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

Microscopically assisted posterior lumbar interbody fusion.

M M Mitsunaga1, G Chong, K E Maes

  • 1Department of Orthopedics, John A. Burns School of Medicine, Honolulu, Hawaii.

Clinical Orthopaedics and Related Research
|February 1, 1991
PubMed
Summary

Microscopically assisted lumbar fusion improved outcomes in 22 of 27 patients with back pain or spondylolisthesis. The technique is best for single-level fusions, as double-level fusions showed poor results and high pseudarthrosis rates.

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

Corrigendum to "Safety and efficacy of odronextamab in patients with relapsed or refractory follicular lymphoma": [Ann Oncol 35 (2024) 1039-1047].

Annals of oncology : official journal of the European Society for Medical Oncology·2024
Same author

Safety and efficacy of odronextamab in patients with relapsed or refractory follicular lymphoma.

Annals of oncology : official journal of the European Society for Medical Oncology·2024
Same author

Electrical conductivity as a driver of biological and geological spatial heterogeneity in the Puquios, Salar de Llamara, Atacama Desert, Chile.

Scientific reports·2021
Same author

Febrile neutropenia and its associated hospitalization in breast cancer patients on docetaxel-containing regimen: A retrospective cohort study on duration of prophylactic GCSF administration.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer·2019
Same author

New Service Model for Common Mental Disorders in Hong Kong: a Retrospective Outcome Study.

East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan·2019
Same author

Cytology cell blocks are suitable for immunohistochemical testing for PD-L1 in lung cancer.

Annals of oncology : official journal of the European Society for Medical Oncology·2018

Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Spinal Fusion Techniques

Background:

  • Chronic lower back pain and spondylolisthesis significantly impact patient quality of life.
  • Previous lumbar surgeries may not resolve symptoms, necessitating revision or salvage procedures.
  • Minimally invasive surgical techniques are increasingly explored for spinal fusion.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of microscopically assisted posterior lumbar interbody fusion (PLIF).
  • To assess the success rates of this technique in patients with spondylolisthesis or chronic lower back pain post-surgery.
  • To compare outcomes between single-level and double-level fusions using this approach.

Main Methods:

  • Posterior lumbar interbody fusion (PLIF) was performed using microscopic assistance.

Related Experiment Videos

  • The study included 27 patients with either spondylolisthesis or chronic lower back pain after prior surgery.
  • Patient outcomes were assessed based on clinical satisfaction and roentgenographic evidence of fusion.

    • Main Results:

    • Overall satisfactory clinical results were achieved in 22 out of 27 patients.
    • Stable, interbody fusion was confirmed roentgenographically in 22 out of 27 patients.
    • Double-level fusions (6 patients) demonstrated significantly poorer outcomes, with 4 experiencing pseudarthrosis and 5 reporting unsatisfactory clinical results.

    Conclusions:

    • Microscopically assisted PLIF offers advantages such as improved surgical site visualization, reduced blood loss, and less dissection.
    • The procedure is highly effective for single-level lumbar pathology.
    • This technique should be reserved for single-level fusions in the lumbosacral spine due to higher complication rates in multi-level cases.