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Low profile posterior lumbar-sacral interbody fusion for lumbosacral degenerative diseases: a technical note – Lumbar Fusion

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The article discusses a surgical technique called low-profile posterior lumbosacral interbody fusion (LP-PLSIF) in patients with lumbosacral degenerative diseases. The study compared the outcomes of patients who underwent LP-PLSIF with those who received traditional posterior lumbosacral interbody fusion (PLSIF). The study included 18 patients, with 9 in each group. The results showed that LP-PLSIF had a shorter operation time, less postoperative drainage, and a smaller incision length compared to traditional PLSIF. Both groups had significant improvement in pain scores and functional evaluations. There were no neurological complications or wound infections, and the fusion rate was 100% in the LP-PLSIF group. The study concludes that LP-PLSIF is a safe and effective surgical technique for lumbosacral degenerative disease, offering better clinical improvement with less invasiveness

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: LP-PLSIF is a safe and effective surgical technique for patients with lumbosacral degenerative disease, which has the potential strength of less invasive and better clinical improvement.

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BMC Musculoskelet Disord. 2023 Nov 14;24(1):885. doi: 10.1186/s12891-023-06993-8.ABSTRACTBACKGROUND: The purpose of this study was to report our surgical experience in patients with lumbosacral degenerative diseases who underwent posterior decompression and interbody fusion fixed with cortical bone trajectory screw and sacral alar screw, which is known as low-profile posterior lumbosacral interbody fusion (LP-PLSIF).METHODS: Patients with lumbosacral,

BMC Musculoskelet Disord. 2023 Nov 14;24(1):885. doi: 10.1186/s12891-023-06993-8.

ABSTRACT

BACKGROUND: The purpose of this study was to report our surgical experience in patients with lumbosacral degenerative diseases who underwent posterior decompression and interbody fusion fixed with cortical bone trajectory screw and sacral alar screw, which is known as low-profile posterior lumbosacral interbody fusion (LP-PLSIF).

METHODS: Patients with lumbosacral degenerative disease who underwent LP-PLSIF and traditional PLSIF (control group) internally fixed with pedicle screws were included retrospectively. Patients’ demographic data, operative parameters, and perioperative complications were recorded and analyzed.

RESULTS: A total of 18 patients were enrolled in this study, which included 9 patients (5 male and 4 female) who underwent LP-PLSIF, and 9 patients (4 male and 5 female) who underwent traditional PLSIF. There wasn’t a significant difference in the average age between the two groups, 56.78 ± 10.92 years in the LP-PLSIF group and 60.22 ± 8.21 years in the PLSIF group (p = 0.460). The bone mineral density (BMD) of the two groups of patients were -2.00 ± 0.26 T and -2.13 ± 0.19 T, respectively (P = 0.239). The mean postoperative follow-up time was 12.7 months (range, 12-14 months). The mean operation time was 142.78 ± 11.21 min and 156.11 ± 13.41 min in the LP-PLSIF group and PLSIF group respectively (P < 0.05). The average blood loss was 137.78 ± 37.09 ml in the LP-PLSIF group, and 150.00 ± 27.84 ml in the PLSIF group (P = 0.441). The average postoperative drainage was 85.56 ± 37.45 ml and 122.22 ± 22.24 ml in the LP-PLSIF group and control group respectively (P < 0.05). Patients in the LP-PLSIF group had shorter incision length compared with the control group, 61.44 ± 10.56 mm vs. 74.56 ± 10.22 mm (P < 0.05). The average length of hospitalization of 11.33 ± 2.92 days in the LP-PLSIF group, and 11.11 ± 1.62 days in the PLSIF group (p = 0.844). All patients had significant improvement in VAS pain score, ODI, and JOA evaluation. However, patients in the LP-PLSIF group had better improvement in terms of VAS back pain and ODI in the short term after the operation. There were no neurological complications or wound infection. The fusion rate at the last follow-up was 100% (9 of 9) in the LP-PLSIF group, and 88.89% (8 of 9) in the control group based on CT scans. 1 patient in the control group had asymptomatic sacral pedicle screw loosening.

S: LP-PLSIF is a safe and effective surgical technique for patients with lumbosacral degenerative disease, which has the potential strength of less invasive and better clinical improvement.

PMID:37957682 | DOI:10.1186/s12891-023-06993-8

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Low profile posterior lumbar-sacral interbody fusion for lumbosacral degenerative diseases: a technical note

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BMC Musculoskelet Disord. 2023 Nov 14;24(1):885. doi: 10.1186/s12891-023-06993-8.ABSTRACTBACKGROUND: The purpose of this study was to report our surgical experience in patients with lumbosacral degenerative diseases who underwent posterior decompression and interbody fusion fixed with cortical bone trajectory screw and sacral alar screw, which is known as low-profile posterior lumbosacral interbody fusion (LP-PLSIF).METHODS: Patients with lumbosacral
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