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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

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Stand-alone XLIF L4-L5 associated with ALIF or PLIF L5-S1 to restore distal lumbar lordosis in severe discopaties: evaluation of 10 cases

Meeting Abstract

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  • Fulvio Tartara - Reparto di Neurochirurgia, Istituti Spitalieri di Cremona
  • Marco Bozzaro - SCDU Neurochirurgia. Ospedale San Giovanni Battista di Torino
  • Marco Ajello - 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.12.06

doi: 10.3205/15dgnc057, urn:nbn:de:0183-15dgnc0573

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 restoration of L4-S1 lordosis seems to be an important objective in the surgical management of low back pain in patients with severe disabling disc disease at L4-L5 and L5-S1.

Method: Use of lateral approach at L4-L5 associated with anterior (ALIF) or posterior approach (PLIF) at L5-S1 in a series of 10 patients.

Results: The use of two minimally invasive surgical accesses greatly reduces the surgical trauma, allowing rapid recovery and early access to the rehabilitation phase. The association of anterior (ALIF) or posterior approach (PLIF) at L5-S1 allows recovery up to a total of 25° of lordosis. No negative results were observed. Only in one case the recovery of lordosis was disappointing with an overall recovery of around 12°.

Conclusions: The results seem stable over time although a longer follow-up will be necessary.