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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 455 - 463 (9page)
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Study DesignRetrospective cohort study.PurposeThis study aimed to evaluate aggravated lateral recess stenosis and clarify the indirect decompression threshold by combined lateral interbody fusion and percutaneous pedicle screw fixation (LIF/PPS).Overview of LiteratureNo previous reports have described an effective radiographic indicator for determining the surgical indication for LIF/PPS.MethodsA retrospective review of 185 consecutive patients, who underwent 1- or 2-level lumbar fusion surgery for degenerative spondylolisthesis (DS). According to their symptomatic improvement, they were placed into either the “recovery” or “no-recovery” group. Preoperative computed tomography (CT) images were evaluated for the position of the superior articular processes at the slipping level, followed by a graded classification (grades 0–3) using the impingement line (I line), a new radiographic indicator. All 432 superior articular facets in 216 slipped levels were classified, and both groups’ characteristics were compared.ResultsThere were 171 patients (92.4%) in the recovery group and 14 patients in the no-recovery group (7.6%). All patients in the no-recovery group were diagnosed with symptoms associated with deteriorated bony lateral recess stenosis. All superior articular processes of the lower vertebral body in affected levels reached and exceeded the I line (I line-; grade 2 and 3) on preoperative sagittal CT images. In the recovery group, most superior articular processes did not reach the I line (I line+; grade 0 and 1; p=0.0233).ConclusionsIn DS cases that are classified as grade 2 or greater, the risk of aggravated bony lateral recess stenosis due to corrective surgery is high; therefore, indirect decompression by LIF/PPS is, in principle, contraindicated.
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참고문헌 (5)
참고문헌 신청
Foley KT / 2003 / Minimally invasive lumbar fusion / Spine (Phila Pa 1976) 28(15Suppl):S26~S35
Berjano P / 2013 / Far lateral approaches(XLIF)in adult scoliosis / Eur Spine J 22(Suppl 2):S242~S253
Sembrano JN / 2016 / Two-year comparative outcomes of MIS lateral and MIS transforaminal interbody fusion in the treatment of degenerative spondylolisthesis: part I. clinical findings / Spine (Phila Pa 1976) 41(Suppl 8):S123~S132
Malham GM / 2015 / Clinical results and limitations of indirect decompression in spinal stenosis with laterally implanted interbody cages: results from a prospective cohort study / Eur Spine J 24(Suppl 3):339~345
Uribe JS / 2015 / Visceral, vascular, and wound complications following over 13,000 lateral interbody fusions: a survey study and literature review / Eur Spine J 24(Suppl 3):386~396
Berjano P / 2013 / Far lateral approaches(XLIF)in adult scoliosis / Eur Spine J 22(Suppl 2):S242~S253
Sembrano JN / 2016 / Two-year comparative outcomes of MIS lateral and MIS transforaminal interbody fusion in the treatment of degenerative spondylolisthesis: part I. clinical findings / Spine (Phila Pa 1976) 41(Suppl 8):S123~S132
Malham GM / 2015 / Clinical results and limitations of indirect decompression in spinal stenosis with laterally implanted interbody cages: results from a prospective cohort study / Eur Spine J 24(Suppl 3):339~345
Uribe JS / 2015 / Visceral, vascular, and wound complications following over 13,000 lateral interbody fusions: a survey study and literature review / Eur Spine J 24(Suppl 3):386~396
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