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Lateral interbody f...
Lateral interbody fusion without intraoperative neuromonitoring in addition to posterior instrumented fusion in geriatric patients : A single center consecutive series of 108 surgeries
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- Bobinski, Lukas (författare)
- Umeå University Hospital, Spine Unit, Umeå, Sweden
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- Liv, Per, 1979- (författare)
- Umeå universitet,Avdelningen för hållbar hälsa
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- Meyer, Bernhard (författare)
- Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
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- Krieg, Sandro M. (författare)
- Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: Brain and Spine. - : Elsevier. - 2772-5294. ; 3
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction: Lateral lumbar interbody fusion (LLIF) and lateral thoracic interbody fusion (LTIF), supported by intraoperative neuromonitoring (IONM), gained popularity as a mini-invasive alternatives for standard interbody fusion. The objective of this study was to investigate the clinical outcome in a large elderly patient cohort who underwent LTIF/LLIF without IONM.Methods: This retrospective, single-center study enrolled elderly patients (≥70 years old) operated during the period from 2010 to 2016. Anterior lumbar interbody fusion (ALIF) in the L5/S1 segment was excluded from the analysis.Results: The study enrolled 108 patients (63 males, 58.3%) with a mean age of 76.5 y/o. The mean follow-up was 14.4 ± 11.3 months. The mean time of the surgery was 92 ± 34.2 min. The mean blood loss was 62.2 ml. There were no vascular or visceral surgical complications. 39 medical complications were encountered in 24 (22%) patients. Less than 5% of patients presented with a new onset of motor weakness and less than 2% of the patients developed a new sensory deficit at the discharge. 46% of patients were lost in follow-up at 12 months.Conclusions: IONM is not mandatory for LLIF/LTIF surgery in geriatric patients and has a low frequency of approach-related complications as well as neurological deterioration. Our results are comparable to the available literature. Regardless of the utilization of these mini-invasive, anterior approaches, in patients of advanced aged, the risk for major medical complications is high and is responsible for contributing to prolonged hospitalization.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- Anterior spine surgery
- IONM
- Lateral lumbar interbody fusion
- Lateral thoracic interbody fusion
- Neuromonitoring
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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