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Modified Minimally Invasive Transforaminal Lumbar Interbody Fusion Method Can Doubtlessly Enhance Security of Interbody Graft Placement.
Oper Neurosurg (Hagerstown). 2018 Feb 16;:
Authors: Kurtom KH, Towers WS
Summary
BACKGROUND: Minimally invasive transforaminal lumbar interbody fusion (MITLIF) is a well-described process with wonderful reported outcomes. A modification of interbody graft placement can probably enhance the convenience and security of this process.
OBJECTIVE: To explain a modification of the MITLIF graft placement and retrospectively overview our expertise together with intraoperative and postoperative problems.
METHODS: Single surgeon, single establishment, retrospective evaluation of consecutive sufferers who underwent a modified MITLIF approach between November 2011 and December 2013. Hospital data together with operative notes and discharge summaries had been reviewed for affected person demographics, surgical parameters together with operative time and estimated blood loss, intraoperative problems together with durotomy/cerebrospinal fluid leak, and postoperative outcomes together with time earlier than ambulation and size of keep had been all reviewed and analyzed.
RESULTS: Eighty-three consecutive MITLIF sufferers; 71 underwent 1-level fusion and 12 had multilevel fusions. Common operative time for single degree was 181 min; multilevel was 323 min. Common estimated blood loss was 140 mL. Time earlier than ambulation was <1 d, common size of keep was 1.6 d. There have been a complete of four problems on this collection (four.eight%). There was zero incidence of durotomy or cerebrospinal fluid leak.
CONCLUSION: This modified MITLIF strategy of sustaining the medial side previous to discectomy and interbody graft placement can supply the minimally invasive backbone surgeons elevated assurance whereas inserting the graft and probably improve the general security and efficacy of this strategy. Surgeons using this strategy could have little issue using this slight modification.
PMID: 29471453 [PubMed – as supplied by publisher]