Percutaneous posterior-lateral lumbar interbody fusion for degenerative disc disease using a B-Twin expandable spinal spacer
Degenerative disc disease (DDD) causes gradual intervertebral space collapse, concurrent discogenic or facet-induced pain, and possible compression radiculopathy. A new minimal invasion procedure of percutaneous posterior-lateral lumbar interbody fusion (PPLIF) using a B-Twin stand-alone expandable...
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| Veröffentlicht in: | European spine journal 2010-02, Vol.19 (2), p.325-330 |
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| creator | Xiao, Lizu Xiong, Donglin Zhang, Qiang Jian, Jin Zheng, Husan Luo, Yuhui Dai, Juanli Zhang, Deren |
| description | Degenerative disc disease (DDD) causes gradual intervertebral space collapse, concurrent discogenic or facet-induced pain, and possible compression radiculopathy. A new minimal invasion procedure of percutaneous posterior-lateral lumbar interbody fusion (PPLIF) using a B-Twin stand-alone expandable spinal spacer (ESS) was designed to treat this disease and evaluated by follow-up more than 1 year. 12 cases with chronic low back pain and compressive radiculopathy due to DDD refractory were selected to conservative treatment. Under fluoroscopy in the posterior-lateral position, a K-wire was advanced into the intervertebral space and a dilator and working cannula were introduced into the disc space step by step. Discectomy and endplate scratching were performed through the cannula using pituitary forceps and endplate curettage. An ESS was inserted into the intervertebral space by a B-Twin expandable spinal delivery system after some bone graft chips implanted into the disc space. The ongoing study includes intraoperative difficulties, complications, radiologic evidence of fusion and clinical outcome as scored by pre- and postoperative questionnaires pertaining to pain intensity and degree of disability. The 12 procedures of lumbar interbody fusion using stand-alone expandable spinal system through percutaneous approach were successful. Radiologic study demonstrated fusion in a total of 11 cases and only 1 exception after more than 1 year visiting. The values of Visual Analog Scale (VAS) on movement and Oswestry Disability Index (ODI) dropped by more than 80 and 67.4%, respectively. Disk space heights averaging 9.0 mm before procedure were increased to 11.5 mm 1 month (a significant difference compared with preprocedure,
P
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| doi_str_mv | 10.1007/s00586-009-1167-6 |
| format | Article |
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P
< 0.01) after surgery and stabilized at 10.8 mm upon final follow-up (a significant difference compared with preprocedure,
P
< 0.01). The results demonstrated that the percutaneous approach for posterior-lateral lumbar interbody fusion using expandable spinal system is a valuable micro-invasion method for the DDD patients and can achieve the same outcome as with other methods.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-009-1167-6</identifier><identifier>PMID: 19784677</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Biocompatible Materials ; Bone Regeneration ; Bone Transplantation - methods ; Disability Evaluation ; Diskectomy, Percutaneous - instrumentation ; Diskectomy, Percutaneous - methods ; Female ; Humans ; Ideas and Technical Innovations ; Internal Fixators - trends ; Intervertebral Disc - diagnostic imaging ; Intervertebral Disc - pathology ; Intervertebral Disc - surgery ; Intervertebral Disc Displacement - diagnostic imaging ; Intervertebral Disc Displacement - pathology ; Intervertebral Disc Displacement - surgery ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures - instrumentation ; Minimally Invasive Surgical Procedures - methods ; Neurosurgery ; Outcome Assessment (Health Care) ; Pain Measurement - methods ; Pain, Postoperative - etiology ; Pain, Postoperative - physiopathology ; Pain, Postoperative - prevention & control ; Postoperative Complications - etiology ; Postoperative Complications - physiopathology ; Postoperative Complications - prevention & control ; Prostheses and Implants - trends ; Prosthesis Fitting - instrumentation ; Prosthesis Fitting - methods ; Prosthesis Implantation - methods ; Radiography ; Spinal Fusion - instrumentation ; Spinal Fusion - methods ; Surgical Orthopedics ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>European spine journal, 2010-02, Vol.19 (2), p.325-330</ispartof><rights>Springer-Verlag 2009</rights><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-4fdcb34cd7419f0aee1dc615dc6a008f0ee174b1abb59e38504c8bb61f6a73e73</citedby><cites>FETCH-LOGICAL-c468t-4fdcb34cd7419f0aee1dc615dc6a008f0ee174b1abb59e38504c8bb61f6a73e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899821/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899821/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19784677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiao, Lizu</creatorcontrib><creatorcontrib>Xiong, Donglin</creatorcontrib><creatorcontrib>Zhang, Qiang</creatorcontrib><creatorcontrib>Jian, Jin</creatorcontrib><creatorcontrib>Zheng, Husan</creatorcontrib><creatorcontrib>Luo, Yuhui</creatorcontrib><creatorcontrib>Dai, Juanli</creatorcontrib><creatorcontrib>Zhang, Deren</creatorcontrib><title>Percutaneous posterior-lateral lumbar interbody fusion for degenerative disc disease using a B-Twin expandable spinal