Outcome After Extreme Lateral Transpsoas Approach: Corpectomies Versus Interbody Fusion.
INTRODUCTION: The lateral transpsoas approach (LTPA) has gained popularity in thoracolumbar spine surgery procedures; however, there is an insufficient amount of data pertaining to motor and sensory complications that arise when a corpectomy is performed through the LTPA approach.
METHODS: Patients who underwent a corpectomy through a LTPA at a single institution between 2006 and 2016 were analyzed. Demographics, neurological outcomes, and complications were recorded. The minimum follow-up was 6 months. Univariate analysis was performed to compare demographics, surgical characteristics, complications, and outcome scores. To compare categorical variables, the χ
RESULTS: A total of 166 patients were included. The patients were divided into 2 groups; LTPA without corpectomy (n = 112) versus LTPA with corpectomy (n = 54). Patients without corpectomy showed a significantly lower rate of postoperative infections compared with patients with corpectomy (3.6% vs. 22.2%; P < 0.000). A higher percentage of postoperative complications was found in patients with corpectomy (31.5% vs. 13.4%; P = 0.006). The rate of neurologic complications at the 6-month follow-up and the reoperation rate (22.7% vs. 32.4%; P = 0.256) were higher in the corpectomy group (8.9% vs. 7.4%; P = 0.741), no significant difference was found between the groups.
CONCLUSION: Patients who underwent an LTPA corpectomy have a higher risk to suffer from postoperative complications. The results at the 6-month follow-up did not significantly differ between the groups.
Neurosciences (Brain & Spine)
Yilmaz, Emre; von Glinski, Alexander; Ishak, Basem; Abdul-Jabbar, Amir; Blecher, Ronan; O'Lynnger, Thomas M; Alonso, Fernando; Benca, Eric; Chapman, Jens R; and Oskouian, Rod J, "Outcome After Extreme Lateral Transpsoas Approach: Corpectomies Versus Interbody Fusion." (2019). Articles, Abstracts, and Reports. 1956.