ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA

Detalhes bibliográficos
Autor(a) principal: Sousa, José Miguel
Data de Publicação: 2023
Outros Autores: Ribeiro, Hugo, Gamelas, João, Consciência, José Guimarães
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/157753
Resumo: Publisher Copyright: © 2023 Oficial da Sociedade Brasileira de Coluna. All rights reserved.
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network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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spelling ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACATRANSILIAC ENDOSCOPIC ASSISTED ILIFA CADAVERIC STUDYESTUDIO EN CADÁVERCadaverEndoscopyIliac CrestSpinal FusionSurgeryOrthopedics and Sports MedicineClinical NeurologyPublisher Copyright: © 2023 Oficial da Sociedade Brasileira de Coluna. All rights reserved.Objective: Demonstrate the feasibility of endoscopic assisted L5S1 intraforaminal lumbar interbody fusion (iLIF) through a transiliac approach. Methods: Ten transiliac iLIF and ten supra iliac iLIF were performed bilaterally at L5S1 in five randomly selected fresh-frozen human cadavers. The following measurements were recorded: distances from the transiliac track to the iliac crest, posterior superior iliac spine, and superior gluteal neurovascular bundle; pelvic parameters; approach angles; cage's lateral and AP center point ratio (CPR); percentage of the cage crossing the midline in the AP and lateral views. Endplate integrity was assessed through endoscopic visualization. In addition, the facet joint, sacroiliac joint, iliolumbar ligament, and exiting and traversing nerve roots were checked for integrity through anatomic dissection. Results: In the transiliac technique, the axial and coronal approach angles were significantly decreased by 13.5° (95% CI -15.5; -11.5; p value<0.001) and 13.2° (95% CI -15.3; -11.1; p value<0.001), respectively, the sagittal approach angle was significantly increased by 5.4° (95% CI 1.8,8.9; p-value = 0.008), and the AP CPR was significantly higher (MD 0.16; 95% CI 0.12,0.20; p value<0.001). The percentage of the cage crossing the AP view's midline was increased by 31.6% (95% CI 19.8,43.4; p value<0.001). The integrity of endplates, facet joints, sacroiliac joints, iliolumbar ligament, and exiting and traversing nerve roots was maintained. Conclusion: L5S1 transiliac iLIF is a feasible surgical technique. It allows a more centrally placed interbody cage in the coronal plane without compromising the anterior position in the lateral plane. The integrity of the major anatomic structures at risk was preserved. Evidence Level III: A case-control study.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNSousa, José MiguelRibeiro, HugoGamelas, JoãoConsciência, José Guimarães2023-09-13T22:17:39Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/157753spa1808-1851PURE: 70262778https://doi.org/10.1590/S1808-185120222202268180info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:40:02Zoai:run.unl.pt:10362/157753Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:56:51.210952Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
TRANSILIAC ENDOSCOPIC ASSISTED ILIFA CADAVERIC STUDY
ESTUDIO EN CADÁVER
title ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
spellingShingle ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
Sousa, José Miguel
Cadaver
Endoscopy
Iliac Crest
Spinal Fusion
Surgery
Orthopedics and Sports Medicine
Clinical Neurology
title_short ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
title_full ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
title_fullStr ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
title_full_unstemmed ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
title_sort ILIF ASISTIDA POR ENDOSCOPIA TRANSILÍACA
author Sousa, José Miguel
author_facet Sousa, José Miguel
Ribeiro, Hugo
Gamelas, João
Consciência, José Guimarães
author_role author
author2 Ribeiro, Hugo
Gamelas, João
Consciência, José Guimarães
author2_role author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
RUN
dc.contributor.author.fl_str_mv Sousa, José Miguel
Ribeiro, Hugo
Gamelas, João
Consciência, José Guimarães
dc.subject.por.fl_str_mv Cadaver
Endoscopy
Iliac Crest
Spinal Fusion
Surgery
Orthopedics and Sports Medicine
Clinical Neurology
topic Cadaver
Endoscopy
Iliac Crest
Spinal Fusion
Surgery
Orthopedics and Sports Medicine
Clinical Neurology
description Publisher Copyright: © 2023 Oficial da Sociedade Brasileira de Coluna. All rights reserved.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-13T22:17:39Z
2023
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/157753
url http://hdl.handle.net/10362/157753
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv 1808-1851
PURE: 70262778
https://doi.org/10.1590/S1808-185120222202268180
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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