The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Adult Degenerative Scoliosis with Spinal Stenosis Treated with Stand-Alone Cage via an Extreme Lateral Transpsoas Approach; a Case Report and Literature Review

Document Type : CASE REPORT

Authors
Arvind von Keudell 1
Marjan Alimi 2
Harry Gebhard 3
Roger Härtl 2
1 Orthopaedic Surgery Resident, Harvard Combined Residency Program 55 Fruit Street, Boston
2 2Department of Neurological Surgery, Cornell University, 525 East 68th Street, New York, NY, United States
3 Department of Orthopedics and Trauma Surgery, Kantonsspital Baselland, Rheinstrasse 26, CH-4410 Liestal
10.22038/abjs.2015.4101
Abstract
We report the case of a 73-year-old female with severe degenerative scoliosis and back and leg pain that wassuccessfully treated with stand- alone cages via an extreme lateral transpsoas approach. This patient had declinedopen surgery and instrumentation due to her advanced age concerns about potential side effects.
Keywords
Degenerative scoliosis
Minimally invasive spinal surgery
XLIF
  1. Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine. 2005;30(9):1082-5.
  2. Birknes JK, White AP, Albert TJ, Shaffrey CI, Harrop JS. Adult degenerative scoliosis: a review. Neurosurgery. 2008;63(3 ):94-103.
  3. Fessler RG, O’Toole JE, Eichholz KM, Perez-Cruet MJ. The development of minimally invasive spine surgery. Neurosurg Clin N Am. 2006;17(4):401-9.
  4. Everett CR, Patel RK. A systematic literature review of nonsurgical treatment in adult scoliosis. Spine. 2007;32(19):S130-4.
  5. Epstein JA, Epstein BS, Jones MD. Symptomatic lumbar scoliosis with degenerative changes in the elderly. Spine (Phila Pa 1976). 1979;4(6):542-7.
  6. Nachemson A. Adult scoliosis and back pain. Spine. 1979;4(6):513-7.
  7. Carreon LY, Puno RM, Dimar JR, 2nd, Glassman SD, Johnson JR. Perioperative complications of posterior lumbar decompression and arthrodesis in older adults. J Bone Joint Surg Am. 2003; 85(11):2089-92.
  8. Cho KJ, Suk SI, Park SR, Kim JH, Kim SS, Choi WK, et al. Complications in posterior fusion and instrumentation for degenerative lumbar scoliosis. Spine. 2007;32(20):2232-7.
  9. Crandall DG, Revella J. Transforaminal lumbar interbody fusion versus anterior lumbar interbody fusion as an adjunct to posterior instrumented correction of degenerative lumbar scoliosis: three year clinical and radiographic outcomes. Spine. 2009;34(20):2126-33.
  10. Kang BU, Choi WC, Lee SH, Jeon SH, Park JD, Maeng DH, et al. An analysis of general surgery-related complications in a series of 412 minilaparotomic anterior lumbosacral procedures. J Neurosurg Spine. 2009;10(1):60-5.
  11. Marchesi DG, Aebi M. Pedicle fixation devices in the treatment of adult lumbar scoliosis. Spine. 1992; 17:304-9.
  12. Sasso RC, Best NM, Mummaneni PV, Reilly TM, Hussain SM. Analysis of operative complications in a series of 471 anterior lumbar interbody fusion procedures. Spine. 2005;30(6):670-4.
  13. Zurbriggen C, Markwalder TM, Wyss S. Long-term results in patients treated with posterior instrumentation and fusion for degenerative scoliosis of the lumbar spine. Acta Neurochir (Wien). 1999; 141(1):21-6.
  14. Deyo RA, Cherkin DC, Loeser JD, Bigos SJ, Ciol MA. Morbidity and mortality in association with operations on the lumbar spine. The influence of age, diagnosis, and procedure. J Bone Joint Surg Am. 1992;74(4):536-43.
  15. Glassman SD, Alegre G, Carreon L, Dimar JR, Johnson JR. Perioperative complications of lumbar instrumentation and fusion in patients with diabetes mellitus. Spine J. 2003;3(6):496-501.
  16. German JW, Adamo MA, Hoppenot RG, Blossom JH, Nagle HA. Perioperative results following lumbar discectomy: comparison of minimally invasive discectomy and standard microdiscectomy. Neurosurg Focus. 2008;25(2):20.
  17. Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6(4):435-43.
