Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/253
Title: Indirect foraminal decompression is independent of metabolically active facet arthropathy in extreme lateral interbody fusion.
Epworth Authors: Malham, Gregory
Ballok, Zita
Other Authors: Parker, Rhiannon
Goss, Ben
Blecher, Carl
Keywords: Facet Joint
Spinal Fusion
Retrospective Study
Data Collection
Spine
Orthopaedics
Surgery
Zygapophyseal Joint
Vertebrae
Neurosurgery
Neurosurgical Procedures
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
NuVasive Australia & NZ Pty Ltd, Melbourne, Victoria, Australia
Departments of Radiology and Nuclear Medicine, Epworth Hospital, Melbourne, Victoria, Australia
Issue Date: Oct-2014
Publisher: Wolters Kluwer
Citation: Spine 2014 Oct 15;39 (22): E1303-E1310
Abstract: STUDY DESIGN: Retrospective analysis of prospectively collected, nonrandomized radiographical data. OBJECTIVE: To examine the relationship between the presence of preoperative metabolically active facet arthropathy (FA) and the amount of indirect foraminal decompression gained after extreme lateral interbody fusion (XLIF). SUMMARY OF BACKGROUND DATA: Although evidence of significant radiographical indirect decompression after XLIF has been shown, the relationship between the extent of indirect decompression and the presence of potentially attenuating, FA is yet to be studied. METHODS: A prospective database of consecutive patients undergoing XLIF was retrospectively analyzed. Posterior disc height, foraminal height, and cross-sectional foraminal area were measured on computed tomographic scans obtained preoperatively and 2 days postoperatively. The selected radiographical parameters were examined with respect to the presence of FA based on preoperative computed tomographic and bone scans. RESULTS: Fifty-two consecutive patients underwent 79 levels of XLIF without direct decompression. Average age was 66.4 years and 34 (65.4%) were females. Surgery resulted in significant increases in posterior disc height 3.0 to 5.7 mm (89.0% increase), P<0.0001; foraminal height 1.4 to 1.7 cm (38.0% increase), P<0.0001; and foraminal area 1.1 to 1.4 cm (45.1% increase), P<0.0001. These increases were independent of the presence of metabolically active arthropathy. CONCLUSION: Significant indirect neural decompression is possible in XLIF, regardless of the presence of metabolically active FA. LEVEL OF EVIDENCE: 3.
URI: http://hdl.handle.net/11434/253
DOI: 10.1097/BRS.0000000000000551
PubMed URL: http://www.ncbi.nlm.nih.gov/pubmed/25099325
ISSN: 0362-2436
1528-1159
Journal Title: Spine
Type: Journal Article
Type of Clinical Study or Trial: Retrospective studies
Appears in Collections:Diagnostic Services
Neurosciences
Musculoskeletal

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