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Lateral interbody f...
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Bobinski, LukasUmeå University Hospital, Spine Unit, Umeå, Sweden
(författare)
Lateral interbody fusion without intraoperative neuromonitoring in addition to posterior instrumented fusion in geriatric patients : A single center consecutive series of 108 surgeries
- Artikel/kapitelEngelska2023
Förlag, utgivningsår, omfång ...
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Elsevier,2023
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-212420
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212420URI
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https://doi.org/10.1016/j.bas.2023.101782DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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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.
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Liv, Per,1979-Umeå universitet,Avdelningen för hållbar hälsa(Swepub:umu)perliv00
(författare)
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Meyer, BernhardDepartment of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
(författare)
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Krieg, Sandro M.Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
(författare)
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Umeå University Hospital, Spine Unit, Umeå, SwedenAvdelningen för hållbar hälsa
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Brain and Spine: Elsevier32772-5294
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