Tratamento de deformidade da coluna vertebral do adulto com técnica minimamente invasiva por acesso lateral combinado com artrodese posterior
Keywords:
Spine, Bone malalignment, Spinal stenosis, Arthrodesis, Minimally invasive surgical proceduresAbstract
This is the case report of a patient presenting adult spine deformity associated with lumbar canal stenosis, showing severe functional limitation. The correction of deformity was performed by minimally invasive technique of intersomatic arthrodesis, initially a lateral approach Lumbar Lateral Interbody Fusion (LLIF), then posterior median access for stenosis decompression, posterior column osteotomy and short arthrodesis approaching only the L3-L4 level. Lumbar lordosis reconstruction was effective, with clinical and functional improvement of the patient.
Downloads
References
Pratali R, Diebo B, Schwab F. Adult spine deformity - an overview of radiografic and clinical considerations. Coluna/Columna. 2017;16(2):149-52.
Barreto MVA, Pratali RR, Barsotti CEG, Santos FPE, Oliveira CEA, Nogueira MP. Incidence of spinal deformity in adults and its distribution according SRS-Schwab classification. Coluna/
Columna. 2015(14):93-6.
Fu KM, Rhagavan P, Shaffrey CI, Chernavvsky DR, Smith JS. Prevalence, severity, and impact of foraminal and canal stenosis among adults with degenerative scoliosis. Neurosurgery. 2011; 69(6):1181-7.
Smith JS, Fu KM, Urban P, Shaffrey CI. Neurological symptoms and deficits in adults with scoliosis who present to a surgical clinic: incidence and association with the choice of operative
versus nonoperative management. J Neurosurg Spine. 2008; 9(4):326-31.
Pellisé F, Vila-Casademunt A, Ferrer M, Domingo-Sàbat M, Bagó J, Pérez-Grueso FJ, et al. ESSG. Impact on health related quality of life of adult spinal deformity (ASD) compared with other chronic conditions. Eur Spine J. 2015;24(1):3-11.
Silva FE, Lenke LG. Adult degenerative scoliosis: evaluation and management. Neurosurg Focus 28 (3):E1, 2010.
Mummaneni PV, Tu TH, Ziewacz JE, Akinbo OC, Deviren V, Mundis GM: The role of minimally invasive techniques in the treatment of adult spinal deformity. Neurosurg Clin N Am. 2013; 24(2):231-48.
Pratali RR, Hennemann SA, Amaral R, Silva LECT, Carvalho MOP, Daher MT, Façanha Filho FAM, Asdrubal F, Gomes EGF, Maçaneiro CH, Malzac A, Defino HLA. Terminologia padronizada da deformidade vertebral do adulto para o português do Brasil. Coluna/Columna. 2015;14(4):281-5.
Schwab F, Blondel B, Chay E, Demakakos J, Lenke L, Tropiano P, Ames C, Smith JS, Shaffrey CI, Glassman S, Farcy JP, Lafage V. The comprehensive anatomical spinal osteotomy classification. Neurosurgery. 2014;74:112-20.
Terran J, Schwab F, Shaffrey CI, Smith JS, Devos P, Ames CP, et al. The SRS-Schwab adult spinal deformity classification: assessment and clinical correlations based on a prospective operative and nonoperative cohort. Neurosurgery. 2013;73(4):
-68.
Smith JS, Lafage V, Shaffrey CI, Schwab F, Lafage R, Hostin R, et al. Outcomes of operative and nonoperative treatment for adult spinal deformity: a prospective, multicenter, propensitymatched cohort assessment with minimum 2-year follow-up. Neurosurgery. 2016;78(6):851-61.
Kelly MP, Lenke LG, Shaffrey CI, Ames CP, Carreon LY, Lafage V, et al. Evaluation of complications and neurological déficits with three-column spine reconstructions for complex spinal deformity: a retrospective Scoli-RISK-1 study. Neurosurg Focus. 2014;36(5):E17.