  18. Benglis DM, Elhammady MS, Levi AD, Vanni S. Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity. Neurosurgery. 2008;63(3):191-6.
  19. Pimenta L, Gharzedine I, Coutinho E, editors. XLIF Approach for the Treatment of Adult Scoliosis: 2-year Follow-up. NASS 22nd Annual Meeting. Austin, Texas: The Spine Journal; 2007.
  20. Pimenta L, Bellera F, Schaffa T, Malcolm J, McAfee P, editors. A new minimally invasive surgical technique for adult lumbar degenerative scoliosis. 11th International Meeting on Advanced Spine Techniques (IMAST). Southampton, Bermuda; 2004.
  21. Rodgers WB, Hyde J, Cohen D, Deviren V, Khajavi K, Peterson M, et al., editors. A Prospective, Multi-Center, Non-Randomized Evaluation of XLIF in the Treatment of Adult Scoliosis: Mid-Term Radiographic Outcomes. NASS 24th Annual Meeting. San Francisco, California: The Spine Journal; 2009.
  22. Anand N, Rosemann R, Khalsa B, Baron EM. Mid-term to long-term clinical and functional outcomes of minimally invasive correction and fusion for adults with scoliosis. Neurosurg Focus. 2010;28(3):E6.
  23. Pimenta L. Lateral endoscopic transpsoas retroperitoneal approach for lumbar spine surgery.  VIII Brazilian Spine Society Meeting. Brazil: Belo Horizonte, Minas Gerais; 2001.
  24. Anand N, Baron EM, Thaiyananthan G, Khalsa K, Goldstein TB. Minimally invasive multilevel percutaneous correction and fusion for adult lumbar degenerative scoliosis: a technique and feasibility study. J Spinal Disord Tech. 2008;21(7):459-67.
  25. Dakwar E, Cardona RF, Smith DA, Uribe JS. Early outcomes and safety of the minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis. Neurosurg Focus. 2010; 28(3):8.
  26. Tormenti MJ, Maserati MB, Bonfield CM, Okonkwo DO, Kanter AS. Complications and radiographic correction in adult scoliosis following combined transpsoas extreme lateral interbody fusion and posterior pedicle screw instrumentation. Neurosurg Focus. 2010;28(3):7.
  27. Wang MY, Mummaneni PV. Minimally invasive surgery for thoracolumbar spinal severe: initial clinical experience with clinical and radiographic outcomes. Neurosurg Focus. 2010;28(3):9.
  28. Aebi M. The adult scoliosis. Eur Spine J. 2005; 14(10): 925-48.
  29. Rodgers WB, Gerber E, editors. Safety of the Extreme Lateral Interbody Fusion (XLIF) Procedure: Complication Rates in a Series of 300 Surgeries. NASS 23rd Annual Meeting; Toronto, Canada: The Spine Journal; 2008.
  30. Hsieh PC, Koski TR, O’Shaughnessy BA, Sugrue P, Salehi S, Ondra S, et al. Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: implications for the restoration of foraminal height, local disc angle, lumbar lordosis, and sagittal balance. J Neurosurg Spine. 2007;7(4):379-86.
  31. Inoue S, Watanabe T, Hirose A, Tanaka T, Matsui N, Saegusa O, et al. Anterior discectomy and interbody fusion for lumbar disc herniation. A review of 350 cases. Clin Orthop Relat Res. 1984; 183:22-31.
  32. Bozkus H, Chamberlain RH, Perez Garza LE, Crawford NR, Dickman CA. Biomechanical comparison of anterolateral plate, lateral plate, and pedicle screws-rods for enhancing anterolateral lumbar interbody cage stabilization. Spine (Phila Pa 1976). 2004;29(6):635-41.
  33. Steffen T, Tsantrizos A, Fruth I, Aebi M. Cages: designs and concepts. Eur Spine J. 2000;9:S89-94.
  34. Steffen T, Tsantrizos A, Aebi M. Effect of implant design and endplate preparation on the compressive strength of interbody fusion constructs. Spine. 2000; 25(9):1077-84.
  35. Oxland TR, Lund T. Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature review. Eur Spine J. 2000;9: S95-101.
  36. Blumenthal SL, Hisey MS, Ohnmeiss DD. Can threaded fusion cages be used effectively as stand-alone devices?  International Society for the Study of the Lumbar Spine; Adelaide, Australia; 2000.
The Archives of Bone and Joint Surgery
Volume 3, Issue 2 - Serial Number 2
April 2015
Pages 124-129

  • Receive Date 21 June 2014
  • Revise Date 31 December 2014
  • Accept Date 16 February 2015