gms | German Medical Science

66th Annual Meeting of the German Society of Neurosurgery (DGNC)
Friendship Meeting with the Italian Society of Neurosurgery (SINch)

German Society of Neurosurgery (DGNC)

7 - 10 June 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

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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

Published: June 2, 2015

© 2015 Tartara et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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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.