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Date Published: 23/06/2025
Abstract Views: 176
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DOI: https://doi.org/10.51298/vmj.v551i1.14427
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Vol. 551 No. 1 (2025)
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Các bài báo
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Nguyễn, V., & Hoàng Minh, T. (2025). RESULTS OF SPINAL CANAL EXPANSION AND LUMBAR LORDOSIS IN LUMBAR STENOSIS PATIENTS BY MINIMALLY INVASIVE PERCUTANEOUS SPINAL FIXATION AND LATERAL INTERBODY BONE FUSION (XLIF). Vietnam Medical Journal, 551(1). https://doi.org/10.51298/vmj.v551i1.14427

RESULTS OF SPINAL CANAL EXPANSION AND LUMBAR LORDOSIS IN LUMBAR STENOSIS PATIENTS BY MINIMALLY INVASIVE PERCUTANEOUS SPINAL FIXATION AND LATERAL INTERBODY BONE FUSION (XLIF)

Vũ Nguyễn, Tân Hoàng Minh

Main Article Content

Abstract

Spinal stenosis causes nerve root compression, when medical treatment fails, surgical treatment is recommended. Previously, both open and minimally invasive direct decompression surgical methods have brought certain results, however, after surgery, patients still experience neurological complications or radiculitis due to the root retraction process during surgery, paraspinal muscle damage, etc., affecting the postoperative results. Lateral discectomy, indirect decompression and interbody bone fusion have significantly resolved the limitations of direct decompression, patients recover faster and are discharged from the hospital earlier. To evaluate the effectiveness of spinal canal size expansion and lumbar lordosis, we conducted a study on 21 patients with spinal stenosis using XLIF technique during 4/2029-5/2024 and obtained the following results: anteroposterior diameter increased from 7.45±1.86 (mm) to 10.23±2.61 (mm), lateral diameter increased from 13.01±2.99 (mm) to 16.38±2.88 (mm), spinal canal area increased from 84.63±33.15 (mm2) to 114.11±42.65 (mm2), lateral recess depth increased from 1.84±1.36 (mm) to 3.32±1.05 (mm), intervertebral foramen height increased from 16.11±4.06 (mm) to 20.04±2.65 (mm), disc height increased from 9.06±2.23 (mm) to 11.33±2.00 (mm), segmental lordosis increased from 3.44±4.41º to 7.53±2.99º, lumbar lordosis increased from 25.55±14.85º to 31.50±12.77º, this improvement was statistically significant (P<0.05).

Article Details

Keywords

lumbar spinal stenosis, lateral interbody bone fusion, spinal fixation and lateral interbody bone fusion

References

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