Clinical and radiological results of microsurgical posterior lumbar interbody fusion and decompression without posterior instrumentation for lateral recess stenosis

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dc.contributor.authorDemirayak, Mehmet
dc.contributor.authorŞişman, Lokman
dc.contributor.authorTürkmen, Faik
dc.contributor.authorEfe, Duran
dc.contributor.authorPekince, Oğuzhan
dc.contributor.authorGöncü, Recep Gani
dc.contributor.authorSever, Cem
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:36:53Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:36:53Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
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.
dc.identifier.citationDemirayak, M., Şişman, L., Türkmen, F., Efe, D., Pekince, O., Göncü, R. G. ve Sever, C. (2015). Clinical and radiological results of microsurgical posterior lumbar interbody fusion and decompression without posterior instrumentation for lateral recess stenosis. 9(5), 713-720. https://dx.doi.org/10.4184/asj.2015.9.5.713
dc.identifier.doi10.4184/asj.2015.9.5.713
dc.identifier.endpage720
dc.identifier.issn1976-1902
dc.identifier.issue5
dc.identifier.scopusqualityQ2
dc.identifier.startpage713
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1280
dc.identifier.urihttps://dx.doi.org/10.4184/asj.2015.9.5.713
dc.identifier.volume9
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKorean Society of Spine Surgery
dc.relation.ispartofAsian Spine Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 3.0 Unported*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/*
dc.subjectCage Migration
dc.subjectLateral Recess Stenosis
dc.subjectMicrosurgical
dc.subjectPosterior Lumbar Interbody Fusion
dc.subjectWithout Posterior Instrumentation
dc.titleClinical and radiological results of microsurgical posterior lumbar interbody fusion and decompression without posterior instrumentation for lateral recess stenosis
dc.typeArticle

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