POSTERIOR LUMBAR INTERBODY FUSION: ASSESMENT OF COMPLICATIONS
Journal Title: Journal of Turkish Spinal Surgery - Year 2019, Vol 30, Issue 1
Abstract
Objective: The aim of study is to investigate the complications of surgeries which were operated with instrumentation and posterior lumbar interbody fusion with the diagnosis of spinal stenosis. Materials and Method: Sixty patients who were diagnosed as lumbar stenosis were investigated for the study. The patients that operated with instrumentation and posterior lumbar interbody fusion technique was selected. All patients were investigated from the files and radiology archive retrospectively. Vertebrae fractures, spondylolisthesis and neoplastic operations excluded from the study. Results: A total of 60 patients were included in this study. Mean age of the patients was 54.3 ± 11.1 years. Forty-four patients (73.3 %) were females and 16 were males (26.7 %). All patients had spinal stenosis. Most frequent operation applied to patients was L3-4-5 Instrumentation and PLIF in 32 patients (53.3 %), followed by L2-3-4-5 Instrumentation and PLIF in 14 patients (23.3 %). Forty-three patients had no complication after the procedure (71.7 %), 6 patients had bilateral numbness (10 %), 4 patients had tural tear (6.7 %), 3 patients had bilateral radicular pain (5 %), 2 patients had dislocation (3.3 %) and 2 patiens had infection(3.3 %). When the complication rates were assessed respective to each other, proportion of bilateral numbness was the highest as 35.3 %, and proportions of infection and PLIF dislocation were the lowest as 11.7 % for each. The age distribution between genders was statistically similar (p=0.34). Likewise, the distributions of operation types (p=0.55) and complications (p=0.64) were also similar between female and male patients. Conclusions: PLIF allows for adequate interbody height restoration and allows for neural decompression. Neurological and paraspinal muscle injury complications due to risk of retraction on thecal sac with nerve roots and paraspinal muscles must be remembered.
Authors and Affiliations
Şahin YÜCELİ, Okan TÜRK
Keywords
Related Articles
- EP ID EP677033
- DOI -
- Views 157
- Downloads 0
EFFECTS OF IMPLANT REMOVAL AND REMOVAL TIME ON CLINICAL OUTCOMES IN LENKE TYPE-I IDIOPATHIC SCOLIOSIS PATIENTS WHO TREATED WITH 3RD GENERATION INSTRUMENTATION SYSTEM
Due to new morbidity risk, implant removal is not preferred by surgeons until the development of fusion, which takes about 9 to 12 months, un-less implant fails, a similar complication develops or the patient requests. T...
PROF. HAKAN HULUSI CANER, M.D.
Professor Caner was born in Ankara on March 15, 1959. He began work as a research assistant in the Neurosurgery Department of Hacettepe University School of Medicine on 1984. During 1988 and 1989, he worked as a clinical...
ALTERING OF CERVICAL SAGITTAL PARAMETERS AFTER 1 OR 2 LEVELS ANTERIOR CERVICAL DISCECTOMY AND FUSION WITH LORDOTIC CAGES. SHORT TERM RESULTS
Objective: To investigate changings of cervical sagittal parameters after anterior discectomy and fusion (ACDF) with lordosis cages. Material and methods: This study includes 55 patients with one and two levels of...
OUR EARLY RESULTS WİTH TSRH İNSTRUMENTATION ON THE TEATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS
İn the 2. Clinic of Orthopaedics and Traumatology of Ankara Social Insurances Hospital from September 1991 to March 1992, 16 adolescent idiopathic scoliosis cases have been treated with TSRH system. İn this study we are...
HUMAN MESENCHYMAL STEM CELL THERAPY IN THORACIC SPINAL CORD INJURY AND EVALUATION OF THE RESULTS-AN EXPERIMENTAL STUDY IN RATS
Objective: The aim of this study is to investigate the hyper-acute and acute effects of mesenchymal stem cell (MSC) therapy on traumatic spinal cord injury (SCI) in an experimental animal model. Materials and Methods...