gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Mini-invasive transforaminal lumbar 360° arthrodesis: indications, technique, advantages and limitations

Meeting Abstract

  • corresponding author R. Assaker - Clinique de Neurochirurgie, CHRU de Lille
  • A. Tiberghien - Clinique de Neurochirurgie, CHRU de Lille
  • M. Allaoui - Clinique de Neurochirurgie, CHRU de Lille
  • D. Morillon - Clinique de Neurochirurgie, CHRU de Lille

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc10.05.-02.04

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2005/05dgnc0103.shtml

Veröffentlicht: 4. Mai 2005

© 2005 Assaker et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

The objective of this lecture is to demonstrate the feasability, safety and reproducibility of the mini-invasive TLIFcompared to open approach TLIF.

Methods

The authors review a small serie of 8 Mini-invasive TLIF and discuss the benefits of the mini-invasive approach compared to the open TLIF. They compare the post-op period in term of pain, hospital stay and the return to normal activities. The authors point out the advantages and limitations of the mini-invasive approach compared to the open one.

Results

Comparing the neurological outcome there is no difference in the long-term results between open or mini-invasive TLIF. However the Mini-invasive approach has the benefit of preserving the muscle function and insertion resulting in less post-op pain, a better muscular scar and a quicker rehabilitation. The objective of the surgery was achieved in all cases except in one case in which interbody distraction failed because of the osteoporotic bone and the subsidence of the endplate. In this particular case the open approach might be more effective as far as distarction could be achieved by simultaneous interbody and interpedicular manoeuvers.

Conclusions

The transforaminal inetrbody fusion technique is an effective technique for a 360° lumbar fusion. The open approach is well described in the litterature and has proven the efficacy and safety of this procedure. Transmuscular mini-invasive aproach could be a good alternative in specific indication and has the advantages of preserving the muscle attachment and minimize the trauma-related approach. The authors advise the use of this technique while the open approach still the "gold standard".