Abstract:
OBJECTIVE:This study aimed to evaluate the technical details, clinical effectiveness, and complications of oblique lateral interbody fusion supplemented with anterolateral screw-rod instrumentation in managing degenerative lumbar diseases. METHODS:The clinical data of 14 patients with lumbar degenerative diseases who underwent oblique lateral interbody fusion and anterolateral screw-rod instrumentation in the Department of Neurosurgery, Sichuan Provincial People's Hospital, from April 2015 to May 2018, were retrospectively analyzed. The duration of operation, estimated blood loss, radiological exposure, length of hospital stay, and complications were recorded. The visual analog scale score, Oswestry Disability Index, and radiologic parameters were evaluated before and after surgery. RESULTS:The diagnosis included degenerative/isthmic spondylolisthesis (grade I), degenerative lumbar stenosis, disc hernia with instability, and adjacent segment disease. The follow-up period was 12-45 months. The clinical symptoms improved significantly after the operation according to the visual analog scale and Oswestry Disability Index scores. The average operation time, blood loss, and length of hospital stay were 72.50 ± 21.46 minutes, 53.21 ± 19.07 mL, and 5.57 ± 2.21 days, respectively. The postoperative radiographic examination demonstrated increased intervertebral height and foramen area (P < 0.05). The radiologic fusion rate was 95% at the last follow-up; cage subsidence was found in 1 case. No major complications, such as vascular injury, ureteral injury, or infection, occurred. CONCLUSIONS:As an alternative method of instrumentation, anterolateral screw-rod fixation minimized the total operation time, blood loss, radiological exposure, and soft tissue disruption, and realized 1-stage intervertebral fusion and instrumentation through a single small incision.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Liu J,Feng Hdoi
10.1016/j.wneu.2019.11.046subject
Has Abstractpub_date
2020-02-01 00:00:00pages
e944-e950eissn
1878-8750issn
1878-8769pii
S1878-8750(19)32882-7journal_volume
134pub_type
杂志文章abstract:OBJECTIVE:To determine the impact of the 2019 novel coronavirus disease (COVID-19) pandemic on operative case volume in 8 U.S. neurosurgical residency training programs in early 2020 and to survey these programs regarding training activities during this period. METHODS:A retrospective review was conducted of monthly o...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2020.10.016
更新日期:2021-01-01 00:00:00
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journal_title:World neurosurgery
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journal_title:World neurosurgery
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更新日期:2017-05-01 00:00:00
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更新日期:2018-08-01 00:00:00
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更新日期:2019-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-12-01 00:00:00
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更新日期:2019-12-01 00:00:00
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journal_title:World neurosurgery
pub_type: 临床试验,杂志文章
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更新日期:2010-01-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2010.07.042
更新日期:2011-02-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.wneu.2013.01.010
更新日期:2014-05-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.05.077
更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1016/j.wneu.2011.03.021
更新日期:2011-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-02-01 00:00:00
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更新日期:2020-06-01 00:00:00
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更新日期:2020-09-01 00:00:00
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更新日期:2019-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2021-01-05 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00
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journal_title:World neurosurgery
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更新日期:2019-01-17 00:00:00