Minimally invasive lateral transpsoas interbody fusion using a stand-alone construct for the treatment of adjacent segment disease of the lumbar spine: Review of the literature and report of three cases

Sheri K. Palejwala, Whitney A. Sheen, Christina M. Walter, Jack H. Dunn, Mhd-Ali - Baaj

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

We describe 3 patients who presented with radiographic signs and clinical symptoms of adjacent segment disease several years after undergoing L4-S1 posterior pedicle screw fusion. All patients underwent successful lateral lumbar interbody fusion (LLIF) at 1-2 levels above their previous constructs, using stand-alone cages, with complete resolution of radiculopathy and a significant improvement in low-back pain. In addition to a thorough analysis of these cases, we review the pertinent literature regarding treatment options for adjacent segment disease and the applications of the lateral lumbar interbody technique.

Original languageEnglish (US)
Pages (from-to)90-96
Number of pages7
JournalClinical Neurology and Neurosurgery
Volume124
DOIs
StatePublished - 2014

Fingerprint

Spine
Radiculopathy
Low Back Pain
Signs and Symptoms
Therapeutics
Pedicle Screws

Keywords

  • Adjacent segment disease
  • Degenerative disk disease
  • Direct lateral approach
  • DLIF transpsoas approach
  • LLIF
  • XLIF

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

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abstract = "We describe 3 patients who presented with radiographic signs and clinical symptoms of adjacent segment disease several years after undergoing L4-S1 posterior pedicle screw fusion. All patients underwent successful lateral lumbar interbody fusion (LLIF) at 1-2 levels above their previous constructs, using stand-alone cages, with complete resolution of radiculopathy and a significant improvement in low-back pain. In addition to a thorough analysis of these cases, we review the pertinent literature regarding treatment options for adjacent segment disease and the applications of the lateral lumbar interbody technique.",
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AU - Sheen, Whitney A.

AU - Walter, Christina M.

AU - Dunn, Jack H.

AU - Baaj, Mhd-Ali -

PY - 2014

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AB - We describe 3 patients who presented with radiographic signs and clinical symptoms of adjacent segment disease several years after undergoing L4-S1 posterior pedicle screw fusion. All patients underwent successful lateral lumbar interbody fusion (LLIF) at 1-2 levels above their previous constructs, using stand-alone cages, with complete resolution of radiculopathy and a significant improvement in low-back pain. In addition to a thorough analysis of these cases, we review the pertinent literature regarding treatment options for adjacent segment disease and the applications of the lateral lumbar interbody technique.

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KW - Degenerative disk disease

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KW - DLIF transpsoas approach

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KW - XLIF

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