COMPARISON OF COSMETIC AND FUNCTIONAL OUTCOMES AFTER ANTERIOR PARAMEDIAN VERSUS ANTEROLATERAL RETROPERITONEAL APPROACHES IN LUMBAR SPINAL STENOSIS SURGERY
Journal Title: Journal of Turkish Spinal Surgery - Year 2010, Vol 21, Issue 3
Abstract
Study Design: Retrospective clinical study. Objective: This study aimed to compare the cosmetic and functional outcomes of the patients undergoing anterior and posterior combined surgery via either anterior paramedian or anterolateral retroperitoneal approach. Summary of Background Data: Exposure of the anterior portion of the lumbar disks can be obtained through either a transperitoneal or extraperitoneal approach, utilizing a variety of skin incisions. The retroperitoneal approach is the preferred procedure because it can be performed through small skin incisions and obviates the need for bowel retraction. Methods: The study reviewed 41 patients with lumbar spinal stenosis surgically treated by combined anterior and posterior routes. In addition to posterior instrumentation, decompression and fusion; anterolateral retroperitoneal approach was performed in 14 patients (Group 1) and anterior paramedian retroperitoneal approach was done in 27 patients (Group 2) for anterior interbody fusion. An access surgeon was used in all cases. Results: The mean postoperative SRS score was 22.4 for anterolateral approach and 24.2 for anterior paramedian approach (P < 0.05). The largest difference was observed in self-image and pain control items of SRS questionaire and there was no difference observed in function and daily activities. There were 4 patients having wound problems in group1 whereas this number was 1 in group 2. All these patients were recovered by local wound debridement and primary closure. There were 5 patients developing abdominal swelling in anterolateral approach regarded as abdominal herniation. Conclusion: The anterior and anterolateral surgical approaches to the lumbar spine can be used safely if the surgeon is familiar with the anatomy and is aware of potential complications. Patients undergoing anterior paramedian approach to lumbar spine have higher quality of life and cosmetic outcomes compared with patients having anterolateral retroperitoneal approach.
Authors and Affiliations
Cagatay OZTURK, Meric ENERCAN, Selhan KARADERELER, Mehmet TEZER, Mehmet AYDOGAN, Azmi HAMZAOGLU
Keywords
Related Articles
- EP ID EP676651
- DOI -
- Views 110
- Downloads 0
PRACTICAL ALGORITHM FOR THORACIC DISC HERNIATIONS
Although discectomy operations are the most common operations on the spine, thoracic region discectomies are very rare. Thoracic discectomy procedures constitute only 0.15% to 4% of all disc surgeries. The highest incide...
HISTOPATHOLOGY OF HERNIATED LUMBAR INTERVERTEBRAL DISCS COMPARED WITH NON-HERNIATED LUMBAR INTERVERTEBRAL DISCS
The histologic structure of 104 lumbar irıtervertebral discs from 21 cadaveric spines was compared with discographic (DG) and magnetic resonance imaging (MRI) findings to improve their interpretation. Furthermore the his...
HUMAN ENGINEER: PROF. MAHİR GÜLŞEN, M.D.
Prof. Mahir Gülşen was born in Muğla in 1956. He was graduated from Ege University Medical Faculty. Then, he continued his academic life in Çukurova University in Adana. He was mainly interested in Spinal Surgery and Ext...
THE RELATION BETWEEN MODIC CHANGES AND OCCUPATION TYPES IN SYMPTOMATIC YOUNG ADULTS
Purpose: We aimed to study relation between Modic changes and occupational status in symptomatic young adults. Materials and Method: T1 and T2 weighted lumbar MR images of 32 female and 76 male between the ages 20...
LUMBAR SPINAL ASPERGILLUS ABSCESS IN AN IMMUNOCOMPETENT PATIENT
Only a few species of Aspergillus cause infections in humans. But, these infections lead highly mortal abscesses by located in the central nervous system and spine. It is accentuated frequently in the literature that the...