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Korean J Spine 2004;1(2): 255-262.
9
Mini-Open Anterior Lumbar Interbody Fusion and Simultaneous Percutaneous Pedicle Screw Fixation for Low-Grade IsthmicSpondylolisthesis with Leg Pain
Won-Gyu Choi, M.D., Sang-Ho Lee, M.D., Byung-Joo Jung, M.D., Won-Chul Choi, M.D.1,Yi-Sheng Tsang, M.D., Ho-Yeong Kang, M.D.2 and Song-Woo Shin, Ph.D.
Department of Neurosurgery, Surgery and Diagnostic Radiology1, Wooridul Spine Hospital, Seoul, Korea
하지통을 동반한 Low-Grade 협부결손형 척추전방전위증에 대한 최소침습 전방 추체간 유합술 및 경피적 척추경 나사못 고정술
최원규ㆍ이상호ㆍ정병주ㆍ최원철ㆍ장의성ㆍ강호영1ㆍ신송우
우리들병원 신경외과, 진단방사선과1
Abstract
Objective
The purpose of this study is to investigate a new surgical technique of minimally invasive anterior lumbar interbody fusion(mini-ALIF) combined with percutaneous pedicle screw fixation(PF) without posterior decompression for the treatment of leg pain due to low-grade isthmic spondylolisthesis(grade I or grade II).
Methods
The authors retrospectively reviewed clinical and radiological data of 166 patients who had isthmic spondylolisthesis with leg pain or neurogenic intermittent claudication. All patients underwent mini-ALIF and percutaneous PF on the same day between October 2000 and July 2002. There were 58 males and 108 females with a mean age of 49.2 years (range, 19 to 84). The mean follow-up period was 18.4 months(range, 13 to 34). The clinical outcome was graded according to a modified Macnab criteria.
Results
The mean operating time, blood loss, and hospital stay were 217 minutes, 153 ml, and 3.9 days, respectively. No blood transfusion was necessary. Excellent or good outcome was obtained in 155(93.4 %) of 166 patients. There were 7 cases of mini-ALIF complications and 9 cases of percutaneous PF complications. There were no postoperative neurologic deficits.
Conclusion
Simultaneous combination of mini-open ALIF and percutaneous PF is a useful alternative for the treatment of leg pain due to low-grade isthmic spondylolisthesis.
Keywords: Minimally invasiveㆍLumbar interbody fusionㆍIsthmic spondylolisthesisㆍPercutaneousㆍPedicle screw fixation
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