Artrodesis intersomática lateral de columna lumbar. Técnica quirúrgica y conceptos actuales.[Lateral lumbar interbody fusion. Surgical technique and current concepts].
Resumen
El abordaje lateral mínimamente invasivo de columna lumbar para la artrodesis intersomática es una técnica relativamente nueva y ha conseguido resultados prometedores en los pacientes con diferentes patologías de la columna lumbar. Es una técnica segura que proporciona un adecuado soporte estructural entre los platillos vertebrales, puede corregir la deformidad en los planos coronal y sagital, y ejercer una descompresión indirecta del canal raquídeo respetando los elementos posteriores. La evidencia sobre esta técnica ha ido creciendo y diversificándose en los últimos años, se han comunicado nuevas indicaciones, y resultados a mediano y largo plazo.El propósito de este trabajo es detallar el procedimiento quirúrgico paso a paso, con sus variantes tal como lo realizamos en nuestros Centros, y puntualizar los conceptos actuales basados en una revisión bibliográfica.Descargas
Métricas
Citas
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;6:435-43. doi: 10.1016/j.spinee.2005.08.012
Geisler FH, Blumenthal SL, Guyer RD, McAfee PC, Regan JJ, Johnson JP, et al. Neurological complications of lumbar artificial disc replacement and comparison of clinical results with those related to lumbar arthrodesis in the literature: results of a multicenter, prospective, randomized investigational device exemption study of Charite intervertebral disc. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 2004;1:143-54.
doi: 10.3171/spi.2004.1.2.0143
Pawar A, Hughes A, Girardi F, Sama A, Lebl D, Cammisa F. Lateral lumbar interbody fusion. Asian Spine J 2015;9(6):978-83. doi: 10.4184/asj.2015.9.6.978
Quinn JC, Fruauff K, Lebl DR, Giambrone A, Cammisa FP, Gupta A, et al. Magnetic resonance neurography of the lumbar plexus at the L4-L5 disc: development of a preoperative surgical planning tool for lateral lumbar transpsoas interbody fusion (LLIF). Spine (Phila Pa 1976) 2015;40(12):942-7. doi: 10.1097/BRS.0000000000000899
Bertagnoli R, Vazquez RJ. The Anterolateral TransPsoatic Approach (ALPA): a new technique for implanting prosthetic disc-nucleus devices. J Spinal Disord Tech 2003;16(4):398-404. https://bit.ly/2Rf6Oc0
Berjano P, Gautschi OP, Schils F, Tessitore E. Extreme lateral interbody fusion (XLIF®): how I do it. Acta Neurochir (Wien) 2015;157(3):547-51. doi: 10.1007/s00701-014-2248-9
Cappuccino A, Cornwall GB, Turner AW, Fogel GR, Duong HT, Kim KD, et al. Biomechanical analysis and review of lateral lumbar fusion constructs. Spine (Phila Pa 1976) 2010;35(26 Suppl):S361-7.
doi: 10.1097/BRS.0b013e318202308b
Costanzo G, Zoccali C, Maykowski P, Walter CM, Skoch J, Baaj AA. The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity. Eur Spine J 2014;23(Suppl 6):699-704. doi: 10.1007/s00586-014-3561-y
Pumberger M, Hughes AP, Huang RR, Sama AA, Cammisa FP, Girardi FP. Neurologic deficit following lateral lumbar interbody fusion. Eur Spine J 2012;21:1192-9. doi: 10.1007/s00586-011-2087-9
Oliveira L, Marchi L, Coutinho E, Pimenta L. A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements. Spine (Phila Pa 1976) 2010;35(26 Suppl):S331-7. doi: 10.1097/BRS.0b013e3182022db0
Mundis GM, Akbarnia BA, Phillips FM. Adult deformity correction through minimally invasive lateral approach techniques. Spine (Phila Pa 1976) 2010;35(26 Suppl):S312-21.
