In a recent study published in the journal Spine, researchers set out to examine extreme lateral interbody fusion as a treatment for adult degenerative scoliosis.
The prospective, multicenter, single-arm study was conducted through
evaluation of clinical and radiographical results of 107 patients
undergoing the XLIF procedure. On average, there were three levels
treated per patient.
The study found:
• 85 percent of patients were satisfied with the procedure and would choose it again.
• The complication rate for XLIF was found to be overall lower than that of traditional surgical approaches to degenerative scoliosis.
• All clinical outcome measures showed significant improvement at 24 months.
• Overall Cobb angle was corrected from 20.9 degrees to 15.2 degrees.
• The greatest Cobb angle correction was observed in patients supplemented with bilateral pedicle screws.
The study provides supporting evidence that the XLIF procedure leads
to good clinical and radiographical outcomes, without the high
complication rate often associated with traditional surgical treatment
of degenerative scoliosis.
The researchers included Frank Phillips, MD, Robert Isaacs, MD, William Blake Rodgers, MD, Kaveh Khajavi, MD, Antoine Tohmeh, MD, Vedat Deviren, MD, Mark Peterson, MD, Jonathan Hyde, MD, and Mark Kurd, MD.
Source : Becker's Spine Review , 30th September 2013
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