spacer</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Degenerative disc disease (DDD) causes gradual intervertebral space collapse, concurrent discogenic or facet-induced pain, and possible compression radiculopathy. A new minimal invasion procedure of percutaneous posterior-lateral lumbar interbody fusion (PPLIF) using a B-Twin stand-alone expandable spinal spacer (ESS) was designed to treat this disease and evaluated by follow-up more than 1 year. 12 cases with chronic low back pain and compressive radiculopathy due to DDD refractory were selected to conservative treatment. Under fluoroscopy in the posterior-lateral position, a K-wire was advanced into the intervertebral space and a dilator and working cannula were introduced into the disc space step by step. Discectomy and endplate scratching were performed through the cannula using pituitary forceps and endplate curettage. An ESS was inserted into the intervertebral space by a B-Twin expandable spinal delivery system after some bone graft chips implanted into the disc space. The ongoing study includes intraoperative difficulties, complications, radiologic evidence of fusion and clinical outcome as scored by pre- and postoperative questionnaires pertaining to pain intensity and degree of disability. The 12 procedures of lumbar interbody fusion using stand-alone expandable spinal system through percutaneous approach were successful. Radiologic study demonstrated fusion in a total of 11 cases and only 1 exception after more than 1 year visiting. The values of Visual Analog Scale (VAS) on movement and Oswestry Disability Index (ODI) dropped by more than 80 and 67.4%, respectively. Disk space heights averaging 9.0 mm before procedure were increased to 11.5 mm 1 month (a significant difference compared with preprocedure,
P
< 0.01) after surgery and stabilized at 10.8 mm upon final follow-up (a significant difference compared with preprocedure,
P
< 0.01). The results demonstrated that the percutaneous approach for posterior-lateral lumbar interbody fusion using expandable spinal system is a valuable micro-invasion method for the DDD patients and can achieve the same outcome as with other methods.</description><subject>Adult</subject><subject>Biocompatible Materials</subject><subject>Bone Regeneration</subject><subject>Bone Transplantation - methods</subject><subject>Disability Evaluation</subject><subject>Diskectomy, Percutaneous - instrumentation</subject><subject>Diskectomy, Percutaneous - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Ideas and Technical Innovations</subject><subject>Internal Fixators - trends</subject><subject>Intervertebral Disc - diagnostic imaging</subject><subject>Intervertebral Disc - pathology</subject><subject>Intervertebral Disc - surgery</subject><subject>Intervertebral Disc Displacement - diagnostic imaging</subject><subject>Intervertebral Disc Displacement - pathology</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Neurosurgery</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain Measurement - methods</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - physiopathology</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Prostheses and Implants - trends</subject><subject>Prosthesis Fitting - instrumentation</subject><subject>Prosthesis Fitting - methods</subject><subject>Prosthesis Implantation - methods</subject><subject>Radiography</subject><subject>Spinal Fusion - instrumentation</subject><subject>Spinal Fusion - methods</subject><subject>Surgical Orthopedics</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1UcFu1DAQtRCILoUP4IIsLpwM48Sx4wsSrSggVYJDOVu2M1lcZe1gJ4VKfHy92hUFJC5jj-fNG795hDzn8JoDqDcFoOslA9CMc6mYfEA2XLQNA902D8kGtAAmFdcn5Ekp1wC80yAfkxOuVS-kUhvy6wtmvy42YloLnVNZMIeU2WTrxU50WnfOZhpiTV0abum4lpAiHVOmA24xVtQSbpAOofh9QFuQVkzcUkvP2NWPECn-nG0crJuQljnESltm6zE_JY9GOxV8djxPydeL91fnH9nl5w-fzt9dMi9kvzAxDt61wg9KcD2CReSDl7yrwQL0I9QHJRy3znUa274D4XvnJB-lVS2q9pS8PfDOq9vh4DEuVZuZc9jZfGuSDebvSgzfzDbdmKbXum94JXh1JMjp-4plMbsqF6fpsDej2rZuVHf7US__QV6nNVfJxTQtCAXVsgriB5DPqZSM4--vcDB7Z83BWVOdNXtnjaw9L_7UcN9xtLICmgOg1FLcYr6f_H_WO0HgstI</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Xiao, Lizu</creator><creator>Xiong, Donglin</creator><creator>Zhang, Qiang</creator><creator>Jian, Jin</creator><creator>Zheng, Husan</creator><creator>Luo, Yuhui</creator><creator>Dai, Juanli</creator><creator>Zhang, Deren</creator><general>Springer-Verlag</general><general>Springer Nature B.V</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>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100201</creationdate><title>Percutaneous posterior-lateral lumbar interbody fusion for degenerative disc disease using a B-Twin expandable spinal spacer</title><author>Xiao, Lizu ; Xiong, Donglin ; Zhang, Qiang ; Jian, Jin ; Zheng, Husan ; Luo, Yuhui ; Dai, Juanli ; Zhang, Deren</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-4fdcb34cd7419f0aee1dc615dc6a008f0ee174b1abb59e38504c8bb61f6a73e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biocompatible Materials</topic><topic>Bone Regeneration</topic><topic>Bone Transplantation - methods</topic><topic>Disability Evaluation</topic><topic>Diskectomy, Percutaneous - instrumentation</topic><topic>Diskectomy, Percutaneous - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Ideas and Technical Innovations</topic><topic>Internal Fixators - trends</topic><topic>Intervertebral Disc - diagnostic imaging</topic><topic>Intervertebral Disc - pathology</topic><topic>Intervertebral Disc - surgery</topic><topic>Intervertebral