological or vascular problems. A complete of 10 sufferers handled with an extra posterior osteotomy had been corrected 14-29° (imply 19°). There was a lack of discount of the lordotic correction (imply 1°; vary Zero-Three°) within the X?ray management at a minimal follow-up of 6 months (vary 6-33 months).
PMID: 29396690 [PubMed – as supplied by publisher]