EFFECTIVENESS OF TRANSFORAMINAL LUMBAR INTERBODY FUSION VIA Luxor RETRACTOR ASSOCIATED WITH Mantis PEDICLE SCREW IN TREATMENT OF MODERATE AND SEVERE LUMBAR SPONDYLOLISTHESIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 HAOYingjie , YULei , ZHANGYan , ZHANGDi , LIZhilei

Department of Orthopedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan, 450052, P. R. China;

Corresponding?author：

HAOYingjie, Email: 13937183085@163.com

Keywords：

Lumbar spondylol isthesis; Luxor retractor; Transforaminal lumbar interbody fusion; Minimally invasive technique

DOI：

10.7507/1002-1892.20140327

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effectiveness of transforaminal lumbar interbody fusion (TLIF) via Luxor retractor associated with Mantis pedicle screw for the treatment of moderate or severe lumbar spondylol isthesis (LSL). Methods A retrospective analysis was made on the cl inical data of 32 patients with LSL treated with TLIF via Luxor retractor associated with Mantis pedicle screw between June 2010 and June 2012. There were 20 males and 12 females, with the mean age of 48 years (range, 36-69 years). LSL occurred at the L4, 5 in 17 patients and at the L5, S1 in 15 patients. Of them, 18 cases were rated as Meyerding grade Ⅱ, and 14 cases as grade Ⅲ. The disease duration was 8 months to 6 years (mean, 3.5 years). The operation time, intraoperative blood loss, and preoperative and postoperative (1 week and 1 year) intervertebral height and sl ipping angle were recorded, and the sl ipping rate was calculated; Japanese Orthopaedic Association (JOA) score was used for cl inical efficacy assessment. Results The operation time was 90-130 minutes (mean, 110 minutes); intraoperative blood loss was 120-300 mL (mean, 210 mL). Incisions healed by first intention. All patients were followed up 24-36 months (mean, 28 months), and no complications of leakage of cerebrospinal fluid and nerve root injury occurred; X-ray films showed satisfactory reduction of spondylolisthesis and good position of pedicle screw and interbody fusion cage. The mean bone fusion time was 4.0 months (range, 3.8-6.0 months). The JOA score, sl i pping rate, sl i pping angle, and intervertebral height at 1 week and 1 year after operation were significantly improved when compared with preoperative ones (P<0.05), but no significant difference was found between at 1 week and at 1 year after operation (P>0.05). Conclusion TLIF via Luxor retractor associated with Mantis pedicle screw fixation is a safe and effective minimally invasive technique in treating moderate or severe LSL.

Citation： HAOYingjie, YULei, ZHANGYan, ZHANGDi, LIZhilei. EFFECTIVENESS OF TRANSFORAMINAL LUMBAR INTERBODY FUSION VIA Luxor RETRACTOR ASSOCIATED WITH Mantis PEDICLE SCREW IN TREATMENT OF MODERATE AND SEVERE LUMBAR SPONDYLOLISTHESIS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(12): 1509-1513. doi: 10.7507/1002-1892.20140327 Copy

