Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion

Detalhes bibliográficos
Autor(a) principal: Sousa, José Miguel
Data de Publicação: 2023
Outros Autores: Silva, João Luís, Gamelas, João, Guimarães Consciência, José
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/158260
Resumo: Funding Information: Conflict of interest statement: The present publication was funded by Fundação Ciência e Tecnologia , IP national support through CHRC ( UIDP/04923/2020 ). Publisher Copyright: © 2023 The Author(s)
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spelling Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody FusionTechnical Considerations and Potential ComplicationsComplicationsDorsal root ganglionEndoscopyHigh iliac crestL5S1Spinal fusionTransforaminalSurgeryClinical NeurologyFunding Information: Conflict of interest statement: The present publication was funded by Fundação Ciência e Tecnologia , IP national support through CHRC ( UIDP/04923/2020 ). Publisher Copyright: © 2023 The Author(s)Objective: We sought to determine the clinical outcomes, complications, and fusion rates in transiliac endoscopic-assisted L5S1 intraforaminal lumbar interbody fusion (iLIF). Methods: Between September 2020 and September 2021, patients with L5S1 degenerative disk disease were enrolled in a prospective study on transiliac L5S1 iLIF and followed for a minimum of 12 months. Conflict of the preoperative planned approach with the ilium was mandatory. The primary outcome measures were the Oswestry Disability Index, the visual analog scale (VAS) score for low back pain (VAS back) and leg pain (VAS leg), and the modified MacNab criteria. The secondary outcomes were complications and fusion rates. Results: Five consecutive patients were enrolled: 2 males and 3 females with a mean age of 50 ± 12.9. All had 12 months’ follow-up. The mean improvement in the Oswestry Disability Index, VAS back, and VAS leg (44 ± 11.75, 6.6 ± 1.7, and 4.7 ± 4.2, respectively) was more than 3 times the minimum clinically important difference. The modified MacNab criteria were good or excellent in 80% of cases at all endpoints. Three patients had ipsilateral lower limb dysesthesia. One patient had revision surgery for foraminal bone fragment removal. All patients achieved fusion. Conclusions: The transiliac iLIF is a feasible but demanding surgical technique that allows overcoming cases in which the ilium prevents endoscopic transforaminal access to L5S1. Our preliminary results had good clinical outcomes and high fusion rates. The main complication was late-onset dysesthesia of the ipsilateral lower limb, 10 to 14 days after surgery. Special care must be taken to prevent L5 dorsal root ganglion injury.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNSousa, José MiguelSilva, João LuísGamelas, JoãoGuimarães Consciência, José2023-09-25T22:19:19Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/158260eng1878-8750PURE: 72014718https://doi.org/10.1016/j.wneu.2023.07.153info: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:RCAAP2024-03-11T05:40:30Zoai:run.unl.pt:10362/158260Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:57:02.270885Repositório 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 Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
Technical Considerations and Potential Complications
title Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
spellingShingle Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
Sousa, José Miguel
Complications
Dorsal root ganglion
Endoscopy
High iliac crest
L5S1
Spinal fusion
Transforaminal
Surgery
Clinical Neurology
title_short Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
title_full Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
title_fullStr Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
title_full_unstemmed Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
title_sort Transiliac Endoscopic-Assisted L5S1 Intraforaminal Lumbar Interbody Fusion
author Sousa, José Miguel
author_facet Sousa, José Miguel
Silva, João Luís
Gamelas, João
Guimarães Consciência, José
author_role author
author2 Silva, João Luís
Gamelas, João
Guimarães Consciência, José
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
Silva, João Luís
Gamelas, João
Guimarães Consciência, José
dc.subject.por.fl_str_mv Complications
Dorsal root ganglion
Endoscopy
High iliac crest
L5S1
Spinal fusion
Transforaminal
Surgery
Clinical Neurology
topic Complications
Dorsal root ganglion
Endoscopy
High iliac crest
L5S1
Spinal fusion
Transforaminal
Surgery
Clinical Neurology
description Funding Information: Conflict of interest statement: The present publication was funded by Fundação Ciência e Tecnologia , IP national support through CHRC ( UIDP/04923/2020 ). Publisher Copyright: © 2023 The Author(s)
publishDate 2023
dc.date.none.fl_str_mv 2023-09-25T22:19:19Z
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/10362/158260
url http://hdl.handle.net/10362/158260
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1878-8750
PURE: 72014718
https://doi.org/10.1016/j.wneu.2023.07.153
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
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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
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