C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note

Background: Indirect decompression for lumbar canal stenosis as a technique of minimally invasive surgery (MIS), is receiving considerable attention. Conventional MIS indirect decompression at L5-S1 is performed using intraoperative fluoroscopy. In this work, we describe a novel C-arm free simultane...

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Autores principales:	Masato Tanaka, Sameer Ruparel, Yoshihiro Fujiwara, Shinya Arataki, Taro Yamauchi, Yoshiaki Oda, Tomoko Testunaga, Haruo Misawa
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	OLIF 51 C-arm free Percutaneous pedicle screw Navigation Single lateral position Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ef262f91182d46f5ad1a5e62a55430c4
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spelling	oai:doaj.org-article:ef262f91182d46f5ad1a5e62a55430c42021-11-22T04:25:59ZC-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note2214-751910.1016/j.inat.2021.101428https://doaj.org/article/ef262f91182d46f5ad1a5e62a55430c42022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214751921003406https://doaj.org/toc/2214-7519Background: Indirect decompression for lumbar canal stenosis as a technique of minimally invasive surgery (MIS), is receiving considerable attention. Conventional MIS indirect decompression at L5-S1 is performed using intraoperative fluoroscopy. In this work, we describe a novel C-arm free simultaneous MIS indirect decompression technique for L5-S1 pathology. Methods: A 72-year-old woman with symptomatic L5 isthmic spondylolisthesis was referred to our hospital. The patient’s daily life had been affected by severe low back pain for 5 years and left leg pain for 2 years. The surgery was performed without C-arm fluoroscopy. The percutaneous pedicle screws and intervertebral cages were inserted only under navigation guidance in a single lateral position. Results: The patient was successfully treated with surgery. Her low back pain and left leg pain improved dramatically. Her clinical outcomes, the Oswestry disability index (ODI) improved from 48% to 14% and the low back pain visual analog scale (VAS) score improved from 78 mm to 23 mm at 1 year of final follow-up. Conclusions: C-arm-free simultaneous MIS indirect decompression for L5-S1 is a useful technique, which may reduce surgical time and blood loss. With this new technique, surgeons and operation room staff can avoid the risk of an adverse event of intraoperative radiation.Masato TanakaSameer RuparelYoshihiro FujiwaraShinya AratakiTaro YamauchiYoshiaki OdaTomoko TestunagaHaruo MisawaElsevierarticleOLIF 51C-arm freePercutaneous pedicle screwNavigationSingle lateral positionSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENInterdisciplinary Neurosurgery, Vol 27, Iss , Pp 101428- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	OLIF 51 C-arm free Percutaneous pedicle screw Navigation Single lateral position Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	OLIF 51 C-arm free Percutaneous pedicle screw Navigation Single lateral position Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Masato Tanaka Sameer Ruparel Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Yoshiaki Oda Tomoko Testunaga Haruo Misawa C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note
description	Background: Indirect decompression for lumbar canal stenosis as a technique of minimally invasive surgery (MIS), is receiving considerable attention. Conventional MIS indirect decompression at L5-S1 is performed using intraoperative fluoroscopy. In this work, we describe a novel C-arm free simultaneous MIS indirect decompression technique for L5-S1 pathology. Methods: A 72-year-old woman with symptomatic L5 isthmic spondylolisthesis was referred to our hospital. The patient’s daily life had been affected by severe low back pain for 5 years and left leg pain for 2 years. The surgery was performed without C-arm fluoroscopy. The percutaneous pedicle screws and intervertebral cages were inserted only under navigation guidance in a single lateral position. Results: The patient was successfully treated with surgery. Her low back pain and left leg pain improved dramatically. Her clinical outcomes, the Oswestry disability index (ODI) improved from 48% to 14% and the low back pain visual analog scale (VAS) score improved from 78 mm to 23 mm at 1 year of final follow-up. Conclusions: C-arm-free simultaneous MIS indirect decompression for L5-S1 is a useful technique, which may reduce surgical time and blood loss. With this new technique, surgeons and operation room staff can avoid the risk of an adverse event of intraoperative radiation.
format	article
author	Masato Tanaka Sameer Ruparel Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Yoshiaki Oda Tomoko Testunaga Haruo Misawa
author_facet	Masato Tanaka Sameer Ruparel Yoshihiro Fujiwara Shinya Arataki Taro Yamauchi Yoshiaki Oda Tomoko Testunaga Haruo Misawa
author_sort	Masato Tanaka
title	C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note
title_short	C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note
title_full	C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note
title_fullStr	C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note
title_full_unstemmed	C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note
title_sort	c-arm free simultaneous olif51 and percutaneous pedicle screw fixation in a single lateral position: a technical note
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/ef262f91182d46f5ad1a5e62a55430c4
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C-arm free simultaneous OLIF51 and percutaneous pedicle screw fixation in a single lateral position: A technical note

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