Disc Displacement - diagnostic imaging</topic><topic>Intervertebral Disc Displacement - pathology</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Neurosurgery</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain Measurement - methods</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - physiopathology</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Prostheses and Implants - trends</topic><topic>Prosthesis Fitting - instrumentation</topic><topic>Prosthesis Fitting - methods</topic><topic>Prosthesis Implantation - methods</topic><topic>Radiography</topic><topic>Spinal Fusion - instrumentation</topic><topic>Spinal Fusion - methods</topic><topic>Surgical Orthopedics</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiao, Lizu</creatorcontrib><creatorcontrib>Xiong, Donglin</creatorcontrib><creatorcontrib>Zhang, Qiang</creatorcontrib><creatorcontrib>Jian, Jin</creatorcontrib><creatorcontrib>Zheng, Husan</creatorcontrib><creatorcontrib>Luo, Yuhui</creatorcontrib><creatorcontrib>Dai, Juanli</creatorcontrib><creatorcontrib>Zhang, Deren</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiao, Lizu</au><au>Xiong, Donglin</au><au>Zhang, Qiang</au><au>Jian, Jin</au><au>Zheng, Husan</au><au>Luo, Yuhui</au><au>Dai, Juanli</au><au>Zhang, Deren</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous posterior-lateral lumbar interbody fusion for degenerative disc disease using a B-Twin expandable spinal spacer</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>19</volume><issue>2</issue><spage>325</spage><epage>330</epage><pages>325-330</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Degenerative disc disease (DDD) causes gradual intervertebral space collapse, concurrent discogenic or facet-induced pain, and possible compression radiculopathy. A new minimal invasion procedure of percutaneous posterior-lateral lumbar interbody fusion (PPLIF) using a B-Twin stand-alone expandable spinal spacer (ESS) was designed to treat this disease and evaluated by follow-up more than 1 year. 12 cases with chronic low back pain and compressive radiculopathy due to DDD refractory were selected to conservative treatment. Under fluoroscopy in the posterior-lateral position, a K-wire was advanced into the intervertebral space and a dilator and working cannula were introduced into the disc space step by step. Discectomy and endplate scratching were performed through the cannula using pituitary forceps and endplate curettage. An ESS was inserted into the intervertebral space by a B-Twin expandable spinal delivery system after some bone graft chips implanted into the disc space. The ongoing study includes intraoperative difficulties, complications, radiologic evidence of fusion and clinical outcome as scored by pre- and postoperative questionnaires pertaining to pain intensity and degree of disability. The 12 procedures of lumbar interbody fusion using stand-alone expandable spinal system through percutaneous approach were successful. Radiologic study demonstrated fusion in a total of 11 cases and only 1 exception after more than 1 year visiting. The values of Visual Analog Scale (VAS) on movement and Oswestry Disability Index (ODI) dropped by more than 80 and 67.4%, respectively. Disk space heights averaging 9.0 mm before procedure were increased to 11.5 mm 1 month (a significant difference compared with preprocedure,
P
< 0.01) after surgery and stabilized at 10.8 mm upon final follow-up (a significant difference compared with preprocedure,
P
< 0.01). The results demonstrated that the percutaneous approach for posterior-lateral lumbar interbody fusion using expandable spinal system is a valuable micro-invasion method for the DDD patients and can achieve the same outcome as with other methods.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19784677</pmid><doi>10.1007/s00586-009-1167-6</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European spine journal, 2010-02, Vol.19 (2), p.325-330 |
| issn | 0940-6719 1432-0932 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2899821 |
| source | MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Biocompatible Materials Bone Regeneration Bone Transplantation - methods Disability Evaluation Diskectomy, Percutaneous - instrumentation Diskectomy, Percutaneous - methods Female Humans Ideas and Technical Innovations Internal Fixators - trends Intervertebral Disc - diagnostic imaging Intervertebral Disc - pathology Intervertebral Disc - surgery Intervertebral Disc Displacement - diagnostic imaging Intervertebral Disc Displacement - pathology Intervertebral Disc Displacement - surgery Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Lumbar Vertebrae - surgery Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Neurosurgery Outcome Assessment (Health Care) Pain Measurement - methods Pain, Postoperative - etiology Pain, Postoperative - physiopathology Pain, Postoperative - prevention & control Postoperative Complications - etiology Postoperative Complications - physiopathology Postoperative Complications - prevention & control Prostheses and Implants - trends Prosthesis Fitting - instrumentation Prosthesis Fitting - methods Prosthesis Implantation - methods Radiography Spinal Fusion - instrumentation Spinal Fusion - methods Surgical Orthopedics Surveys and Questionnaires Treatment Outcome |
| title | Percutaneous posterior-lateral lumbar interbody fusion for degenerative disc disease using a B-Twin expandable spinal spacer |
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