Minimally Invasive Anterior Lumbar Interbody Fusion.
- Author:
Koang Hum BAK
1
;
Young Soo KIM
;
Jae Min KIM
;
Choong Hyun KIM
;
Yong KOH
;
Seong Hoon OH
;
Suck Jun OH
;
Kwang Myung KIM
;
Nam Kyu KIM
Author Information
1. Department of Neurosurgery, School of Medicine, Hanyang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Minimally invasive surgery;
Anterior lumbar interbody fusion;
Spinal fusion;
Lumbar spine;
Microsurgery
- MeSH:
Abdominal Muscles;
Bleeding Time;
Cooperative Behavior;
Follow-Up Studies;
Humans;
Microsurgery;
Pseudarthrosis;
Reoperation;
Skin;
Spinal Fusion;
Spondylolisthesis;
Surgical Procedures, Minimally Invasive
- From:Journal of Korean Neurosurgical Society
1998;27(6):792-799
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A new technique and clinical experience of minimally invasive anterior lumbar interbody fusion(mini-ALIF) are reported. Despite its biomechanical advantages and high fusion rate, conventional ALIF needs a long skin incision and extensive dissection. Endoscopic approaches for ALIF seem to be associated with considerable technical difficulties, long operation time, and high complication rate even in collaboration with a laparoscopic surgeon. Mini-ALIF involves a standardized minimally invasive microsurgical retroperitoneal approach for L2-3 to L4-5, and transperitoneal approach for L5-S1. Mini-ALIF can be done through minimal skin incision(4-5cm) and blunt muscle dissection without abdominal muscle cutting. Between December 1995 and March 1997, 12 cases with various lumbar diseases underwent mini-ALIFs. The surgical indications were postoperative pseudarthrosis in 5 cases, degenerative spondylolisthesis in 4 cases, and iatrogenic postoperative instability in 3 cases. Seventy-five percent of patients including reoperation cases showed good outcome and high fusion rate on more than 6 months follow-up. There was no permanent technique-related complication. Mini-ALIF provided sufficient operation space for lumbar interbody fusion. Consequently, authors could reduce operation time, bleeding, and postoperative morbidity of ALIF.
