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Published: 2024-07-31
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DOI: https://doi.org/10.52852/tcncyh.v179i6.2443
Issue
Vol. 179 No. 6 (2024)
Section
Các bài báo
How to Cite
Tân, H. M., Hùng, K. Đình, Kiên, T. T., Vũ, N., & Hà , D. Đại. (2024). 3. Results of treatment of lumbar spinal stenosis and lumbar spondylolisthesis using extreme lateral interbody fusion lumbar and posterior percutaneous screw at Hanoi Medical University Hospital. Journal of Medical Research, 179(6), 19-27. https://doi.org/10.52852/tcncyh.v179i6.2443

3. Results of treatment of lumbar spinal stenosis and lumbar spondylolisthesis using extreme lateral interbody fusion lumbar and posterior percutaneous screw at Hanoi Medical University Hospital

Hoang Minh Tan, Kieu Dinh Hung, Tran Trung Kien, Nguyen Vu, Duong Dai Ha

Main Article Content

Abstract

Objective: Evaluating the results of lateral interbody bone graft surgery and posterior percutaneous screw for treating lumbar stenosis and lumbar spondylolisthesis at Hanoi Medical University Hospital. Patients diagnosed with lumbar spinal stenosis and lumbar spondylolisthesis were treated surgically with the XLIF (extreme lateral interbody fusion) at Hanoi Medical University Hospital. Results: 18 patients with 19 levels surgery 7 subjects are male, 11 are female, average age is 58.83 ± 8.679. There were 6 cases of spondylolisthesis and 12 cases of lumbar spinal stenosis. The main clinical symptoms are back pain (100%), unilateral radicular pain (77.8%), and claudication from 100 to 500m (38.9%). 17 cases of 1-stage XLIF surgery, 1 cases of 2-stage XLIF surgery, average surgery time was 138.95 ± 39.001 minutes, average blood loss was 30.37 ± 30.015ml. There were one case failure, 1 case of abdominal wall hernia. XLIF surgery is a minimally invasive surgical method that reduces pain, does not damage the paravertebral muscles, reduces bleeding, indirect decompression does not affect the spinal canal.

Article Details

Keywords

Lumbar spine, lateral approach, percutaneous screw, XLIF

References

1. Lei Y, Chen J, Liu Z, et al. Effect of Lateral Surgery Compared with Posterior Surgery on Lumbar Degenerative Disease: A Meta-Analysis of 41 Cohort Studies. World Neurosurgery. 2024; 184: e417-e448. doi:https://doi.org/10.1016/j.wneu.2024.01.142.
2. Amaral R, Pokorny G, Marcelino F, et al. Lateral versus posterior approaches to treat degenerative lumbar pathologies-systematic review and meta-analysis of recent literature. Eur Spine J. 2023; 32(5): 1655-1677. doi:10.1007/s00586-023-07619-2.
3. Hughes A, Makirov SK, Osadchiy V. Measuring spinal canal size in lumbar spinal stenosis: description of method and preliminary results. International Journal of Spine Surgery. 2015; 9. doi:10.14444/2008.
4. Yingsakmongkol W, Jitpakdee K, Kerr S, Limthongkul W, Kotheeranurak V, Singhatanadgige W. Successful Criteria for Indirect Decompression With Lateral Lumbar Interbody Fusion. Neurospine. 2022; 19(3): 805-815. doi:10.14245/ns.2244058.029.
5. Rodgers WB, Lehmen JA, Gerber EJ, Rodgers JA. Grade 2 spondylolisthesis at L4-5 treated by XLIF: safety and midterm results in the “worst case scenario”. TheScientificWorldJournal. 2012; 356712. doi:https://doi.org/10.1100/2012/356712.
6. Rodgers WB, Gerber EJ, Rodgers JA. Lumbar fusion in octogenarians: the promise of minimally invasive surgery. Spine. 2010; 35 (26 Suppl): S355-S360. doi:https://doi.org/10.1097/BRS.0b013e3182023796.
7. Rodgers WB, Cox CS, Gerber EJ. Early complications of extreme lateral interbody fusion in the obese. Journal of spinal disorders & techniques. 2010; 23(6): 393-397. doi:https://doi.org/10.1097/BSD.0b013e3181b31729.
8. Elowitz EH, Yanni DS, Chwajol M, Starke RM, Perin NI. Evaluation of indirect decompression of the lumbar spinal canal following minimally invasive lateral transpsoas interbody fusion: radiographic and outcome analysis. Minimally invasive neurosurgery. 2011; 54(5-6): 201-206. doi:https://doi.org/10.1055/s-0031-1286334.