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

The article discusses the surgical experience of using a technique called low-profile posterior lumbosacral interbody fusion (LP-PLSIF) in patients with lumbosacral degenerative diseases. The study compared patients who underwent LP-PLSIF with those who underwent traditional posterior lumbosacral interbody fusion (PLSIF). The demographic data, operative parameters, and perioperative complications of the patients were recorded and analyzed. The results showed that LP-PLSIF had shorter operation time, smaller incision length, and lower postoperative drainage compared to traditional PLSIF. Additionally, patients who underwent LP-PLSIF showed better improvement in terms of pain scores and disability in the short term after the operation. The study concluded that LP-PLSIF is a safe and effective surgical technique for lumbosacral degenerative disease with the potential for better clinical improvement

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine hospital in London

Published article

CONCLUSIONS: 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.

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
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.

CONCLUSIONS: 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

The London Spine Unit : innovative spine hospital in London

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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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