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Clin Neurol Neurosurg. 2014 Sep;124:90-6. doi: 10.1016/j.clineuro.2014.06.031. Epub 2014 Jul 1.

Minimally invasive lateral transpsoas interbody fusion using a stand-alone construct for the treatment of adjacent segment disease of the lumbar spine: review of the literature and report of three cases.

Author information

1
Division of Neurosurgery, University of Arizona Medical Center, 1501 North Campbell Avenue, P.O. Box 2405070, Tucson 85724, USA.
2
Division of Neurosurgery, University of Arizona Medical Center, 1501 North Campbell Avenue, P.O. Box 2405070, Tucson 85724, USA. Electronic address: abaaj@surgery.arizona.edu.

Abstract

We describe 3 patients who presented with radiographic signs and clinical symptoms of adjacent segment disease several years after undergoing L4-S1 posterior pedicle screw fusion. All patients underwent successful lateral lumbar interbody fusion (LLIF) at 1-2 levels above their previous constructs, using stand-alone cages, with complete resolution of radiculopathy and a significant improvement in low-back pain. In addition to a thorough analysis of these cases, we review the pertinent literature regarding treatment options for adjacent segment disease and the applications of the lateral lumbar interbody technique.

KEYWORDS:

Adjacent segment disease; DLIF transpsoas approach; Degenerative disk disease; Direct lateral approach; LLIF; XLIF

PMID:
25019458
DOI:
10.1016/j.clineuro.2014.06.031
[Indexed for MEDLINE]

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