Minimally invasive anterior lumbar interbody fusion for adult degenerative scoliosis with 1 or 2 dislocated levels

Journal of Neurosurgery. Spine
Charles-Henri Flouzat-LachanietteJérôme Allain

Abstract

Frequent complications of posterolateral instrumented fusion have been reported after treatment of degenerative scoliosis in elderly patients. Considering that in some cases, most of the symptomatology of adult degenerative scoliosis (ADS) is a consequence of the segmental instability at the dislocated level, the use of minimally invasive anterior lumbar interbody fusion (ALIF) to manage symptoms can be advocated to reduce surgical morbidity. The purpose of this study was to evaluate the midterm outcomes of 1- or 2-level minimally invasive ALIFs in ADS patients with 1- or 2-level dislocations. A total of 47 patients (average age 64 years; range 43-80 years) with 1- or 2-level ALIF performed for ADS (64 levels) in a single institution were included in the study. An independent spine surgeon retrospectively reviewed all the patients' medical records and radiographs to assess operative data and surgery-related complications. Clinical outcome was reported using the Oswestry Disability Index (ODI) and the visual analog scale (VAS) for lumbar and leg pain. Intraoperative data and complications were collected. Fusion and risk for adjacent-level degeneration were assessed. The mean follow-up duration was 3 years (range 1-10 years). ODI...Continue Reading

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Citations

Feb 13, 2020·British Journal of Neurosurgery·Il-Soo EunJung Sub Lee
Jul 18, 2020·Global Spine Journal·Laura Marie-HardyCaroline Scemama
Dec 11, 2019·Orthopaedics & Traumatology, Surgery & Research : OTSR·Jérôme Allain, Thierry Dufour

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