Our C-Arm-Free Minimally Invasive Technique for Spinal Surgery: The Thoracolumbar and Lumbar Spine—Based on Our Experiences
Abstract
:1. Introduction
2. Thoracolumbar Spine
2.1. Thoracolumbar Anterior Application
2.2. Thoracolumbar Posterior Application
2.2.1. Lateral Bendini
2.2.2. C-Arm-Free Trauma
3. Lumbar Spine
3.1. Lumbar Anterior Application
3.1.1. OLIF51 [10]
3.1.2. Lateral Osteotomy [11]
3.2. Lumbar Posterior Application
3.2.1. Adult Spinal Deformity [12]
3.2.2. C-Arm-Free Biopsy [13]
3.2.3. C-Arm-Free Endoscopic Technique [14]
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Patients (54) | Female (50), Male (4) |
Age (years) | 71.5 ± 6.2 |
BMI (kg/m2) | 22.9 ± 4.1 |
Follow-up period (months) | 29.2 ± 8.4 |
OLIF51 | TLIF51 | ||
---|---|---|---|
Patients | Men (0), Women (13) | Men (4), Women (3) | 0.243 |
Age (years) | 74.6 ± 3.2 | 70.5 ± 6.6 | 0.023 |
BMI (kg/m2) | 22.7 ± 3.7 | 23.0 ± 4.2 | 0.715 |
Postoperative L5-S1 angle gain (°) | 9.4 ± 4.7 | 1.6 ± 5.1 | 0.0001 |
Postoperative L5-S1 height gain (mm) | 4.2 ± 2.9 | 0.8 ± 1.9 | 0.0002 |
Reoperation | 2 | 8 | 0.570 |
Preoperative Value | Postoperative Value | p Value | |
---|---|---|---|
ODI (%) | 46.0 ± 10.4 | 30.5 ± 18.9 | p < 0.01 |
VAS (mm) | 52.9 ± 7.3 | 31.2 ± 6.9 | p < 0.01 |
SVA (mm) | 96.5 ± 55.9 | 24.1 ± 39.0 | p < 0.01 |
PT (degree) | 34.5 ± 11.0 | 17.1 ± 10.3 | p < 0.01 |
LL (degree) | 13.3 ± 18.6 | 49.1 ± 9.7 | p < 0.01 |
PI—LL (degree) | 39.3 ± 22.1 | 2.4 ± 12.6 | p < 0.01 |
Advantages | Disadvantages |
---|---|
Less radiation hazard | Learning curve |
Guidance to cage placement | Need of C-arm to verify dynamic changes |
Contralateral release | Cost-effectiveness |
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Zygogiannis, K.; Tanaka, M.; Sake, N.; Arataki, S.; Fujiwara, Y.; Taoka, T.; Uotani, K.; Askar, A.E.K.A.; Chatzikomninos, I. Our C-Arm-Free Minimally Invasive Technique for Spinal Surgery: The Thoracolumbar and Lumbar Spine—Based on Our Experiences. Medicina 2023, 59, 2116. https://doi.org/10.3390/medicina59122116
Zygogiannis K, Tanaka M, Sake N, Arataki S, Fujiwara Y, Taoka T, Uotani K, Askar AEKA, Chatzikomninos I. Our C-Arm-Free Minimally Invasive Technique for Spinal Surgery: The Thoracolumbar and Lumbar Spine—Based on Our Experiences. Medicina. 2023; 59(12):2116. https://doi.org/10.3390/medicina59122116
Chicago/Turabian StyleZygogiannis, Konstantinos, Masato Tanaka, Naveen Sake, Shinya Arataki, Yoshihiro Fujiwara, Takuya Taoka, Koji Uotani, Abd El Kader Al Askar, and Ioannis Chatzikomninos. 2023. "Our C-Arm-Free Minimally Invasive Technique for Spinal Surgery: The Thoracolumbar and Lumbar Spine—Based on Our Experiences" Medicina 59, no. 12: 2116. https://doi.org/10.3390/medicina59122116