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Japanese

Total Facet Excision Can Reduce Neurological Complications of Posterior Lumbar Interbody Fusion Toshitada MIWA 1 , Noboru HOSONO 1 , Katsuhiro MUKAI 1 , Takashi KAITO 2 , Shota TAKENAKA 1 , Takeshi FUJI 1 1Department of Orthopedic Surgery, Osaka Kosei-nenkin Hospital 2Department of Orthopedic Surgery, National Hospital Organization Osaka Minami Medical Center Keyword: 後方進入腰椎椎体間固定術 , posterior lumbar interbody fusion , PLIF , 合併症 , complication , 椎間関節全切除 , total facet excision pp.229-234
Published Date 2011/3/25
DOI https://doi.org/10.11477/mf.1408101930
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 Methods:Postoperative complications of posterior lumbar interbody fusion (PLIF) were retrospectively investigated in 46 patients who had undergone of total resection facet joints.

 Results:Although transient postoperative neurologic complications had occurred in 9 patients (20%), none of the patients experienced severe or permanent paralysis. There were fewer conplications in this series of cases than among the cases in our previous report, in which PLIF with partial facetectomy had been performed and neurologic complications developed in 25% and permanent paralysis in 8%.

 Conclusion:Since total facetectomy facilitates safe access to the disc space with less need for nerve retraction,it can be a useful option for PLIF.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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