doi: 10.1097/BRS.0b013e318202495f
Kepler CK, Sharma AK, Huang RC, Meredith DS, Girardi FP, Cammisa FP Jr, et al. Indirect foraminal decompression after lateral transpsoas interbody fusion. J Neurosurg Spine 2012;16(4):329-33. doi: 10.3171/2012.1.SPINE11528
Petracchi M, Camino Willhuber G, Tripodi M, Bassani J, Gruenberg M, Sola C. Monosegmental combined anterior posterior instrumentation for the treatment of a severe lumbar tuberculous spondylodiscitis: case report and literature review. Rev Bras Ortop 2016; doi: 10.1016/j.rboe.2016.12.010
Acosta FL, Liu J, Slimack N, Moller D, Fessler R, Koski T. Changes in coronal and sagittal plane alignment following minimally invasive direct lateral interbody fusion for the treatment of degenerative lumbar disease in adults: a radiographic study. J Neurosurg Spine 2011;15:92-6. doi: 10.3171/2011.3.SPINE10425
Sun JC, Wang JR, Luo T, Jin XN, Ma R, Luo BE, et al. Surgical incision and approach in thoracolumbar extreme lateral interbody fusion surgery: an anatomic study of the diaphragmatic attachments. Spine (Phila Pa 1976) 2016;41(4):E186-90. doi: 10.1097/BRS.0000000000001183
Karikari IO, Nimjee SM, Hardin CA, Hughes BD, Hodges TR, Mehta AI, et al. Extreme lateral interbody fusion approach for isolated thoracic and thoracolumbar spine diseases: initial clinical experience and early outcomes. J Spinal Disord Tech 2011;24(6):368-75. doi: 10.1097/BSD.0b013e3181ffefd2
Meredith DS, Kepler CK, Huang RC, Hegde VV. Extreme lateral interbody fusion (XLIF) in the thoracic and thoracolumbar spine: technical report and early outcomes. HSS J 2013;9(1):25-31. doi: 10.1007/s11420-012-9312-x
Laws CJ, Coughlin DG, Lotz JC, Serhan HA, Hu SS. Direct lateral approach to lumbar fusion is a biomechanically equivalent alternative to the anterior approach: an in vitro study. Spine (Phila Pa 1976) 2012;37(10):819-25. doi: 10.1097/BRS.0b013e31823551aa
Guerin P, Obeid I, Bourghli A, Masquefa T, Luc S, Gille O, et al. The lumbosacral plexus: anatomic considerations for minimally inva- sive retroperitoneal transpsoas approach. Surg Radiol Anat 2012;34(2):151-7. doi: 10.1007/s00276-011-0881-z
Kepler CK, Bogner EA, Herzog RJ, Huang RC. Anatomy of the psoas muscle and lumbar plexus with respect to the surgical approach for lateral transpsoas interbody fusion. Eur Spine J 2011;20(4):550-6. doi: 10.1007/s00586-010-1593-5
Malham GM, Ellis NJ, Parker RM, Blecher CM, White R, Goss B, Seex KA. Maintenance of segmental lordosis and disc height in stand-alone and instrumented extreme lateral interbody fusion (XLIF). Clin Spine Surg 2017;30(2):E90-E98. doi: 10.1097/BSD.0b013e3182aa4c94
Kotwal S, Kawaguchi S, Lebl D, Hughes A, Huang R, Sama A, et al. Minimally invasive lateral lumbar interbody fusion: clinical and radiographic outcome at a minimum 2-year follow-up. J Spinal Disord Tech 2015;28(4):119-25. doi: 10.1097/BSD.0b013e3182706ce7
Isaacs RE, Hyde J, Goodrich JA, Rodgers WB, Phillips FM. A prospective, nonrandomized, multicenter evaluation of extreme lateral interbody fusion for the treatment of adult degenerative scoliosis: perioperative outcomes and complications. Spine (Phila Pa 1976) 2010;35(26 Suppl):S322-30.
doi: 10.1097/BRS.0b013e3182022e04
Rodgers WB, Gerber EJ, Patterson J. Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine (Phila Pa 1976) 2011;36(1):26-32. doi: 10.1097/BRS.0b013e3181e1040a
Lykissas MG, Aichmair A, Hughes AP, Sama AA, Lebl DR, Taher F, et al. Nerve injury after lateral lumbar interbody fusion: a review of 919 treated levels with identification of risk factors. Spine J 2014;14(5):749-58. doi: 10.1016/j.spinee.2013.06.066
Uribe JS, Isaacs RE, Youssef JA, Khajavi K, Balzer JR, Kanter AS, et al. Can triggered electromyography monitoring throughout retraction predict postoperative symptomatic neuropraxia after XLIF? Results from a prospective multicenter trial. Eur Spine J 2015;24 (Suppl 3): 378-85. doi: 10.1007/s00586-015-3871-8
Deukmedjian AR, Dakwar E, Ahmadian A, Smith DA, Uribe JS. Early outcomes of minimally invasive anterior longitudinal ligament release for correction of sagittal imbalance in patients with adult spinal deformity. Scientific World Journal 2012;2012: 789698. doi: 10.1100/2012/789698
Cummock MD, Vanni S, Levi AD, Yu Y, Wang MY. An analysis of postoperative thigh symptoms after minimally invasive transpsoas lumbar interbody fusion. J Neurosurg Spine 2011;15:11-8.
