The anterior-to-psoas approach for interbody fusion at the L5-S1 segment: clinical and radiological outcomes
01 Pubblicazione su rivista
ISSN: 1092-0684
Over the last few decades, many surgical techniques for lumbar interbody fusion have been reported. The anterior-to-psoas (ATP) approach is theoretically supposed to benefit from the advantages of both anterior and lateral approaches with similar complication rates, even in L5-S1. At this segment, the anterior lumbar interbody fusion (ALIF) requires retroperitoneal dissection and retraction of major vessels, whereas the iliac crest does not allow the lateral transpsoas approach. This study aimed to investigate clinical-radiological outcomes and complications of the ATP approach at the L5-S1 segment in a single cohort of patients.
ALIF = anterior lumbar interbody fusion anterior approaches anterior-to-psoas approach atp ATP = anterior to psoas DDD = degenerative disc disease degenerative lumbar diseases LBP = low-back pain LLIF = lateral lumbar interbody fusion minimally invasive surgery oblique lumbar interbody fusion ODI = Oswestry Disability Index OLIF OLIF = oblique lumbar interbody fusion PI-LL = pelvic incidence–lumbar lordosis SF-36 = 36-Item Short Form Health Survey VAS = visual analog scale