1.	?Bozkus H, Dickman CA. Transvertebral interbody cage and pedicle screw fixation for high-grade spondylolisthesis. Case report. J Neurosurg, 2004, 100(1 Suppl Spine):62-65.
2.	趙杰, 沈洪興, 王炤, 等. 椎體間撐開復位在Ⅱ°峽部型腰椎滑脫癥治療中的作用. 脊柱外科雜志, 2003, 1(1):38-40.
3.	Park Y, Ha JW. Comparison of one-level posterior lumbar interbody fusion performed with a minimally invasive approach or a traditional open approach. Spine (Phila Pa 1976), 2007, 32(5):537-543.
4.	劉濤, 李長青, 周躍, 等. 微創手術治療Ⅰ、Ⅱ度腰椎滑脫癥的療效觀察. 中國脊柱脊髓雜志, 2009, 19(5):354-359.
5.	Gille O, Jol ivet E, Dousset V, et al. Erector spine muscle changes on magnetic resonance imaging following lumbar surgery through a posterior approach. Spine (Phila Pa 1976), 2007, 32(11):1236-1241.
6.	Motosuneya T, Asazuma T, Tsuji T, et al. Postoperative change of the cross-sectional area of back musculature after 5 surgical procedures as assessed by magnetic resonance imaging. J Spinal Discord Tech, 2006, 19(5):318-322.
7.	黎慶初, 尹剛輝, 張忠民, 等. 微創Wiltse入路與傳統后正中入路手術治療雙節段腰椎管狹窄癥的療效比較. 中國脊柱脊髓雜志, 2012, 22(9):812-817.
8.	Wang J, Zhou Y, Zhang ZF, et al. Comparison of one-level minimally invasive and open transforaminal lumbar interbody fusion in degenerative and isthmic spondylolisthesis grades 1 and 2. Eur Spine J, 2010, 19(10):1780-1784.
9.	Hyun SJ, Kim YB, Kim YS, et al. Postoperative changes in paraspinal muscle volume:comparison between paramedian interfascial and midline approaches for lumbar fusion. Korean Med Sci, 2007, 22(4):646-651.
10.	Levin DA, Hale JJ, Bendo JA. Adjacent segment degeneration following spinal fusion for degenerative disc disease. Bull NYU Hosp Jt Dis, 2007, 65(1):29-36.
11.	Kim KT, Lee SH, Suk KS, et al. The quantitative analysis of tissue injury markers after mini-open lumbar fusion. Spine (Phila Pa 1976), 2006, 31(6):712-716.
12.	黎慶初, 胡輝林, 劉寶戈, 等. 多裂肌間隙入路微創手術治療腰椎滑脫癥. 中國脊柱脊髓雜志, 2011, 21(4):303-307.
13.	王建, 周躍, 張正豐, 等. 微創經椎間孔腰椎體間融合術治療腰椎滑脫癥的臨床研究. 中華外科雜志, 2011, 49(12):1076-1080.
14.	滕海軍, 王亮, 郭志良, 等. Quadrant通道下治療退變性腰椎滑脫的臨床療效. 臨床骨科雜志, 2012, 15(5):498-500.
15.	Foley KT, Gupta SK, Justis JR, et al. Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus, 2001, 10(4):E10.
16.	王建, 周躍, 初同偉, 等. 改良內窺鏡下行后路腰椎間融合和經皮椎弓根螺釘固定治療腰椎退變性疾患. 中國脊柱脊髓雜志, 2007, 17(12):908-912.
17.	李立鈞, 周煒, 陸晴友, 等. 微創經椎間孔腰椎間融合術治療下腰椎疾患的初步報告. 中國修復重建外科雜志, 2008, 22(4):501-503.
18.	孟志斌, 李俊, 李洪潮, 等. X-TUBE內鏡下椎弓根釘內固定治療退行性腰椎管狹窄伴腰椎滑脫的近期臨床觀察. 頸腰痛雜志, 2008, 29(2):124-127.
19.	滕海軍, 王亮, 郭志良, 等. Quadrant通道下單切口治療腰椎滑脫近期療效觀察. 中國修復重建外科雜志, 2010, 24(5):517-520.
20.	錢濟先, 李存孝, 龍華, 等. 微創通道結合經皮椎弓根螺釘固定治療腰椎退變的個體化方案選擇. 中國骨科臨床與基礎研究雜志, 2012, 4(5):325-331.
21.	Poussa M, Remes V, Lamberg T, et al. Treatment of severe spondylol isthesis in adolescence with reduction of fusion in situ:long-term cl inical, radiologic, and functional outcome. Spine (Phila Pa 1976), 2006, 31(5):583-592.
22.	Musacchio M, Patel N, Bagan B, et al. Minimally invasive lumbar laminectomy via a dual-tube technique:evaluation in a cadaver model. Surg Neurol, 2007, 67(4):348-352.