doi: 10.3171/2011.2.SPINE10374
Taher F, Hughes AP, Sama AA, Zeldin R, Schneider R, Holodny EI, et al. 2013 Young Investigator Award winner: How safe is lateral lumbar interbody fusion for the surgeon? A prospective in vivo radiation exposure study. Spine (Phila Pa 1976). 2013;38(16):1386-92. doi: 10.1097/BRS.0b013e31828705ad
Sharma AK, Kepler CK, Girardi FP, Cammisa FP, Huang RC, Sama AA. Lateral lumbar interbody fusion: clinical and radiographic outcomes at 1 year: a preliminary report. J Spinal Disord Tech 2011;24(4):242-50. doi: 10.1097/BSD.0b013e3181ecf995
Youssef JA, McAfee PC, Patty CA, Raley E, DeBauche S, Shucosky E, et al. Minimally invasive surgery: lateral approach interbody fusion: results and review. Spine (Phila Pa 1976). 2010;35(26 Suppl):S302-11. doi: 10.1097/BRS.0b013e3182023438
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):E8. doi: 10.3171/2010.1.FOCUS09282
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):E7. doi: 10.3171/2010.1.FOCUS09263
Fontes RB, Traynelis VC. Transpsoas approach and complications. J Neurosurg Spine 2011;15(1):9-10; author reply p. 10. doi: 10.3171/2010.12.SPINE10741
Ahmadian A, Deukmedjian AR, Abel N, Dakwar E, Uribe JS. Analysis of lumbar plexopathies and nerve injury after lateral retroperitoneal transpsoas approach: diagnostic standardization. J Neurosurg Spine 2013;18(3):289-97. doi: 10.3171/2012.11.SPINE12755
Moller DJ, Slimack NP, Acosta FL Jr, Koski TR, Fessler RG, Liu JC. Minimally invasive lateral lumbar interbody fusion and transpsoas approach-related morbidity. Neurosurg Focus 2011;31(4):E4. doi: 10.3171/2011.7.FOCUS11137
Spivak JM, Paulino CB, Patel A, Shanti N, Pathare N. Safe zone for retractor placement to the lumbar spine via the transpsoas approach. J Orthop Surg (Hong Kong) 2013;21(1):77-81.
doi: 10.1177/230949901302100120
Dakwar E, Le TV, Baaj AA, Smith WD, Akbarnia BA, Uribe JS. Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion. Neurosurg Focus 2011;31(4):E18.
doi: 10.3171/2011.7.FOCUS11164
Karikari IO, Grossi PM, Nimjee SM, Hardin C, Hodges TR, Hughes BD, et al. Minimally invasive lumbar interbody fusion in patients older than 70 years of age: analysis of peri- and postoperative complications. Neurosurgery 2011;68(4):897-902. doi: 10.1227/NEU.0b013e3182098bfa
Dua K, Kepler CK, Huang RC, Marchenko A. Vertebral body fracture after anterolateral instrumentation and interbody fusion in two osteoporotic patients. Spine J 2010;10(9):e11-5.
doi: 10.1016/j.spinee.2010.07.007
Brier-Jones JE, Palmer DK, Inceoglu S, Cheng WK. Vertebral body fractures after transpsoas interbody fusion procedures. Spine J 2011;11(11):1068-72. doi: 10.1016/j.spinee.2011.07.020
Essig DA, Cho W, Hughes AP, Huang RC, Sama AA, Girardi FP, Cammisa FP Jr. Risk factors for implant subsidence after stand-alone lateral interbody fusión. Spine J 2014;14(11 Suppl):S114. doi:10.1016/j.spinee.2014.08.284
Rodgers WB, Cox CS, Gerber EJ. Early complications of extreme lateral interbody fusion in the obese. J Spinal Disord Tech 2010;23(6):393-7. doi:10.1097/BSD.0b013e3181b31729
Derechos de autor 2018 Revista de la Asociación Argentina de Ortopedia y Traumatología
Esta obra está bajo licencia internacional Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0.
La aceptación del manuscrito por parte de la revista implica la no presentación simultánea a otras revistas u órganos editoriales. La RAAOT se encuentra bajo la licencia Creative Commons 4.0. Atribución-NoComercial-CompartirIgual (http://creativecommons.org/licenses/by-nc-sa/4.0/deed.es). Se puede compartir, copiar, distribuir, alterar, transformar, generar una obra derivada, ejecutar y comunicar públicamente la obra, siempre que: a) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); b) no se usen para fines comerciales; c) se mantengan los mismos términos de la licencia.
En caso de que el manuscrito sea aprobado para su próxima publicación, los autores conservan los derechos de autor y cederán a la revista los derechos de la publicación, edición, reproducción, distribución, exhibición y comunicación a nivel nacional e internacional en las diferentes bases de datos, repositorios y portales.
Se deja constancia que el referido artículo es inédito y que no está en espera de impresión en alguna otra publicación nacional o extranjera.
Por la presente, acepta/n las modificaciones que sean necesarias, sugeridas en la revisión por los pares (referato), para adaptar el trabajo al estilo y modalidad de publicación de la Revista.