Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cages: outcome and complications.

R C Mulholland1

  • 1Nottingham University Hospital, Spinal Disorders Unit, Queen's Medical Centre, UK.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|April 15, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Management of dural compressive syndromes-a personal history.

The spine journal : official journal of the North American Spine Society·2017
Same author

A short history of spinal training and outlook on spine speciality development in the UK 1948-2013.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2013
Same author

Adolescent disc protrusions. A long term follow-up of chymopapain therapy.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2010
Same author

The implications of stress patterns in the vertebral body under axial support of an artificial implant.

Medical engineering & physics·2009
Same author

The myth of lumbar instability: the importance of abnormal loading as a cause of low back pain.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2008
Same author

Scientific basis for the treatment of low back pain.

Annals of the Royal College of Surgeons of England·2007

Minimal intervention spinal fusion using BAK cages shows similar safety to open procedures at the lumbosacral level, with faster recovery but no long-term benefits. Laparoscopic insertion at L4/5 presented more complications.

Area of Science:

  • Spine surgery
  • Minimally invasive techniques
  • Orthopedic implants

Background:

  • The advent of minimally invasive surgery (MIS) and spinal fusion cages, like the BAK cage, has revolutionized anterior lumbar spinal fusion.
  • These advancements allow for cage placement via both laparoscopic (minimal intervention) and standard open surgical approaches.
  • Early research focused on the feasibility, safety, and fusion rates of these techniques.

Purpose of the Study:

  • To evaluate the safety, feasibility, and fusion rates of laparoscopic versus open anterior lumbar spinal fusion using BAK cages.
  • To compare the clinical outcomes and complication profiles between the two surgical approaches.
  • To assess the learning curve and specific challenges associated with laparoscopic cage insertion at different lumbar levels.

Main Methods:

Related Experiment Videos

  • Retrospective analysis of patients undergoing anterior lumbar spinal fusion with BAK cages.
  • Comparison of outcomes between laparoscopic (minimal intervention) and open surgical groups.
  • Data collection focused on feasibility, safety, fusion rates, perioperative morbidity, and long-term clinical outcomes.

Main Results:

  • Laparoscopic insertion at the lumbosacral level demonstrated comparable safety to open procedures, with a slight increase in retrograde ejaculation.
  • The laparoscopic approach resulted in lower immediate postoperative morbidity, earlier hospital discharge, and quicker return to work.
  • Laparoscopic insertion at L4/5 was associated with a higher complication rate and a steeper learning curve.

Conclusions:

  • Laparoscopic anterior lumbar spinal fusion with BAK cages is a safe alternative to open surgery at the lumbosacral level, offering faster recovery.
  • No significant long-term clinical benefits were observed for the laparoscopic approach compared to the open procedure.
  • Laparoscopic insertion at L4/5 requires careful consideration due to increased complications and a longer learning curve.