Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis
Introduction. The use of extreme lateral interbody fusion (XLIF) and other lateral access surgery is rapidly increasing in popularity. However, limited data is available regarding its use in scoliosis surgery. The objective of this study was to evaluate the clinical outcomes of adults with degenera...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/2012/680643 |
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| author | Adam M. Caputo Keith W. Michael Todd M. Chapman Gene M. Massey Cameron R. Howes Robert E. Isaacs Christopher R. Brown |
| author_facet | Adam M. Caputo Keith W. Michael Todd M. Chapman Gene M. Massey Cameron R. Howes Robert E. Isaacs Christopher R. Brown |
| author_sort | Adam M. Caputo |
| collection | DOAJ |
| description | Introduction. The use of extreme lateral interbody fusion (XLIF) and other lateral access surgery is rapidly increasing in popularity. However, limited data is available regarding its use in scoliosis surgery. The objective of this study was to evaluate the clinical outcomes of adults with degenerative lumbar scoliosis treated with XLIF. Methods. Thirty consecutive patients with adult degenerative scoliosis treated by a single surgeon at a major academic institution were followed for an average of 14.3 months. Interbody fusion was completed using the XLIF technique with supplemental posterior instrumentation. Validated clinical outcome scores were obtained on patients preoperatively and at most recent follow-up. Complications were recorded. Results. The study group demonstrated improvement in multiple clinical outcome scores. Oswestry Disability Index scores improved from 24.8 to 19.0 (P < 0.001). Short Form-12 scores improved, although the change was not significant. Visual analog scores for back pain decreased from 6.8 to 4.6 (P < 0.001) while scores for leg pain decreased from 5.4 to 2.8 (P < 0.001). A total of six minor complications (20%) were recorded, and two patients (6.7%) required additional surgery. Conclusions. Based on the significant improvement in validated clinical outcome scores, XLIF is effective in the treatment of adult degenerative scoliosis. |
| format | Article |
| id | doaj-art-06c185b614b743d3aa64543558d217ac |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-06c185b614b743d3aa64543558d217ac2025-02-03T01:11:50ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/680643680643Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative ScoliosisAdam M. Caputo0Keith W. Michael1Todd M. Chapman2Gene M. Massey3Cameron R. Howes4Robert E. Isaacs5Christopher R. Brown6Department of Orthopaedic Surgery, Duke University Medical Center, P.O. Box 2807, 335 Baker House, 200 Trent Drive, Durham, NC 27710, USADepartment of Orthopaedic Surgery, Duke University Medical Center, P.O. Box 2807, 335 Baker House, 200 Trent Drive, Durham, NC 27710, USADepartment of Orthopaedic Surgery, Duke University Medical Center, P.O. Box 2807, 335 Baker House, 200 Trent Drive, Durham, NC 27710, USADepartment of Orthopaedic Surgery, Duke University Medical Center, P.O. Box 2807, 335 Baker House, 200 Trent Drive, Durham, NC 27710, USADepartment of Orthopaedic Surgery, Duke University Medical Center, P.O. Box 2807, 335 Baker House, 200 Trent Drive, Durham, NC 27710, USADivision of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USADepartment of Orthopaedic Surgery, Duke University Medical Center, P.O. Box 2807, 335 Baker House, 200 Trent Drive, Durham, NC 27710, USAIntroduction. The use of extreme lateral interbody fusion (XLIF) and other lateral access surgery is rapidly increasing in popularity. However, limited data is available regarding its use in scoliosis surgery. The objective of this study was to evaluate the clinical outcomes of adults with degenerative lumbar scoliosis treated with XLIF. Methods. Thirty consecutive patients with adult degenerative scoliosis treated by a single surgeon at a major academic institution were followed for an average of 14.3 months. Interbody fusion was completed using the XLIF technique with supplemental posterior instrumentation. Validated clinical outcome scores were obtained on patients preoperatively and at most recent follow-up. Complications were recorded. Results. The study group demonstrated improvement in multiple clinical outcome scores. Oswestry Disability Index scores improved from 24.8 to 19.0 (P < 0.001). Short Form-12 scores improved, although the change was not significant. Visual analog scores for back pain decreased from 6.8 to 4.6 (P < 0.001) while scores for leg pain decreased from 5.4 to 2.8 (P < 0.001). A total of six minor complications (20%) were recorded, and two patients (6.7%) required additional surgery. Conclusions. Based on the significant improvement in validated clinical outcome scores, XLIF is effective in the treatment of adult degenerative scoliosis.http://dx.doi.org/10.1100/2012/680643 |
| spellingShingle | Adam M. Caputo Keith W. Michael Todd M. Chapman Gene M. Massey Cameron R. Howes Robert E. Isaacs Christopher R. Brown Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis The Scientific World Journal |
| title | Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis |
| title_full | Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis |
| title_fullStr | Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis |
| title_full_unstemmed | Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis |
| title_short | Clinical Outcomes of Extreme Lateral Interbody Fusion in the Treatment of Adult Degenerative Scoliosis |
| title_sort | clinical outcomes of extreme lateral interbody fusion in the treatment of adult degenerative scoliosis |
| url | http://dx.doi.org/10.1100/2012/680643 |
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