Extreme lateral interbody fusion and percutaneous pedicle screw (xlif) for lumbar spinal stenosis at Hanoi Medical University Hospital
Main Article Content
Abstract
Extreme lateral interbody fusion (XLIF) is a minimally invasive surgical technique that allows access to the intervertebral disc space and vertebral bodies via the retroperitoneal transpsoas approach. The insertion of an implant, with the opportunity for bony fusion, can provide indirect decompression of the neural elements at that level. Indeed, the minimally invasive XLIF approach can improve post-operative pain, entry wounds, tissue trauma, operating, recovery and mobility times resulting in shorter hospital stays. The objective of the study was to initially evaluate the effectiveness of XLIF surgery for lumbar spinal stenosis. Clinical intervention study design was carried out on 9 patients from April 2019 to March 2022. The average age of patients is 62.7 years old, the oldest is 74 years old, the youngest is 50 years old. L4L5 is the most recent level with 100%. The postoperative, median VAS for back pain improve from 7.2 to 2.3 and VAS for leg pain improve from 6.8 to 1.9. The blood loss intraoperative was 100 ± 50 ml. Extreme lateral interbody fusion and percutaneous pedicle screw got good results in lumbar spinal stenosis treatment. Minimal invasive surgery and specially XLIF is developing day by day in the future with the lumbar spine.
Article Details
Keywords
Lumbar spinal stenosis, minimally invasive surgery, Extreme lateral interbody fusion (XLIF), indirect decompression
References
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