alexa Indirect foraminal decompression after anterior lumbar interbody fusion: a prospective radiographic study using a new pedicle-to-pedicle technique.
Neurology

Neurology

Journal of Spine

Author(s): Rao PJ, Maharaj MM, Phan K, Lakshan Abeygunasekara M, Mobbs RJ

Abstract Share this page

Abstract BACKGROUND CONTEXT: A frequently quoted advantage of anterior lumbar interbody fusion (ALIF) is indirect foraminal decompression, although there are few studies substantiating this statement. Also, there are no clinical studies using a standardized method to measure the foraminal area (FA) and the correlation with disc height (DH) parameters. This study is proposed to measure the degree of indirect foraminal decompression radiologically using a standardized method and correlate with the intervertebral disc parameters. PURPOSE: To standardize the foramen measurement technique. To measure indirect neural foraminal decompression in surgically operated patients after ALIF using radiographic measurement and elucidate factors affecting foraminal restoration. STUDY DESIGN: A prospective cohort study. PATIENT SAMPLE: A continuous cohort of patients undergoing ALIF surgery. OUTCOME MEASURES: It included FA, foraminal height (FH), and foraminal width. METHODS: This is a prospective analysis of a single surgeon series of consecutive patients undergoing an ALIF from 2011 to 2013. Pre- and postoperative computed tomography scans were used to obtain a standardized foramen snapshot using the pedicle-to-pedicle (P-P) technique, and measurements were obtained using image j software. Radiologic parameters such as DH, local disc angle (LDA), and lumbar lordosis (LL) were measured using radiographs and Surgimap software. RESULTS: One-hundred forty patients with 184 levels were operated. Anterior lumbar interbody fusion resulted in a statistically significant (p<.01) improvement in foraminal dimensions (area=67\%, height=21\%, and width=38\%). Other parameters also significantly improved, including anterior DH (90\%), posterior DH (77\%), LDA, and LL (6\%). Posterior DH correlated significantly with FH improvement. Statistically, the P-P technique presented with high intra- and interclass reliabilities. CONCLUSIONS: Anterior lumbar interbody fusion results in significant indirect foraminal decompression based on the new P-P technique. Posterior DH is a significant factor in the restoration of the FH. Copyright © 2015 Elsevier Inc. All rights reserved. This article was published in Spine J and referenced in Journal of Spine

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

  • 18th Global Neurologists Annual Meeting on Neurology and Neurosurgery
    Nov 13-15, 2017, Athens, Greece
  • 2nd International Conference on Pediatric Neurology  
    August 31-September 01, 2017 Prague, Czech Republic
  • 12th Global Neurologists Annual Meeting on Neurology and Neurosurgery
    November 16-18, 2017 Lisbon, Portugal

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords