Comparison of the mini-open versus laparoscopic approach for anterior lumbar interbody fusion: a retrospective review.

Abstract:

OBJECTIVE:The anterior lumbar interbody fusion (ALIF) procedure has become an accepted fusion technique for treating patients with degenerative disorders of the lumbar spine. Many consider laparoscopic ALIF to be the least invasive approach. A modification of the open laparotomy--the "mini-open" approach--is an attractive alternative. In this retrospective review, a comparison of these two ALIF approaches is presented. METHODS:We conducted a retrospective review of 98 patients who underwent ALIF procedures between 1996 and 2001 in which either a mini-open or a laparoscopic approach was used. Patient demographics, intraoperative parameters, length of hospitalization, and technique-related complications associated with the use of these two approaches were compared. The subset of patients who underwent L5-S1 ALIF procedures was analyzed separately. Statistical analysis was conducted with chi2 and Student's paired t tests. RESULTS:Between 1996 and 2001, a total of 98 patients underwent ALIF. A laparoscopic approach was used in 47 of these patients, and the mini-open technique was used in the other 51 patients. Operative preparation and procedure time were longer with the use of a laparoscopic approach, and significantly greater during L5-S1 ALIF procedures (P < 0.05). A marginal but significant increase in length of stay was observed after mini-open ALIF procedures (P < 0.05). The immediate postoperative complication rate was greater after mini-open ALIF procedures, 17.6 versus 4.3% (P < 0.05); however, the rate of retrograde ejaculation was higher in the laparoscopic group, 45 versus 6% (P < 0.05). CONCLUSION:Both the laparoscopic and mini-open techniques are effective approaches to use when performing ALIF procedures. On the basis of the data obtained in this retrospective review, the laparoscopic approach does not seem to have a definitive advantage over the mini-open exposure, particularly in an L5-S1 ALIF procedure. In our opinion, the mini-open approach possesses a number of theoretical advantages; however, the individual surgeon's preference ultimately is likely to be the dictating factor.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Kaiser MG,Haid RW Jr,Subach BR,Miller JS,Smith CD,Rodts GE Jr

doi

10.1097/00006123-200207000-00015

keywords:

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

97-103; discussion 103-5

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

51

pub_type

杂志文章
  • International subarachnoid aneurysm trial 2009: endovascular coiling of ruptured intracranial aneurysms has no significant advantage over neurosurgical clipping.

    abstract::In the May 2009 issue of The Lancet Neurology, the 5-year follow-up results of the International Subarachnoid Aneurysm Trial (ISAT) were published. The authors concluded that, although the significant difference between coiling and neurosurgical clipping of ruptured intracranial aneurysms in terms of death and severe ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000368152.67151.73

    authors: Bakker NA,Metzemaekers JD,Groen RJ,Mooij JJ,Van Dijk JM

    更新日期:2010-05-01 00:00:00

  • Morphometric analysis of the foramen magnum: an anatomic study.

    abstract:OBJECTIVE:To further elucidate the importance of anatomic variations in morphology of the foramen magnum and associated clinical implications, we conducted a morphometric study. METHODS:Seventy-two dry skulls were used for this study. Digital images were obtained of the foramen magnum from an inferior view. These imag...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000363407.78399.BA

    authors: Tubbs RS,Griessenauer CJ,Loukas M,Shoja MM,Cohen-Gadol AA

    更新日期:2010-02-01 00:00:00

  • Surgical outcomes in patients with extratemporal epilepsy and subtle or normal magnetic resonance imaging findings.

    abstract:BACKGROUND:Surgery is an important therapeutic option in patients with medically refractory epilepsy. The combination of an extratemporal epileptic focus and nonlesional magnetic resonance imaging (MRI) was often believed to portend a poor outcome. OBJECTIVE:To investigate the outcome and analyze potential prognostic ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000429839.76460.b7

    authors: See SJ,Jehi LE,Vadera S,Bulacio J,Najm I,Bingaman W

    更新日期:2013-07-01 00:00:00

  • In vitro study of biomechanical behavior of anterior and transforaminal lumbar interbody instrumentation techniques.

    abstract:OBJECTIVE:To study the biomechanical behavior of lumbar interbody instrumentation techniques using titanium cages as either transforaminal lumbar interbody fusion (TLIF) or anterior lumbar interbody fusion (ALIF), with and without posterior pedicle fixation. METHODS:Six fresh-frozen lumbar spines (L1-L5) were loaded w...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000245609.01732.E4

    authors: Niemeyer TK,Koriller M,Claes L,Kettler A,Werner K,Wilke HJ

    更新日期:2006-12-01 00:00:00

  • Extracranial-intracranial (EC-IC) arterial bypass: past performance and current concepts.

    abstract::The authors present a review of published experience with intracranial-extracranial arterial bypass grafting. The procedure is technically feasible and has a relatively low morbidity and mortality when performed by experienced microvascular surgeons. However, its therapeutic value is still unproven. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197807000-00014

    authors: Samson DS,Boone S

    更新日期:1978-07-01 00:00:00

  • Abducens nerve palsy after radiofrequency rhizolysis for trigeminal neuralgia: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Abducens nerve palsy is a rare and reversible complication associated with percutaneous radiofrequency trigeminal rhizolysis. CLINICAL PRESENTATION:An 86-year-old man developed an abducens nerve palsy immediately after undergoing percutaneous radiofrequency trigeminal rhizolysis for severe tri...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199809000-00134

    authors: Harrigan MR,Chandler WF

    更新日期:1998-09-01 00:00:00

  • Microdiscectomy versus chemonucleolysis.

    abstract::A retrospective analysis of 50 consecutive patients treated with chemonucleolysis and 50 treated with microlumbar discectomy was carried out. Similar clinical criteria for the diagnosis of "virgin" herniated lumbar discs were used. All patients had low back or radicular pain unrelieved by a minimum of 4 weeks of conse...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198505000-00010

    authors: Maroon JC,Abla A

    更新日期:1985-05-01 00:00:00

  • History and state of neurosurgery in Austria.

    abstract::Although surgeons in Austria, especially in Vienna, were counted among the leading specialists at the end of the 19th century, neurosurgery did not evolve as a distinct discipline before the turn of the century; achievements were episodic until Anton von Eiselsberg became an enthusiastic surgeon of the central nervous...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006123-200204000-00033

    authors: Pendl G

    更新日期:2002-04-01 00:00:00

  • Evoked potential correlates of recovery from aphasia after focal left hemisphere injury in adults.

    abstract::An evoked potentials (EPs) paradigm that has been effective in demonstrating asymmetries in hemispheric activation during cognitive tasks was used to assess cerebral reorganization for language in recovered aphasics. Cortical click EPs were recorded bilaterally in normal volunteers, recovered aphasics who had sustaine...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198404000-00004

    authors: Papanicolaou AC,Levin HS,Eisenberg HM

    更新日期:1984-04-01 00:00:00

  • Depression of nociceptive sensory activity in the rat spinal cord due to the intrathecal administration of drugs: effect of diazepam.

    abstract::The intrathecal (i.t.) administration of morphine inhibits nociceptive motor responses and activity in ascending axons evoked by stimulation of nociceptive afferent nerve fibers (nociceptive sensory response) in the rat. The i.t. administration of cholecystokinin octapeptide and ceruletide inhibits nociceptive motor r...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Jurna I

    更新日期:1984-12-01 00:00:00

  • Clinical toxicity of combined modality treatment with nitrosourea derivatives for central nervous system tumors.

    abstract::Two nitrosourea compounds--1,3-bis(2-chloroethyl)-1-nitrosourea (BCNU) and 1-(2-chloroethyl)-3-cyclohexyl-1-nitrosourea (CCNU)--have been used in the treatment of primary and metastatic brain tumors after operation and/or radiotherapy. Hematological and nonhematological toxicity were recorded in 272 patients treated b...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198209000-00012

    authors: Robustelli della Cuna G,Paoletti P,Bernardo G,Knerich R,Butti G,Cuzzoni Q

    更新日期:1982-09-01 00:00:00

  • Preoperative diagnosis of lymphocytic hypophysitis (adenohypophysitis) unresponsive to short course dexamethasone: case report.

    abstract::Lymphocytic hypophysitis (adenohypophysitis) is a rare lymphocytic infiltration of the pituitary gland that usually occurs during pregnancy. Because of its rarity, it has seldom been diagnosed preoperatively, and no trials of therapeutic treatment have been reported to date. We describe a 29-year-old woman with a pitu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199202000-00023

    authors: Reusch JE,Kleinschmidt-DeMasters BK,Lillehei KO,Rappe D,Gutierrez-Hartmann A

    更新日期:1992-02-01 00:00:00

  • Angiotensin converting enzyme inhibition for arterial hypertension reduces the risk of recurrence in patients with chronic subdural hematoma possibly by an antiangiogenic mechanism.

    abstract:OBJECTIVE:Chronic subdural hematoma (CSH) is characterized by pathological vascularization of the parietal membrane. Plasma leakage from immature vessels may be involved in hematoma enlargement and recurrence. We tested the hypothesis that the antiangiogenic side-effect of angiotensin converting enzyme (ACE)-inhibitor ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000298907.56012.E8

    authors: Weigel R,Hohenstein A,Schlickum L,Weiss C,Schilling L

    更新日期:2007-10-01 00:00:00

  • Treatment of rhinocerebral mucormycosis with intravenous interstitial, and cerebrospinal fluid administration of amphotericin B: case report.

    abstract:IMPORTANCE:Rhinocerebral mucormycosis is extremely difficult to treat. Approximately 70% of patients are poorly controlled diabetics, and many of the remainder are immunocompromised as a consequence of cytotoxic drugs, burn injuries, or end-stage renal disease. Despite standard treatment consisting of surgical debridem...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199803000-00037

    authors: Adler DE,Milhorat TH,Miller JI

    更新日期:1998-03-01 00:00:00

  • Spontaneous thrombosis of a residual arteriovenous malformation in eloquent cortex after surgery: case report.

    abstract:OBJECTIVE AND IMPORTANCE:The presence of a residual arteriovenous malformation (AVM) on postoperative angiograms is typically an indication for prompt return to the operating room to complete resection, because of the risk of early hemorrhage. This approach, however, may involve risks of neurological deficits when the ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200205000-00038

    authors: Bendok BR,Getch CC,Ali MJ,Parish T,Batjer HH

    更新日期:2002-05-01 00:00:00

  • Advances in surgical approaches to dural fistulas.

    abstract::Dural arteriovenous fistulas are abnormal connections of dural arteries to dural veins or venous sinuses originating from within the dural leaflets. They are usually located near or within the wall of a dural venous sinus that is frequently obstructed or stenosed. The dural fistula sac is contained within the dural le...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0000000000000228

    authors: Youssef PP,Schuette AJ,Cawley CM,Barrow DL

    更新日期:2014-02-01 00:00:00

  • Analysis of Anterior Cervical Discectomy and Fusion Healthcare Costs via the Value-Driven Outcomes Tool.

    abstract:BACKGROUND:Examining the costs of single- and multilevel anterior cervical discectomy and fusion (ACDF) is important for the identification of cost drivers and potentially reducing patient costs. A novel tool at our institution provides direct costs for the identification of potential drivers. OBJECTIVE:To assess peri...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy126

    authors: Reese JC,Karsy M,Twitchell S,Bisson EF

    更新日期:2019-02-01 00:00:00

  • Hypnosis for Awake Surgery of Low-grade Gliomas: Description of the Method and Psychological Assessment.

    abstract:BACKGROUND:Awake craniotomy with intraoperative electric stimulation is a reliable method for extensive removal of low-grade gliomas while preserving the functional integrity of eloquent surrounding brain structures. Although fully awake procedures have been proposed, asleep-awake-asleep remains the standard technique....

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000993

    authors: Zemmoura I,Fournier E,El-Hage W,Jolly V,Destrieux C,Velut S

    更新日期:2016-01-01 00:00:00

  • Intracranial subdural empyemas in the era of computed tomography: a review of 699 cases.

    abstract:OBJECTIVE:Intracranial empyemas are the most common form of intracranial suppuration seen in our unit and, despite modern antibiotic therapy and advanced neurosurgical and imaging facilities, these pus collections remain a formidable challenge, often resulting in significant morbidity and death. We present an analysis ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199903000-00055

    authors: Nathoo N,Nadvi SS,van Dellen JR,Gouws E

    更新日期:1999-03-01 00:00:00

  • Image-Guided Navigation and Robotics in Spine Surgery.

    abstract::Image guidance (IG) and robotics systems are becoming more widespread in their utilization and can be invaluable intraoperative adjuncts during spine surgery. Both are highly reliant upon stereotaxy and either pre- or intraoperative radiographic imaging. While user-operated IG systems have been commercially available ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyy630

    authors: Kochanski RB,Lombardi JM,Laratta JL,Lehman RA,O'Toole JE

    更新日期:2019-06-01 00:00:00

  • Feasibility, safety, and periprocedural complications associated with endovascular treatment of selected ruptured aneurysms under conscious sedation and local anesthesia.

    abstract:BACKGROUND:Endovascular coil embolization of ruptured aneurysms is performed under general anesthesia at most centers for perceived improved image quality and patient safety. OBJECTIVE:To report the feasibility of and outcomes associated with endovascular treatment of subarachnoid hemorrhage (SAH) patients with ruptur...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31827b9183

    authors: Kan P,Jahshan S,Yashar P,Orion D,Webb S,Siddiqui AH,Hopkins LN,Levy EI

    更新日期:2013-02-01 00:00:00

  • Brain stem hemorrhage: historical perspective.

