Artikel
Stand-alone XLIF L4-L5 associated with ALIF or PLIF L5-S1 to restore distal lumbar lordosis in severe discopaties: evaluation of 10 cases
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Veröffentlicht: | 2. Juni 2015 |
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Gliederung
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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.