R Bassani1, A M Querenghi2, R Cecchinato3, C Morselli4, G Casero1, D Gavino1, S Brock1, C Ferlinghetti1. 1. Spine Surgery 2, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. 2. Spine Surgery 2, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. amos.querenghi@unimi.it. 3. GSpine 4, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. 4. Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano, Italy.
Abstract
PURPOSE: The purpose of this study is to evaluate the feasibility and the safety of a new skin incision for minimally invasive anterior lumbar interbody fusion (ALIF): the perinavel incision. METHODS: Demographic and clinical data from patients who underwent ALIF with the perinavel incision were collected. Indications to surgery, preoperative symptoms, radiological data, number of treated levels, intraoperative and early postoperative complications and wound-related problems were analysed. RESULT: Ninety-seven patients underwent ALIF with this new skin incision. One hundred fifty-seven levels were treated (mean 1.7 level per patient) being L4-L5 the most frequently treated. Intraoperative complications were represented only by the venous injury with a rate of 3.09% (3 cases). Postoperative complications were all linked to skin incision issues: a case of wound dehiscence and a case of superficial infection. No case of skin necrosis occurs at 3-month follow-up. CONCLUSIONS: In this paper, the perinavel skin incision was demonstrated to be as safe as traditional approaches for ALIF. Furthermore, with this incision it is possible to perform multilevel (L3-S1) ALIF, which means a good option in minimally invasive surgery as well as revision surgery. These slides can be retrieved under Electronic Supplementary Material.
PURPOSE: The purpose of this study is to evaluate the feasibility and the safety of a new skin incision for minimally invasive anterior lumbar interbody fusion (ALIF): the perinavel incision. METHODS: Demographic and clinical data from patients who underwent ALIF with the perinavel incision were collected. Indications to surgery, preoperative symptoms, radiological data, number of treated levels, intraoperative and early postoperative complications and wound-related problems were analysed. RESULT: Ninety-seven patients underwent ALIF with this new skin incision. One hundred fifty-seven levels were treated (mean 1.7 level per patient) being L4-L5 the most frequently treated. Intraoperative complications were represented only by the venous injury with a rate of 3.09% (3 cases). Postoperative complications were all linked to skin incision issues: a case of wound dehiscence and a case of superficial infection. No case of skin necrosis occurs at 3-month follow-up. CONCLUSIONS: In this paper, the perinavel skin incision was demonstrated to be as safe as traditional approaches for ALIF. Furthermore, with this incision it is possible to perform multilevel (L3-S1) ALIF, which means a good option in minimally invasive surgery as well as revision surgery. These slides can be retrieved under Electronic Supplementary Material.
Authors: Christoph Mehren; H Michael Mayer; Christoph Siepe; Frank Grochulla; Andreas Korge Journal: Oper Orthop Traumatol Date: 2010-05 Impact factor: 1.154
Authors: Timothy T Davis; Richard A Hynes; Daniel A Fung; Scott W Spann; Michael MacMillan; Brian Kwon; John Liu; Frank Acosta; Thomas E Drochner Journal: J Neurosurg Spine Date: 2014-09-12