Miniopen oblique lateral L5-s1 interbody fusion: a report of 2 cases.
Keijiro KannoSeiji OhtoriSumihisa OritaKazuyo YamauchiYawara EguchiYasuchika AokiJunichi NakamuraMasayuki MiyagiMiyako SuzukiGou KubotaKazuhide InageTakeshi SainohJun SatoYasuhiro ShigaKoki AbeKazuki FujimotoHiroto KanamotoTomoaki ToyoneGen InoueEiji HanaokaKazuhisa TakahashiPublished in: Case reports in orthopedics (2014)
Extreme lateral interbody fusion (XLIF) has been widely used for minimally invasive anterior lumbar interbody fusion (ALIF), but an approach to L5-S1 is difficult because of the iliac crest. In the current study, we present 2 cases using minimally invasive oblique lateral interbody fusion (OLIF) of L5-S1. The patients showed foraminal stenosis between L5 and S1 and severe low back and leg pain. The patients were placed in a lateral decubitus position and underwent OLIF surgery (using a cage and bone graft from the iliac crest) without posterior decompression. Posterior screws were used in the patients. Pain scores significantly improved after surgery. There was no spinal nerve, major vessel, peritoneal, or urinary injury. OLIF surgery was minimally invasive and produced good surgical results without complications.
Keyphrases
- minimally invasive
- end stage renal disease
- robot assisted
- chronic kidney disease
- newly diagnosed
- ejection fraction
- prognostic factors
- chronic pain
- spinal cord
- pain management
- coronary artery disease
- neuropathic pain
- climate change
- bone mineral density
- percutaneous coronary intervention
- surgical site infection
- endovascular treatment
- finite element analysis