Navigation Links
Complications following 2-level axial lumbar interbody fusion
Date:7/20/2012

Charlottesville, VA (July 20, 2012). Surgeons from the Instituto de Patologia da Coluna in Sao Paulo, Brazil have found that an innovative minimally invasive surgical procedure performed to achieve two-level axial lumbar interbody fusion produced immediate successful results, but within 2 years complications set in, making the procedure far less desirable. Findings of this study are reported in the article "Results and complications after 2-level axial lumbar interbody fusion with a minimum 2-year follow-up. Clinical article," by Luis Marchi, Leonardo Oliveira, Etevaldo Coutinho, M.D., and Luiz Pimenta, M.D., Ph.D., published this week online in the Journal of Neurosurgery: Spine.

The report stems from a prospective, nonrandomized single-center study of 27 patients who underwent presacral axial lumbar interbody fusion (AxiaLIF [TranS1, Inc.]) surgery at two levels: L4-5 and L5-S1. Surgery was performed to correct symptomatic lumbosacral degenerative disc disease, degenerative low-grade spondylolisthesis, or failed-back surgery syndrome. The patients suffered from low-back pain, radicular leg pain, or both. Outcomes of the procedures were assessed on the basis of imaging studies (radiographs and CT scans) and patient-reported questionnaires (assessments based on applying a visual analog pain scale and the Oswestry Disability Index).

No intraoperative complications were related to the surgical approach. Significant clinical improvement was apparent following surgery. By the 2-year follow-up, patients reported a 50% reduction in back pain and a 40% reduction in disability.

Outcomes of the procedure documented by imaging studies, however, were not as promising. The surgical goals of disc height/foramen space distraction, lordosis gain/maintenance, and spine stabilization appeared to be achieved shortly after surgery; however, as time progressed these achievements were lost and in some cases outcomes were worse than before surgery. In addition, complications abounded: screw breakage (14.8% of patients), rod detachment (11.1%), cephalic rod migration (24%), and radiolucency around the transsacral rod (52%). At 24 months postoperatively, solid spinal fusion had been obtained at both L4-5 and L5-S1 in only 2 patients (8%); fusion had been obtained at L4-5 in 20% of patients and at L5-S1 in 24% of patients.

The authors point out that the AxiaLIF approach has already proved to be effective for creating fusion at one level: L5-S1. In doing this it offers advantages over other techniques because it does not damage the annulus fibrosus or the anterior or posterior longitudinal ligaments. The application of the AxiaLIF technique to two spinal levels is relatively new. In this small study, application of the technique for this purpose was not effective and was accompanied by many complications. The authors suggest that additional studies should be performed to assess the anatomical and application limitations of the technique.


'/>"/>

Contact: Gillian Shasby
gshasby@thejns.org
434-924-5555
Journal of Neurosurgery Publishing Group
Source:Eurekalert

Related medicine news :

1. Wake Forest Baptist study suggests Tasers dont cause cardiac complications
2. Obese appendectomy patients have fewer complications with minimally invasive operations
3. Regional anesthesia reduces complications and death for hip fracture patients
4. FirstVitals Health and Wellness, Inc. awarded $4 Million CMS Innovation Grant for Unique Telehealth Diabetes Progam Focused on Glycemic Control and Prevention of Diabetic Foot Complications
5. Obesity, Diabetes May Raise Complications After Joint Replacement
6. Severely Obese Have More Complications With Spinal Surgery
7. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
8. Pneumonia and preterm birth complications are the leading causes of childhood death
9. Systemic sclerosis complications more severe in African Americans than Caucasians
10. APBI associated with more mastectomies, toxicities, complications, compared to traditional radiation
11. Men More Prone to Complications After Brain, Spine Surgery
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... Tampa, FL (PRWEB) , ... December 08, 2016 ... ... been awarded accreditation with distinction by the Undersea and Hyperbaric Medical Society (UHMS), ... patients with advanced care and patient safety. Only a few hospitals and facilities ...
(Date:12/8/2016)... ... December 08, 2016 , ... ZyDoc ... Language Processing–Enabled and Conventional Data Capture Methods for Input to Electronic Health Records: ... , Results of the comparative usability study demonstrate that a dictation-based method (“NLP ...
(Date:12/8/2016)... ... December 08, 2016 , ... CURE Media Group, the nation’s leading ... has aligned with Upstage Lung Cancer in efforts to combat lung cancer, announced CURE ... Hennessy, Jr said, “CURE Media Group is honored to team up with Upstage Lung ...
(Date:12/8/2016)... ... December 08, 2016 , ... Premier Fitness Camp (PFC) and The Chopra ... weight loss and wellness program, at their world headquarters of Omni La Costa Resort ... long-term results to anyone seeking weight loss, personal development, a healthy lifestyle, or mental ...
(Date:12/8/2016)... ... December 08, 2016 , ... Catalent Pharma Solutions, the leading ... consumer health products, today announced that it had joined the Pharmaceutical Supply Chain ... organization to unite pharmaceutical and healthcare companies that share a vision of better, ...
Breaking Medicine News(10 mins):
(Date:12/9/2016)... LONDON , December 9, 2016 ... ICD, Subcutaneous ICD, Single-Chamber ICD, Dual-Chamber ICD, Cardiac ... External Defibrillators, Wearable Cardioverter Defibrillators The ... grow at a CAGR of 5.3% from 2016-2020 ... is expected to grow at a CAGR of ...
(Date:12/9/2016)... Research and Markets has announced the addition of the "High ... offering. ... analyses the market by the following Technology Types: Label-Free Technology, Cell-Based Assay, ... Canada , Japan , Europe ... , and Rest of World. Annual estimates and forecasts ...
(Date:12/9/2016)... Research and Markets has announced the ... 2021" report to their offering. ... Market growth can be ... the pharmaceutical and biotechnology industry and technological advancements like automation ... markets and growing research activities in toxicology and stem cells ...
Breaking Medicine Technology: