The learning curve of lateral access lumbar interbody fusion in an Asian population: a prospective study.
Eur Spine J
; 24 Suppl 3: 361-8, 2015 Apr.
Article
en En
| MEDLINE
| ID: mdl-25824482
ABSTRACT
PURPOSE:
Lateral access lumbar interbody fusion (LLIF) is a minimally invasive technique that has an increasing popularity. It offers unique advantages and circumvents risk of certain serious complications encountered in other conventional spinal approaches. This study provides a statistical analysis defining the lateral access learning curve in the Asian population.METHODS:
This prospective study included 32 consecutive patients who underwent LLIF from April 2012 to August 2014. The surgeries were performed by two senior spine surgeons and follow-up was conducted at 6 weeks, 3, 6, 9 months and 1 year post-operation.RESULTS:
The breakpoint in operating time occurred at the 22nd level operated, from a mean of 71 min in the early phase group to a mean of 42 min in the steady state group. LLIF at L4/5 level is technically more demanding but technically feasible as competency is achieved.CONCLUSIONS:
During the learning process, there was no compromise of perioperative or clinical outcomes. It should be feasibly incorporated into a spine surgeon's repertoire of procedures for the lumbar spine.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Fusión Vertebral
/
Curva de Aprendizaje
/
Cirujanos
/
Vértebras Lumbares
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Eur Spine J
Asunto de la revista:
ORTOPEDIA
Año:
2015
Tipo del documento:
Article