Complications and Morbidities of Mini-open Anterior Retroperitoneal Lumbar Interbody Fusion: Oblique Lumbar Interbody Fusion in 179 Patients

被引：649

作者：

Silvestre, Clement ^{[1
]}

Mac-Thiong, Jean-Marc ^{[2
,3
,4
]}

Hilmi, Radwan ^{[1
]}

Roussouly, Pierre ^{[1
]}

机构：

[1] Ctr Med Chirurg Readaptat Massues, Dept Orthoped Surg, 92 Rue Edmond Locard, Lyon 05, France

[2] Univ Montreal, Dept Orthoped Surg, Montreal, PQ, Canada

[3] Hop Sacre Coeur, Dept Orthoped Surg, Montreal, PQ, Canada

[4] CHU Sainte Justine, Dept Orthoped Surg, Montreal, PQ, Canada

来源：

ASIAN SPINE JOURNAL | 2012年 / 6卷 / 02期

关键词：

Anterior approach; Interbody fusion; Lumbar spine; Minimally invasive surgery;

D O I：

10.4184/asj.2012.6.2.89

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Study Design: A retrospective study including 179 patients who underwent oblique lumbar interbody fusion (OLIF) at one institution. Purpose: To report the complications associated with a minimally invasive technique of a retroperitoneal anterolateral approach to the lumbar spine. Overview of Literature: Different approaches to the lumbar spine have been proposed, but they are associated with an increased risk of complications and a longer operation. Methods: A total of 179 patients with previous posterior instrumented fusion undergoing OLIF were included. The technique is described in terms of: the number of levels fused, operative time and blood loss. Persurgical and postsurgical complications were noted. Results: Patients were age 54.1 +/- 10.6 with a BMI of 24.8 +/- 4.1 kg/m(2). The procedure was performed in the lumbar spine at L1-L2 in 4, L2-L3 in 54, L3-L4 in 120, L4-L5 in 134, and L5-S1 in 6 patients. It was done at 1 level in 56, 2 levels in 107, and 3 levels in 16 patients. Surgery time and blood loss were, respectively, 32.5 +/- 13.2 minutes and 57 +/- 131 ml per level fused. There were 19 patients with a single complication and one with two complications, including two patients with postoperative radiculopathy after L3-5 OLIF. There was no abdominal weakness or herniation. Conclusions: Minimally invasive OLIF can be performed easily and safely in the lumbar spine from L2 to L5, and at L1-2 for selected cases. Up to 3 levels can be addressed through a 'sliding window`. It is associated with minimal blood loss and short operations, and with decreased risk of abdominal wall weakness or herniation.

引用

页码：89 / 97

页数：9

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