1. ?Bozkus H, Dickman CA. Transvertebral interbody cage and pedicle screw fixation for high-grade spondylolisthesis. Case report. J Neurosurg, 2004, 100(1 Suppl Spine):62-65.
2. 趙杰, 沈洪興, 王炤, 等. 椎體間撐開復位在Ⅱ°峽部型腰椎滑脫癥治療中的作用. 脊柱外科雜志, 2003, 1(1):38-40.
3. Park Y, Ha JW. Comparison of one-level posterior lumbar interbody fusion performed with a minimally invasive approach or a traditional open approach. Spine (Phila Pa 1976), 2007, 32(5):537-543.
4. 劉濤, 李長青, 周躍, 等. 微創手術治療Ⅰ、Ⅱ度腰椎滑脫癥的療效觀察. 中國脊柱脊髓雜志, 2009, 19(5):354-359.
5. Gille O, Jol ivet E, Dousset V, et al. Erector spine muscle changes on magnetic resonance imaging following lumbar surgery through a posterior approach. Spine (Phila Pa 1976), 2007, 32(11):1236-1241.
6. Motosuneya T, Asazuma T, Tsuji T, et al. Postoperative change of the cross-sectional area of back musculature after 5 surgical procedures as assessed by magnetic resonance imaging. J Spinal Discord Tech, 2006, 19(5):318-322.
7. 黎慶初, 尹剛輝, 張忠民, 等. 微創Wiltse入路與傳統后正中入路手術治療雙節段腰椎管狹窄癥的療效比較. 中國脊柱脊髓雜志, 2012, 22(9):812-817.
8. Wang J, Zhou Y, Zhang ZF, et al. Comparison of one-level minimally invasive and open transforaminal lumbar interbody fusion in degenerative and isthmic spondylolisthesis grades 1 and 2. Eur Spine J, 2010, 19(10):1780-1784.
9. Hyun SJ, Kim YB, Kim YS, et al. Postoperative changes in paraspinal muscle volume:comparison between paramedian interfascial and midline approaches for lumbar fusion. Korean Med Sci, 2007, 22(4):646-651.
10. Levin DA, Hale JJ, Bendo JA. Adjacent segment degeneration following spinal fusion for degenerative disc disease. Bull NYU Hosp Jt Dis, 2007, 65(1):29-36.
11. Kim KT, Lee SH, Suk KS, et al. The quantitative analysis of tissue injury markers after mini-open lumbar fusion. Spine (Phila Pa 1976), 2006, 31(6):712-716.
12. 黎慶初, 胡輝林, 劉寶戈, 等. 多裂肌間隙入路微創手術治療腰椎滑脫癥. 中國脊柱脊髓雜志, 2011, 21(4):303-307.
13. 王建, 周躍, 張正豐, 等. 微創經椎間孔腰椎體間融合術治療腰椎滑脫癥的臨床研究. 中華外科雜志, 2011, 49(12):1076-1080.
14. 滕海軍, 王亮, 郭志良, 等. Quadrant通道下治療退變性腰椎滑脫的臨床療效. 臨床骨科雜志, 2012, 15(5):498-500.
15. Foley KT, Gupta SK, Justis JR, et al. Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus, 2001, 10(4):E10.
16. 王建, 周躍, 初同偉, 等. 改良內窺鏡下行后路腰椎間融合和經皮椎弓根螺釘固定治療腰椎退變性疾患. 中國脊柱脊髓雜志, 2007, 17(12):908-912.
17. 李立鈞, 周煒, 陸晴友, 等. 微創經椎間孔腰椎間融合術治療下腰椎疾患的初步報告. 中國修復重建外科雜志, 2008, 22(4):501-503.
18. 孟志斌, 李俊, 李洪潮, 等. X-TUBE內鏡下椎弓根釘內固定治療退行性腰椎管狹窄伴腰椎滑脫的近期臨床觀察. 頸腰痛雜志, 2008, 29(2):124-127.
19. 滕海軍, 王亮, 郭志良, 等. Quadrant通道下單切口治療腰椎滑脫近期療效觀察. 中國修復重建外科雜志, 2010, 24(5):517-520.
20. 錢濟先, 李存孝, 龍華, 等. 微創通道結合經皮椎弓根螺釘固定治療腰椎退變的個體化方案選擇. 中國骨科臨床與基礎研究雜志, 2012, 4(5):325-331.
21. Poussa M, Remes V, Lamberg T, et al. Treatment of severe spondylol isthesis in adolescence with reduction of fusion in situ:long-term cl inical, radiologic, and functional outcome. Spine (Phila Pa 1976), 2006, 31(5):583-592.
22. Musacchio M, Patel N, Bagan B, et al. Minimally invasive lumbar laminectomy via a dual-tube technique:evaluation in a cadaver model. Surg Neurol, 2007, 67(4):348-352.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF TRANSFORAMINAL LUMBAR INTERBODY FUSION VIA Luxor RETRACTOR ASSOCIATED WITH Mantis PEDICLE SCREW IN TREATMENT OF MODERATE AND SEVERE LUMBAR SPONDYLOLISTHESIS

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content