Clinical and Radiological Results of Microsurgical Posterior Lumbar Interbody Fusion and Decompression without Posterior Instrumentation for Lateral Recess Stenosis

Basit Öğe Kaydı
dc.contributor.authorDemirayak, Mehmet
dc.contributor.authorSisman, Lokman
dc.contributor.authorTurkmen, Faik
dc.contributor.authorEfe, Duran
dc.contributor.authorPekince, Oguzhan
dc.contributor.authorGoncu, Recep Gani
dc.contributor.authorSever, Cem
dc.date.accessioned2024-02-23T14:38:02Z
dc.date.available2024-02-23T14:38:02Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractStudy Design: A single-center, retrospective patient review of clinical and radiological outcomes of microsurgical posterior lumbar interbody fusion and decompression, without posterior instrumentation, for the treatment of lateral recess stenosis. Purpose: This study documented the clinical and radiological results of microsurgical posterior lumbar interbody fusion and decompression of the lateral recess using interbody cages without posterior instrumentation for the treatment of lateral recess stenosis. Overview of Literature: Although microsurgery has some advantages, various complications have been reported following microsurgical decompression, including cage migration, pseudoarthrosis, neurologic deficits, and persistent pain. Methods: A total of 34 patients (13 men, 21 women), with a mean age of 56.65 +/- 9.1 years (range, 40-77 years) confirmed spinal stability, and preoperative radiological findings of lateral recess stenosis, were included in the study. Interbody polyetheretherketone cages and auto grafts were used in all patients. Posterior instrumentation was not used because of limited resection of the posterior lumbar structures. Preoperative and postoperative radiographs, computed tomography scans, and magnetic resonance imaging were assessed and compared to images taken at the final follow-up. Functional recovery was also evaluated according to the Macnab criteria at the final follow-up. Results: The average follow-up time was 35.05 +/- 8.65 months (range, 24-46 months). The clinical results, operative time, intraoperative blood loss, and duration of hospital stay were similar to previously published results; the fusion rate (85.2%) was decreased and the migration rate (5.8%) was increased, compared with prior reports. Conclusions: Although microsurgery has some advantages, migration and pseudoarthrosis remain challenges to achieving adequate lumbar interbody fusion.en_US
dc.identifier.doi10.4184/asj.2015.9.5.713
dc.identifier.endpage720en_US
dc.identifier.issn1976-1902
dc.identifier.issn1976-7846
dc.identifier.issue5en_US
dc.identifier.pmid26435789en_US
dc.identifier.scopus2-s2.0-84944733743en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage713en_US
dc.identifier.urihttps://doi.org/10.4184/asj.2015.9.5.713
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16338
dc.identifier.volume9en_US
dc.identifier.wosWOS:000420351700009en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKorean Soc Spine Surgeryen_US
dc.relation.ispartofAsian Spine Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMicrosurgicalen_US
dc.subjectLateral Recess Stenosisen_US
dc.subjectPosterior Lumbar Interbody Fusionen_US
dc.subjectWithout Posterior Instrumentationen_US
dc.subjectCage Migrationen_US
dc.titleClinical and Radiological Results of Microsurgical Posterior Lumbar Interbody Fusion and Decompression without Posterior Instrumentation for Lateral Recess Stenosisen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu