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Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion
OBJECTIVE: No consensus criteria have been established regarding ideal candidates for indirect decompression with lateral lumbar interbody fusion (LLIF), and contributing factors of indirect decompression failure were rarely reported. We aim to investigate the success rate of indirect decompression...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Spinal Neurosurgery Society
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537858/ https://www.ncbi.nlm.nih.gov/pubmed/35945700 http://dx.doi.org/10.14245/ns.2244058.029 |
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author | Yingsakmongkol, Wicharn Jitpakdee, Khanathip Kerr, Stephen Limthongkul, Worawat Kotheeranurak, Vit Singhatanadgige, Weerasak |
author_facet | Yingsakmongkol, Wicharn Jitpakdee, Khanathip Kerr, Stephen Limthongkul, Worawat Kotheeranurak, Vit Singhatanadgige, Weerasak |
author_sort | Yingsakmongkol, Wicharn |
collection | PubMed |
description | OBJECTIVE: No consensus criteria have been established regarding ideal candidates for indirect decompression with lateral lumbar interbody fusion (LLIF), and contributing factors of indirect decompression failure were rarely reported. We aim to investigate the success rate of indirect decompression by LLIF with proposed selection criteria and identify risk factors associated with indirect decompression failure, defined as persistent pain requiring revision with direct decompression. METHODS: Data from 191 patients undergoing LLIF were retrospectively reviewed. All the following criteria must be fulfilled: (1) dynamic clinical symptoms (pain relief in supine position), (2) presence of reducible disc height (recovered disc height in supine position), (3) no profound weakness, and (4) no static stenosis. The success rate of indirect decompression with LLIF and results after at least 1 year of follow-up were collected. Preoperative, procedure-related, and postoperative factors were assessed for their relationship with failure. RESULTS: Of 191 patients,13 patients (6.8%) required additional direct decompression due to persistent pain, giving a criteria success rate of 93.2%. Factors associated with indirect decompression failure included low bone mineral density (T-score < 2.1), low reducible disc height (<13%), low postoperative disc height (< 10 mm), high-grade cage subsidence, and use of plate fixation. CONCLUSION: We proposed patient selection criteria for indirect decompression with LLIF which had a satisfactory success rate and identified factors associated with the need for additional direct decompression. Our proposed criteria may assist selection of patients likely to achieve good results following indirect decompression with LLIF, and optimize selection based on risk factors of failure. |
format | Online Article Text |
id | pubmed-9537858 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Korean Spinal Neurosurgery Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-95378582022-10-17 Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion Yingsakmongkol, Wicharn Jitpakdee, Khanathip Kerr, Stephen Limthongkul, Worawat Kotheeranurak, Vit Singhatanadgige, Weerasak Neurospine Original Article OBJECTIVE: No consensus criteria have been established regarding ideal candidates for indirect decompression with lateral lumbar interbody fusion (LLIF), and contributing factors of indirect decompression failure were rarely reported. We aim to investigate the success rate of indirect decompression by LLIF with proposed selection criteria and identify risk factors associated with indirect decompression failure, defined as persistent pain requiring revision with direct decompression. METHODS: Data from 191 patients undergoing LLIF were retrospectively reviewed. All the following criteria must be fulfilled: (1) dynamic clinical symptoms (pain relief in supine position), (2) presence of reducible disc height (recovered disc height in supine position), (3) no profound weakness, and (4) no static stenosis. The success rate of indirect decompression with LLIF and results after at least 1 year of follow-up were collected. Preoperative, procedure-related, and postoperative factors were assessed for their relationship with failure. RESULTS: Of 191 patients,13 patients (6.8%) required additional direct decompression due to persistent pain, giving a criteria success rate of 93.2%. Factors associated with indirect decompression failure included low bone mineral density (T-score < 2.1), low reducible disc height (<13%), low postoperative disc height (< 10 mm), high-grade cage subsidence, and use of plate fixation. CONCLUSION: We proposed patient selection criteria for indirect decompression with LLIF which had a satisfactory success rate and identified factors associated with the need for additional direct decompression. Our proposed criteria may assist selection of patients likely to achieve good results following indirect decompression with LLIF, and optimize selection based on risk factors of failure. Korean Spinal Neurosurgery Society 2022-09 2022-08-10 /pmc/articles/PMC9537858/ /pubmed/35945700 http://dx.doi.org/10.14245/ns.2244058.029 Text en Copyright © 2022 by the Korean Spinal Neurosurgery Society https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yingsakmongkol, Wicharn Jitpakdee, Khanathip Kerr, Stephen Limthongkul, Worawat Kotheeranurak, Vit Singhatanadgige, Weerasak Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion |
title | Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion |
title_full | Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion |
title_fullStr | Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion |
title_full_unstemmed | Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion |
title_short | Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion |
title_sort | successful criteria for indirect decompression with lateral lumbar interbody fusion |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537858/ https://www.ncbi.nlm.nih.gov/pubmed/35945700 http://dx.doi.org/10.14245/ns.2244058.029 |
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