    abstract::Brain stem hemorrhage was first recorded in 1812. Its origin has been the subject of much study and experimentation. We review the studies that stress mechanical forces because dynamic axial distortion of the brain stem is a major factor in the physiology and pathology of the central nervous system. ...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/00006123-198804000-00001

    authors: Thompson RK,Salcman M

    更新日期:1988-04-01 00:00:00

  • Concussion in professional football: brain responses by finite element analysis: part 9.

    abstract:OBJECTIVE:Brain responses from concussive impacts in National Football League football games were simulated by finite element analysis using a detailed anatomic model of the brain and head accelerations from laboratory reconstructions of game impacts. This study compares brain responses with physician determined signs ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000186950.54075.3b

    authors: Viano DC,Casson IR,Pellman EJ,Zhang L,King AI,Yang KH

    更新日期:2005-11-01 00:00:00

  • Impairment of motor recovery after late nerve suture: experimental study in the rabbit. Part 1: functional and electromyographic findings.

    abstract::To study the motor recovery after increasingly late nerve suture, we severed 75 rabbit peroneal nerves and reanastomosed them by microsurgical epineural technique after a delay of up to 12 months. Functional, electromyographic, and morphological parameters were used to evaluate the quality of motor function 6 months a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Richter HP

    更新日期:1982-01-01 00:00:00

  • Role of prostaglandins in delayed cerebral ischemia after subarachnoid hemorrhage.

    abstract::Prostaglandin E2, thromboxane B2, and 6-oxo-prostaglandin F1 alpha were assayed in blood and cerebrospinal fluid samples from patients after subarachnoid hemorrhage (SAH) and from a control population. The levels found in samples obtained from patients after SAH were compared with those found in controls and were also...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199201000-00004

    authors: O'Neill P,Walton S,Foy PM,Shaw MD

    更新日期:1992-01-01 00:00:00

  • Choroidal epithelial cyst of the prepontine region: case report and ultrastructural study.

    abstract::A case of choroidal epithelial cyst of the prepontine region is reported. The cyst wall was studied using light and electron microscopy. Electron microscopy revealed that the lining of the cyst consisted of a single layer of epithelial cells resting on a basement membrane. The epithelial cells contained numerous club-...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198801010-00021

    authors: Fukushima T,Hirakawa T,Tanaka A,Tomonaga M

    更新日期:1988-01-01 00:00:00

  • Taurine detection by proton magnetic resonance spectroscopy in medulloblastoma: contribution to noninvasive differential diagnosis with cerebellar astrocytoma.

    abstract:OBJECTIVE:We sought to evaluate whether taurine detection in short-echo (20 ms) proton magnetic resonance spectroscopy contributes to the noninvasive differential diagnosis between medulloblastoma and cerebellar astrocytoma in children and young adults. These two types of tumor have very different prognoses and may be ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000137655.53303.c8

    authors: Moreno-Torres A,Martínez-Pérez I,Baquero M,Campistol J,Capdevila A,Arús C,Pujol J

    更新日期:2004-10-01 00:00:00

  • Petrous bone pneumatization is a risk factor for cerebrospinal fluid fistula following vestibular schwannoma surgery.

    abstract:BACKGROUND:For the prevention of postoperative CSF fistula a better understanding of origins and risk factors is necessary. OBJECTIVE:To identify the petrous bone air cell volume as a risk factor for developing CSF fistula, we performed a retrospective analysis. METHODS:From 2000 to 2007 519 patients had a retrosigmo...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181f88884

    authors: Stieglitz LH,Giordano M,Gerganov V,Raabe A,Samii A,Samii M,Lüdemann WO

    更新日期:2010-12-01 00:00:00

  • Expanded endoscopic endonasal approach for treatment of clival chordomas: early results in 12 patients.

    abstract:OBJECTIVE:We report our recent experience with an expanded purely endoscopic endonasal approach for the treatment of clival chordomas. METHODS:Twelve patients underwent an expanded endoscopic approach for excision of cranial base chordomas at Toronto Western Hospital. Two patients had undergone a previous craniotomy f...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000316414.20247.32

    authors: Dehdashti AR,Karabatsou K,Ganna A,Witterick I,Gentili F

    更新日期:2008-08-01 00:00:00

  • Median nerve injury from local steroid injection in carpal tunnel syndrome.

    abstract::Local steroid injections for symptomatic relief of carpal tunnel syndrome have become common in the evaluation and treatment of this disorder; yet reports of median nerve injection injury from this practice are rare. We present a case of nerve injury from a steroid injection in a 24-year-old man with carpal tunnel syn...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199003000-00021

    authors: Linskey ME,Segal R

    更新日期:1990-03-01 00:00:00