Miniopen Oblique Lateral L5-S1 Interbody Fusion: A Report of 2 Cases

Extreme lateral interbody fusion (XLIF) has been widely used for minimally invasive anterior lumbar interbody fusion (ALIF), but an approach to L5-S1 is difficult because of the iliac crest. In the current study, we present 2 cases using minimally invasive oblique lateral interbody fusion (OLIF) of...

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Detalles Bibliográficos
Autores principales: Kanno, Keijiro, Ohtori, Seiji, Orita, Sumihisa, Yamauchi, Kazuyo, Eguchi, Yawara, Aoki, Yasuchika, Nakamura, Junichi, Miyagi, Masayuki, Suzuki, Miyako, Kubota, Gou, Inage, Kazuhide, Sainoh, Takeshi, Sato, Jun, Shiga, Yasuhiro, Abe, Koki, Fujimoto, Kazuki, Kanamoto, Hiroto, Toyone, Tomoaki, Inoue, Gen, Hanaoka, Eiji, Takahashi, Kazuhisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4221972/
https://www.ncbi.nlm.nih.gov/pubmed/25400963
http://dx.doi.org/10.1155/2014/603531
Descripción
Sumario:Extreme lateral interbody fusion (XLIF) has been widely used for minimally invasive anterior lumbar interbody fusion (ALIF), but an approach to L5-S1 is difficult because of the iliac crest. In the current study, we present 2 cases using minimally invasive oblique lateral interbody fusion (OLIF) of L5-S1. The patients showed foraminal stenosis between L5 and S1 and severe low back and leg pain. The patients were placed in a lateral decubitus position and underwent OLIF surgery (using a cage and bone graft from the iliac crest) without posterior decompression. Posterior screws were used in the patients. Pain scores significantly improved after surgery. There was no spinal nerve, major vessel, peritoneal, or urinary injury. OLIF surgery was minimally invasive and produced good surgical results without complications.

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