Analysis of single cage position in transforaminal lumbar interbody fusion through digital images

Purpose The purpose of this study was to investigate the position of single cage inserted using oblique-oriented technique in transforaminal lumbar interbody fusion (TLIF) on digital images of computed tomography (CT). Methods From January to August 2015, 44 consecutive patients with degenerative lu...

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Veröffentlicht in:International orthopaedics 2018-05, Vol.42 (5), p.1091-1097
Hauptverfasser: Zhao, Xin, Chen, Chen, Zhou, Tangjun, Mi, Jie, Du, Lin, Kang, Zhanrong, Huang, Jianming, Zhang, Kai, Sun, Xiaojiang, Zhao, Jie
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container_end_page 1097
container_issue 5
container_start_page 1091
container_title International orthopaedics
container_volume 42
creator Zhao, Xin
Chen, Chen
Zhou, Tangjun
Mi, Jie
Du, Lin
Kang, Zhanrong
Huang, Jianming
Zhang, Kai
Sun, Xiaojiang
Zhao, Jie
description Purpose The purpose of this study was to investigate the position of single cage inserted using oblique-oriented technique in transforaminal lumbar interbody fusion (TLIF) on digital images of computed tomography (CT). Methods From January to August 2015, 44 consecutive patients with degenerative lumbar disease who underwent TLIF in the L4/5 level were retrospectively studied in our department. The single cage was inserted using the oblique-oriented technique; as the main purpose of the study, its position was analyzed using post-operative digital computed tomography images. Results All cages used in the study had the same length of 36 mm, which were inserted into the discs with a 46.04 ± 3.09-mm horizontal diameter and 34.25 ± 3.59-mm longitudinal diameter. The horizontal and longitudinal diameter of the treated disk established the coordinate. The horizontal and longitudinal coordinate values of the centre of the cage were 0.08 ± 4.12 and 1.20 ± 2.76 mm, respectively. The horizontal distance of the cage centre from the midpoint of the disc negatively correlated with that of the entry point from the midpoint of the disc in the coronal plane. Conclusion A longer single cage can be placed into the L4/5 level disk by inserting it using the oblique-oriented technique. Its center can reach the midpoint of the treated disk in the coronal plane and the anterior position of the disk in the sagittal plane. The entry point of the cage is the further away from the midpoint of the disk; the cage is the more apt to reach the center of the disk in the coronal plane.
doi_str_mv 10.1007/s00264-018-3814-1
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Methods From January to August 2015, 44 consecutive patients with degenerative lumbar disease who underwent TLIF in the L4/5 level were retrospectively studied in our department. The single cage was inserted using the oblique-oriented technique; as the main purpose of the study, its position was analyzed using post-operative digital computed tomography images. Results All cages used in the study had the same length of 36 mm, which were inserted into the discs with a 46.04 ± 3.09-mm horizontal diameter and 34.25 ± 3.59-mm longitudinal diameter. The horizontal and longitudinal diameter of the treated disk established the coordinate. The horizontal and longitudinal coordinate values of the centre of the cage were 0.08 ± 4.12 and 1.20 ± 2.76 mm, respectively. The horizontal distance of the cage centre from the midpoint of the disc negatively correlated with that of the entry point from the midpoint of the disc in the coronal plane. Conclusion A longer single cage can be placed into the L4/5 level disk by inserting it using the oblique-oriented technique. Its center can reach the midpoint of the treated disk in the coronal plane and the anterior position of the disk in the sagittal plane. The entry point of the cage is the further away from the midpoint of the disk; the cage is the more apt to reach the center of the disk in the coronal plane.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-018-3814-1</identifier><identifier>PMID: 29430605</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Female ; Humans ; Intervertebral Disc - surgery ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Retrospective Studies ; Spinal Diseases - surgery ; Spinal Fusion - methods ; Tomography, X-Ray Computed - methods</subject><ispartof>International orthopaedics, 2018-05, Vol.42 (5), p.1091-1097</ispartof><rights>SICOT aisbl 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-5cc1afcf6e842c48156c839eaf01ba37eed51177306b757c21a998e55ea12ea33</citedby><cites>FETCH-LOGICAL-c344t-5cc1afcf6e842c48156c839eaf01ba37eed51177306b757c21a998e55ea12ea33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-018-3814-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-018-3814-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29430605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhao, Xin</creatorcontrib><creatorcontrib>Chen, Chen</creatorcontrib><creatorcontrib>Zhou, Tangjun</creatorcontrib><creatorcontrib>Mi, Jie</creatorcontrib><creatorcontrib>Du, Lin</creatorcontrib><creatorcontrib>Kang, Zhanrong</creatorcontrib><creatorcontrib>Huang, Jianming</creatorcontrib><creatorcontrib>Zhang, Kai</creatorcontrib><creatorcontrib>Sun, Xiaojiang</creatorcontrib><creatorcontrib>Zhao, Jie</creatorcontrib><title>Analysis of single cage position in transforaminal lumbar interbody fusion through digital images</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose The purpose of this study was to investigate the position of single cage inserted using oblique-oriented technique in transforaminal lumbar interbody fusion (TLIF) on digital images of computed tomography (CT). Methods From January to August 2015, 44 consecutive patients with degenerative lumbar disease who underwent TLIF in the L4/5 level were retrospectively studied in our department. The single cage was inserted using the oblique-oriented technique; as the main purpose of the study, its position was analyzed using post-operative digital computed tomography images. Results All cages used in the study had the same length of 36 mm, which were inserted into the discs with a 46.04 ± 3.09-mm horizontal diameter and 34.25 ± 3.59-mm longitudinal diameter. The horizontal and longitudinal diameter of the treated disk established the coordinate. The horizontal and longitudinal coordinate values of the centre of the cage were 0.08 ± 4.12 and 1.20 ± 2.76 mm, respectively. The horizontal distance of the cage centre from the midpoint of the disc negatively correlated with that of the entry point from the midpoint of the disc in the coronal plane. Conclusion A longer single cage can be placed into the L4/5 level disk by inserting it using the oblique-oriented technique. Its center can reach the midpoint of the treated disk in the coronal plane and the anterior position of the disk in the sagittal plane. The entry point of the cage is the further away from the midpoint of the disk; the cage is the more apt to reach the center of the disk in the coronal plane.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc - surgery</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Retrospective Studies</subject><subject>Spinal Diseases - surgery</subject><subject>Spinal Fusion - methods</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1v2zAQhomiRey4-QFdAo5ZlPL4oY_RCJq0QIAu7UxQ9EmmIYkOTxr870vDTsZON9zzvrh7GPsG4hGEqL6TELLUhYC6UDXoAj6xNWglCwON-czWQmkoZNmYFbslOggBVVnDDVvJRitRCrNmbju54USBeOw4hakfkHvXIz9GCnOIEw8Tn5ObqIvJjSHTfFjG1qW8mDG1cXfi3UJnct6nuPR7vgt9mDMXxlxEX9mXzg2Ed9e5YX-ff_x5-lm8_n759bR9LbzSei6M9-A635VYa-l1Dab0tWrQdQJapyrEnQGoqnx3W5nKS3BNU6Mx6ECiU2rDHi69xxTfFqTZjoE8DoObMC5kZX5fi0Y2JqNwQX2KRAk7e0z52HSyIOzZrL2YtdmsPZu1kDP31_qlHXH3kXhXmQF5ASivph6TPcQlZV_0n9Z_EXyFFg</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Zhao, Xin</creator><creator>Chen, Chen</creator><creator>Zhou, Tangjun</creator><creator>Mi, Jie</creator><creator>Du, Lin</creator><creator>Kang, Zhanrong</creator><creator>Huang, Jianming</creator><creator>Zhang, Kai</creator><creator>Sun, Xiaojiang</creator><creator>Zhao, Jie</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180501</creationdate><title>Analysis of single cage position in transforaminal lumbar interbody fusion through digital images</title><author>Zhao, Xin ; Chen, Chen ; Zhou, Tangjun ; Mi, Jie ; Du, Lin ; Kang, Zhanrong ; Huang, Jianming ; Zhang, Kai ; Sun, Xiaojiang ; Zhao, Jie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-5cc1afcf6e842c48156c839eaf01ba37eed51177306b757c21a998e55ea12ea33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc - surgery</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Retrospective Studies</topic><topic>Spinal Diseases - surgery</topic><topic>Spinal Fusion - methods</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Xin</creatorcontrib><creatorcontrib>Chen, Chen</creatorcontrib><creatorcontrib>Zhou, Tangjun</creatorcontrib><creatorcontrib>Mi, Jie</creatorcontrib><creatorcontrib>Du, Lin</creatorcontrib><creatorcontrib>Kang, Zhanrong</creatorcontrib><creatorcontrib>Huang, Jianming</creatorcontrib><creatorcontrib>Zhang, Kai</creatorcontrib><creatorcontrib>Sun, Xiaojiang</creatorcontrib><creatorcontrib>Zhao, Jie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Xin</au><au>Chen, Chen</au><au>Zhou, Tangjun</au><au>Mi, Jie</au><au>Du, Lin</au><au>Kang, Zhanrong</au><au>Huang, Jianming</au><au>Zhang, Kai</au><au>Sun, Xiaojiang</au><au>Zhao, Jie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of single cage position in transforaminal lumbar interbody fusion through digital images</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>42</volume><issue>5</issue><spage>1091</spage><epage>1097</epage><pages>1091-1097</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose The purpose of this study was to investigate the position of single cage inserted using oblique-oriented technique in transforaminal lumbar interbody fusion (TLIF) on digital images of computed tomography (CT). Methods From January to August 2015, 44 consecutive patients with degenerative lumbar disease who underwent TLIF in the L4/5 level were retrospectively studied in our department. The single cage was inserted using the oblique-oriented technique; as the main purpose of the study, its position was analyzed using post-operative digital computed tomography images. Results All cages used in the study had the same length of 36 mm, which were inserted into the discs with a 46.04 ± 3.09-mm horizontal diameter and 34.25 ± 3.59-mm longitudinal diameter. The horizontal and longitudinal diameter of the treated disk established the coordinate. The horizontal and longitudinal coordinate values of the centre of the cage were 0.08 ± 4.12 and 1.20 ± 2.76 mm, respectively. The horizontal distance of the cage centre from the midpoint of the disc negatively correlated with that of the entry point from the midpoint of the disc in the coronal plane. Conclusion A longer single cage can be placed into the L4/5 level disk by inserting it using the oblique-oriented technique. Its center can reach the midpoint of the treated disk in the coronal plane and the anterior position of the disk in the sagittal plane. The entry point of the cage is the further away from the midpoint of the disk; the cage is the more apt to reach the center of the disk in the coronal plane.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29430605</pmid><doi>10.1007/s00264-018-3814-1</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Female
Humans
Intervertebral Disc - surgery
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedics
Retrospective Studies
Spinal Diseases - surgery
Spinal Fusion - methods
Tomography, X-Ray Computed - methods
title Analysis of single cage position in transforaminal lumbar interbody fusion through digital images
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