Gasless endoscopic anterior lumbar interbody fusion utilizing the B.E.R.G. approach
Background: Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5. Methods: The B.E.R.G. approach was attempted in 202 patients who required an...
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| Veröffentlicht in: | Surgical endoscopy 2000-06, Vol.14 (6), p.546-552 |
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| creator | THALGOTT, J. S CHIN, A. K AMERIKS, J. A JORDAN, F. T DAUBS, M. D GIUFFRE, J. M FRITTS, K TIMLIN, M |
| description | Background: Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5. Methods: The B.E.R.G. approach was attempted in 202 patients who required anterior lumbar interbody fusion (ALIF). Of those, 168 were completed successfully without conversion to an open procedure. The anterior retroperitoneal approach required no gas insufflation. The gasless environment allowed for the use of standard anterior instrumentation and a variety of fusion grafts and devices. Results: Mean hospital stay was 1.95 days, with 73% of patients discharged in |
| doi_str_mv | 10.1007/s004640020086 |
| format | Article |
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S ; CHIN, A. K ; AMERIKS, J. A ; JORDAN, F. T ; DAUBS, M. D ; GIUFFRE, J. M ; FRITTS, K ; TIMLIN, M</creator><creatorcontrib>THALGOTT, J. S ; CHIN, A. K ; AMERIKS, J. A ; JORDAN, F. T ; DAUBS, M. D ; GIUFFRE, J. M ; FRITTS, K ; TIMLIN, M</creatorcontrib><description>Background: Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5. Methods: The B.E.R.G. approach was attempted in 202 patients who required anterior lumbar interbody fusion (ALIF). Of those, 168 were completed successfully without conversion to an open procedure. The anterior retroperitoneal approach required no gas insufflation. The gasless environment allowed for the use of standard anterior instrumentation and a variety of fusion grafts and devices. Results: Mean hospital stay was 1.95 days, with 73% of patients discharged in <47 h following surgery. Clinical results from the first 50 patients, with a minimum 2-year follow-up, include a 92% fusion rate and 78% of patients reporting significant pain relief of greater than 50%. Conclusions: The B.E.R.G. approach offers significant technical advantages over the standard gas-mediated transperitoneal approach for ALIF. The clinical results are similar to those reported for open approaches and the gas-mediated transperitoneal approach.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s004640020086</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Biological and medical sciences ; Medical sciences ; Orthopedic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Surgical endoscopy, 2000-06, Vol.14 (6), p.546-552</ispartof><rights>2000 INIST-CNRS</rights><rights>Springer-Verlag New York Inc. 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c291t-85c87d98a5103ba02a3a174d19f12d8caa0b658506de88f85facf608998d69983</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1431012$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>THALGOTT, J. S</creatorcontrib><creatorcontrib>CHIN, A. K</creatorcontrib><creatorcontrib>AMERIKS, J. A</creatorcontrib><creatorcontrib>JORDAN, F. T</creatorcontrib><creatorcontrib>DAUBS, M. D</creatorcontrib><creatorcontrib>GIUFFRE, J. M</creatorcontrib><creatorcontrib>FRITTS, K</creatorcontrib><creatorcontrib>TIMLIN, M</creatorcontrib><title>Gasless endoscopic anterior lumbar interbody fusion utilizing the B.E.R.G. approach</title><title>Surgical endoscopy</title><description>Background: Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5. Methods: The B.E.R.G. approach was attempted in 202 patients who required anterior lumbar interbody fusion (ALIF). Of those, 168 were completed successfully without conversion to an open procedure. The anterior retroperitoneal approach required no gas insufflation. The gasless environment allowed for the use of standard anterior instrumentation and a variety of fusion grafts and devices. Results: Mean hospital stay was 1.95 days, with 73% of patients discharged in <47 h following surgery. Clinical results from the first 50 patients, with a minimum 2-year follow-up, include a 92% fusion rate and 78% of patients reporting significant pain relief of greater than 50%. Conclusions: The B.E.R.G. approach offers significant technical advantages over the standard gas-mediated transperitoneal approach for ALIF. The clinical results are similar to those reported for open approaches and the gas-mediated transperitoneal approach.</description><subject>Biological and medical sciences</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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S</au><au>CHIN, A. K</au><au>AMERIKS, J. A</au><au>JORDAN, F. T</au><au>DAUBS, M. D</au><au>GIUFFRE, J. M</au><au>FRITTS, K</au><au>TIMLIN, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gasless endoscopic anterior lumbar interbody fusion utilizing the B.E.R.G. approach</atitle><jtitle>Surgical endoscopy</jtitle><date>2000-06-01</date><risdate>2000</risdate><volume>14</volume><issue>6</issue><spage>546</spage><epage>552</epage><pages>546-552</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background: Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5. Methods: The B.E.R.G. approach was attempted in 202 patients who required anterior lumbar interbody fusion (ALIF). Of those, 168 were completed successfully without conversion to an open procedure. The anterior retroperitoneal approach required no gas insufflation. The gasless environment allowed for the use of standard anterior instrumentation and a variety of fusion grafts and devices. Results: Mean hospital stay was 1.95 days, with 73% of patients discharged in <47 h following surgery. Clinical results from the first 50 patients, with a minimum 2-year follow-up, include a 92% fusion rate and 78% of patients reporting significant pain relief of greater than 50%. Conclusions: The B.E.R.G. approach offers significant technical advantages over the standard gas-mediated transperitoneal approach for ALIF. The clinical results are similar to those reported for open approaches and the gas-mediated transperitoneal approach.</abstract><cop>New York, NY</cop><pub>Springer</pub><doi>10.1007/s004640020086</doi><tpages>7</tpages></addata></record> |
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| subjects | Biological and medical sciences Medical sciences Orthopedic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Gasless endoscopic anterior lumbar interbody fusion utilizing the B.E.R.G. approach |
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