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European Spine Journal

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01-10-2014 | Original Article

Extreme lateral approach to the spine in degenerative and post traumatic lumbar diseases: selection process, results and complications

Authors: Matteo Formica, Pedro Berjano, Luca Cavagnaro, Andrea Zanirato, Andrea Piazzolla, Carlo Formica

Published in: European Spine Journal | Special Issue 6/2014

Abstract

Purpose of the study

The aim of this study is to describe clinical and radiological outcomes as well as accompanying complications in a series of consecutive lateral transpsoas approaches (XLIF).

Materials and methods

A retrospective study of 39 patients treated for degenerative and post-traumatic lumbar diseases was carried out. Functional status, leg and back pain and radiological outcomes were evaluated pre and post-operatively using the Oswestry disability index score (ODI) visual analog scales (VAS) and X-ray studies.

Results

Mean follow-up was 16 months (range 12–24 months). Mean improvement in back and leg pain on VAS was 6.08 (p < 0.01) and 2.77 (p < 0.01), respectively. Mean improvement in the ODI score was 38 (p < 0.01). Increases in lumbar lordosis (32.8°–39.2°, p < 0.05) and disc height (3.6–4.8 mm, p < 0.05) were noted in the post-operative. Mild, transient strength deficit of the quadriceps muscle was also noted in ten cases with complete regression.

Conclusions

XLIF proved to be a safe, effective, minimally invasive technique that allows valid arthrodesis to be carried out. Patients achieved positive clinical outcomes and satisfactory fusion rates, with sustained restoration of lordosis, spinal alignment and disc height.

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Title: Extreme lateral approach to the spine in degenerative and post traumatic lumbar diseases: selection process, results and complications
Authors: Matteo Formica
Pedro Berjano
Luca Cavagnaro
Andrea Zanirato
Andrea Piazzolla
Carlo Formica
Publication date: 01-10-2014
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 6/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-014-3545-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Extreme lateral approach to the spine in degenerative and post traumatic lumbar diseases: selection process, results and complications

Abstract

Purpose of the study

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of the study

Materials and methods

Results

Conclusions

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