Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note
Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height followed by foraminal stenosis. For such cases, an anterior approach to lumbar lateral interbody fusion (LLIF) provides safe, direct acc...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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The Japanese Society for Spine Surgery and Related Research
2018-01-01
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| Series: | Spine Surgery and Related Research |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/ssrr/2/1/2_2017-0035/_pdf/-char/en |
| _version_ | 1818292687756853248 |
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| author | Sumihisa Orita Takao Nakajima Kenta Konno Kazuhide Inage Takeshi Sainoh Kazuki Fujimoto Jun Sato Yasuhiro Shiga Hirohito Kanamoto Koki Abe Masahiro Inoue Hideyuki Kinoshita Masaki Norimoto Tomotaka Umimura Yasuchika Aoki Junichi Nakamura Yusuke Matsuura Go Kubota Yawara Eguchi Richard A. Hynes Tsutomu Akazawa Miyako Suzuki Kazuhisa Takahashi Seiji Ohtori |
| author_facet | Sumihisa Orita Takao Nakajima Kenta Konno Kazuhide Inage Takeshi Sainoh Kazuki Fujimoto Jun Sato Yasuhiro Shiga Hirohito Kanamoto Koki Abe Masahiro Inoue Hideyuki Kinoshita Masaki Norimoto Tomotaka Umimura Yasuchika Aoki Junichi Nakamura Yusuke Matsuura Go Kubota Yawara Eguchi Richard A. Hynes Tsutomu Akazawa Miyako Suzuki Kazuhisa Takahashi Seiji Ohtori |
| author_sort | Sumihisa Orita |
| collection | DOAJ |
| description | Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height followed by foraminal stenosis. For such cases, an anterior approach to lumbar lateral interbody fusion (LLIF) provides safe, direct access to the pathological disc space and a potential improvement in the fusion rate. One LLIF approach, oblique lateral interbody fusion (OLIF), targets the oblique lateral window of the intervertebral discs to achieve successful lateral interbody fusion. The current technical note describes spinal revision surgery using the OLIF procedure.
Technical Note: The subjects were patients with leg pain and/or lower back pain derived from decreased intervertebral height followed by foraminal stenosis due to failed spinal fusion surgery. These patients underwent additional OLIF surgery and posterior fusion with no additional posterior direct decompression. Their outcomes were evaluated using the Japanese Orthopaedic Association (JOA) scores at baseline and final follow-up. Bony union was also evaluated using computed tomography images at final follow-up.
Six subjects were evaluated, with two representative cases described in detail. Four patients had an adjacent segment disorder, and the other two patients had pseudarthrosis due to postoperative infection. The mean JOA score improved from 5.7 ± 5.4 to 21.2 ± 2.3, with a mean recovery rate of 65.0%. All cases showed intervertebral bony union.
Conclusions: We introduced a salvage strategy for failed posterior spine fusion surgery cases using the OLIF procedure. Patients effectively achieved recovered intervertebral and foraminal height with no additional posterior direct decompression. |
| first_indexed | 2024-12-13T03:03:56Z |
| format | Article |
| id | doaj.art-27d3b5fa968c40f69e0614dcfb0e0dff |
| institution | Directory Open Access Journal |
| issn | 2432-261X |
| language | English |
| last_indexed | 2024-12-13T03:03:56Z |
| publishDate | 2018-01-01 |
| publisher | The Japanese Society for Spine Surgery and Related Research |
| record_format | Article |
| series | Spine Surgery and Related Research |
| spelling | doaj.art-27d3b5fa968c40f69e0614dcfb0e0dff2022-12-22T00:01:45ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2018-01-0121869210.22603/ssrr.2017-00352017-0035Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical NoteSumihisa Orita0Takao Nakajima1Kenta Konno2Kazuhide Inage3Takeshi Sainoh4Kazuki Fujimoto5Jun Sato6Yasuhiro Shiga7Hirohito Kanamoto8Koki Abe9Masahiro Inoue10Hideyuki Kinoshita11Masaki Norimoto12Tomotaka Umimura13Yasuchika Aoki14Junichi Nakamura15Yusuke Matsuura16Go Kubota17Yawara Eguchi18Richard A. Hynes19Tsutomu Akazawa20Miyako Suzuki21Kazuhisa Takahashi22Seiji Ohtori23Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopedic Surgery, Nippon Medical School, Chiba Hokusoh HospitalDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, East Chiba Medical CenterDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, The Back Center Back Pain Spine Surgery, MelbourneDepartment of Orthopedic Surgery, St. Marianna UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityIntroduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height followed by foraminal stenosis. For such cases, an anterior approach to lumbar lateral interbody fusion (LLIF) provides safe, direct access to the pathological disc space and a potential improvement in the fusion rate. One LLIF approach, oblique lateral interbody fusion (OLIF), targets the oblique lateral window of the intervertebral discs to achieve successful lateral interbody fusion. The current technical note describes spinal revision surgery using the OLIF procedure. Technical Note: The subjects were patients with leg pain and/or lower back pain derived from decreased intervertebral height followed by foraminal stenosis due to failed spinal fusion surgery. These patients underwent additional OLIF surgery and posterior fusion with no additional posterior direct decompression. Their outcomes were evaluated using the Japanese Orthopaedic Association (JOA) scores at baseline and final follow-up. Bony union was also evaluated using computed tomography images at final follow-up. Six subjects were evaluated, with two representative cases described in detail. Four patients had an adjacent segment disorder, and the other two patients had pseudarthrosis due to postoperative infection. The mean JOA score improved from 5.7 ± 5.4 to 21.2 ± 2.3, with a mean recovery rate of 65.0%. All cases showed intervertebral bony union. Conclusions: We introduced a salvage strategy for failed posterior spine fusion surgery cases using the OLIF procedure. Patients effectively achieved recovered intervertebral and foraminal height with no additional posterior direct decompression.https://www.jstage.jst.go.jp/article/ssrr/2/1/2_2017-0035/_pdf/-char/enFailed spinal fusion surgerySalvage surgeryOblique lateral interbody fusionminimally invasive surgerycortical bone trajectory |
| spellingShingle | Sumihisa Orita Takao Nakajima Kenta Konno Kazuhide Inage Takeshi Sainoh Kazuki Fujimoto Jun Sato Yasuhiro Shiga Hirohito Kanamoto Koki Abe Masahiro Inoue Hideyuki Kinoshita Masaki Norimoto Tomotaka Umimura Yasuchika Aoki Junichi Nakamura Yusuke Matsuura Go Kubota Yawara Eguchi Richard A. Hynes Tsutomu Akazawa Miyako Suzuki Kazuhisa Takahashi Seiji Ohtori Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note Spine Surgery and Related Research Failed spinal fusion surgery Salvage surgery Oblique lateral interbody fusion minimally invasive surgery cortical bone trajectory |
| title | Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note |
| title_full | Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note |
| title_fullStr | Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note |
| title_full_unstemmed | Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note |
| title_short | Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note |
| title_sort | salvage strategy for failed spinal fusion surgery using lumbar lateral interbody fusion technique a technical note |
| topic | Failed spinal fusion surgery Salvage surgery Oblique lateral interbody fusion minimally invasive surgery cortical bone trajectory |
| url | https://www.jstage.jst.go.jp/article/ssrr/2/1/2_2017-0035/_pdf/-char/en |
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