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Titolo:
Gasless endoscopic anterior lumbar interbody fusion utilizing the BERG approach
Autore:
Thalgott, JS; Chin, AK; Ameriks, JA; Jordan, FT; Daubs, MD; Giuffre, JM; Fritts, K; Timlin, M;
Indirizzi:
Intl Spinal Dev & Res Fdn, Las Vegas, NV 89106 USA Intl Spinal Dev & Res Fdn Las Vegas NV USA 89106 Las Vegas, NV 89106 USA Univ Nevada, Sch Med, Las Vegas, NV 89102 USA Univ Nevada Las Vegas NV USA 89102 vada, Sch Med, Las Vegas, NV 89102 USA
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 6, volume: 14, anno: 2000,
pagine: 546 - 552
SICI:
0930-2794(200006)14:6<546:GEALIF>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
LAPAROSCOPIC DISKECTOMY; PROSPECTIVE MULTICENTER; SPINE; SURGERY;
Keywords:
anterior interbody fusion; balloon dissection; gasless endoscopy; lumbar spine; spine;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Thalgott, JS Intl Spinal Dev & Res Fdn, 600 S Rancho Dr,Suite 101, Las Vegas, NV 89106 USA Intl Spinal Dev & Res Fdn 600 S Rancho Dr,Suite 101 Las Vegas NV USA 89106
Citazione:
J.S. Thalgott et al., "Gasless endoscopic anterior lumbar interbody fusion utilizing the BERG approach", SURG ENDOSC, 14(6), 2000, pp. 546-552

Abstract

Background: Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5. Methods: The B.E.R.G. approach was attempted in 202 patients who required anterior lumbar interbody fusion (ALIF). Of those, 168 were completed successfully without conversion to an open procedure. The anterior retroperitoneal approach required no gas insufflation. The gasless environment allowed for the use of standard anterior instrumentation and a variety of fusion grafts and devices. Results: Mean hospital stay was 1.95 days, with 73% of patients dischargedin <47 h following surgery. Clinical results from the first 50 patients, with a minimum 2-year follow-up, include a 92% fusion rate and 78% of patients reporting significant pain relief of greater than 50%. Conclusions: The B.E.R.G. approach offers significant technical advantagesover the standard gas-mediated transperitoneal approach for ALIF. The clinical results are similar to those reported for open approaches and the gas-mediated transperitoneal approach.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:43:54