Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
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complications, infections, risk of reoperation, and health-related quality of life (HRQOL) outcomes ( 68 , 69 , 70 , 71 ). Some studies estimated that 2–23% of patients undergoing spinal surgery will have a complication ( 72 , 73 ). For this reason
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
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tapping and inserting the screw as this might result in guide wire breakage. To avoid this complication, the guide wire should be removed as soon as the screw tip enters the vertebral body at the posterior vertebral wall ( Fig. 3e ). After insertion of
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
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disc height and lumbar lordosis. However, those approaches require familiarity with abdominal anatomy. The risks of complications associated with the approaches, such as injury to major vessels, incisional hernias, and retrograde ejaculation, are
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Universitat Autónoma de Barcelona, Spain
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proposed in stable injuries, including simple compression or stable burst fractures with no significant posterior osteoligamentous disruption or neurological complications; 35 this means a TLICS classification of 3 points or less. Controversy exists
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cannot be performed, CT myelography can provide reproducible measurements of intra-canal dimensions and flavum thickness, but this is an invasive procedure with several potential complications. 18 Upright, standing or positional MRI (uMRI) is a type
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unanswered regarding indirect decompression in DS patients and associated loss of lordosis and lumbar canal stenosis, multi-level spondylolisthesis and osteoporotic bone. To avoid ALIF and MIS XLIF complications such as nerve root deficit and wall
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, complications and reoperation rates, with no good evidence to support the routine use of instrumented fusion. 56 – 58 Table 1. Summary of evidence for direct surgical decompression Author No. of patients Study type Comparison groups
Hospital del Trabajador, Santiago, Chile
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Hospital del Trabajador, Santiago, Chile
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Hospital Roberto del Río, Santiago, Chile
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patient, guiding where and how much lordosis is necessary to restore with surgery in order to match this theoretical form, 43 which could lead to better functional results and fewer mechanical complications. 11 , 21 , 44 – 47 As Roussouly states, ‘in
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video technology or tubular systems to facilitate access via an interlaminar approach. Similar results were found in the systematic review and meta-analysis of Kamper et al, 31 with no significant differences in rates of complication or re
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albendazole-praziquantel combination; however, the combination has not been extensively applied to verify its efficacy. 91 , 94 – 96 Many authors suggest that albendazole administration delays recurrences and reduces complications, thus it is commonly
