gms | German Medical Science

66. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Friendship Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

7. - 10. Juni 2015, Karlsruhe

XLIF with stand-alone cage for treatment of L4-L5 discopathy associated with L5 sacralization

Meeting Abstract

  • Fulvio Tartara - Reparto di Neurochirurgia, Istituti Spitalieri di Cremona
  • Marco Bozzaro - SCDU Neurochirurgia. Ospedale San Giovanni Battista di Torino
  • Federico Pecoraro - SCDU Neurochirurgia. Ospedale San Giovanni Battista di Torino
  • Diego Garbossa - SCDU Neurochirurgia. Ospedale San Giovanni Battista di Torino
  • Alessandro Ducati - SCDU Neurochirurgia. Ospedale San Giovanni Battista di Torino

Deutsche Gesellschaft für Neurochirurgie. 66. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Karlsruhe, 07.-10.06.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. DocMO.12.05

doi: 10.3205/15dgnc056, urn:nbn:de:0183-15dgnc0565

Veröffentlicht: 2. Juni 2015

© 2015 Tartara et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objective: The L4-L5 disc disease associated with a defect of differentiation L5 (sacralization) is a common degenerative disease. Some interesting pathophysiological considerations can be made about this situation. In fact, probably the disc disease comes from an increased stress on the disc L4-L5 which is iperlordotic for compensation of L5-S1 hypolordosis related to disc hypoplasia.

Method: We report a series of 8 cases treated with an XLIF stand-alone cage.

Results: Only one case has persistent pain without radiological signs of failure.

Conclusions: The appropriate size of the cage seems to be the key element in conjunction with absolute respect of the integrity of the vertebral endplates. The cage must be large enough to allow an adequate tension band of the longitudinal ligaments. The fundamental limitation on the feasibility of this approach is represented by the relationship between the iliac wing and the L4-L5 discal space. The results seem stable over time although a longer follow-up will be necessary.