Transfacet screws using spinal navigation in addition to anterior or oblique lumbar interbody fusion: technical note and preliminary results

February 2, 2021

. 2021 Feb 1.

doi: 10.1007/s00590-021-02878-5.

Online ahead of print.

Affiliations

¹ Spine Surgery Department, CHU de Nice, Hôpital Pasteur 2, 30 avenue de la voie Romaine, 06000, Nice, France. [email protected].
² Université Côte d’Azur, Nice, France. [email protected].
³ Spine Surgery Department, CHU de Nice, Hôpital Pasteur 2, 30 avenue de la voie Romaine, 06000, Nice, France.
⁴ Université Côte d’Azur, Nice, France.
⁵ Neurosurgery Department, CHU de Nice, Hôpital Pasteur 2, Nice, France.
⁶ Orthopedic Surgery Department, CHU de Nice, Hôpital Pasteur 2, Nice, France.

Item in Clipboard

Antoine Gennari et al.

Eur J Orthop Surg Traumatol.

2021.

. 2021 Feb 1.

doi: 10.1007/s00590-021-02878-5.

Online ahead of print.

Affiliations

¹ Spine Surgery Department, CHU de Nice, Hôpital Pasteur 2, 30 avenue de la voie Romaine, 06000, Nice, France. [email protected].
² Université Côte d’Azur, Nice, France. [email protected].
³ Spine Surgery Department, CHU de Nice, Hôpital Pasteur 2, 30 avenue de la voie Romaine, 06000, Nice, France.
⁴ Université Côte d’Azur, Nice, France.
⁵ Neurosurgery Department, CHU de Nice, Hôpital Pasteur 2, Nice, France.
⁶ Orthopedic Surgery Department, CHU de Nice, Hôpital Pasteur 2, Nice, France.

Item in Clipboard

Abstract

Transfacet screws (TFS) are an alternative to the classic bilateral pedicular screws (BPS) in addition to anterior (ALIF) or oblique (OLIF) lumbar interbody fusion. Spinal navigation could help the surgeon in technically demanding procedures in order to avoid screw malposition. Although spinal navigation is commonly used in BPS, its contribution in TFS remains unclear. Our aim here was to assess the feasibility of TFS using spinal navigation in addition to anterior lumbar fusion. Five patients suffering from lumbar degenerative disc disease were included. During the same general anaesthesia, we performed successively an ALIF or OLIF and then a TFS according to Boucher technique using spinal navigation (O-arm). No peri-operative complication occurred, and all the screws were successfully positioned (n = 10). All clinical scores (ODI, VAS L and VAS R) improved at 6-month follow-up. Segmental lordosis increased from 6° [2.4°-12°] to 13.6° [8°-17°]. Fusion was achieved for the five patients. TFS using O-arm in addition to ALIF/OLIF is feasible. To confirm our early favourable outcomes on clinical and radiological data, this technique must be evaluated on larger samples of patients.

Keywords:

ALIF; Lumbar spine; OLIF; Spinal navigation; Transfacet screws.

Similar articles

Anterior lumbar compared to oblique lumbar interbody approaches for multilevel fusions to the sacrum in adults with spinal deformity and degeneration.

Xi Z, Chou D, Mummaneni PV, Ruan H, Eichler C, Chang CC, Burch S.
Xi Z, et al.
J Neurosurg Spine. 2020 Jun 12:1-10. doi: 10.3171/2020.4.SPINE20198. Online ahead of print.
J Neurosurg Spine. 2020.

PMID: 32534496
Robot-assisted Percutaneous Transfacet Screw Fixation Supplementing Oblique Lateral Interbody Fusion Procedure: Accuracy and Safety Evaluation of This Novel Minimally Invasive Technique.

Wu JY, Yuan Q, Liu YJ, Sun YQ, Zhang Y, Tian W.
Wu JY, et al.
Orthop Surg. 2019 Feb;11(1):25-33. doi: 10.1111/os.12428. Epub 2019 Feb 18.
Orthop Surg. 2019.

PMID: 30776856
Free PMC article.
[Treatment of degenerative scoliosis with oblique lateral lumbar interbody fusion combined with long-segment internal fixation through navigation for posterior].

Lou YL, Quan RF, Li W, Fei H.
Lou YL, et al.
Zhongguo Gu Shang. 2020 Sep 25;33(9):853-9. doi: 10.12200/j.issn.1003-0034.2020.09.012.
Zhongguo Gu Shang. 2020.

PMID: 32959574

Chinese.
Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF.

Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ.
Mobbs RJ, et al.
J Spine Surg. 2015 Dec;1(1):2-18. doi: 10.3978/j.issn.2414-469X.2015.10.05.
J Spine Surg. 2015.

PMID: 27683674
Free PMC article.

Review.
Oblique Lumbar Interbody Fusion: Technical Aspects, Operative Outcomes, and Complications.

Li JX, Phan K, Mobbs R.
Li JX, et al.
World Neurosurg. 2017 Feb;98:113-123. doi: 10.1016/j.wneu.2016.10.074. Epub 2016 Oct 21.
World Neurosurg. 2017.

PMID: 27777161

Review.

References

1. Mummaneni PV, Dhall SS, Eck JC et al (2014) Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: interbody techniques for lumbar fusion. J Neurosurg Spine 21:67–74. https://doi.org/10.3171/2014.4.SPINE14276
  
  –
  
  DOI
  
  –
  
  PubMed
1. Manzur M, Virk SS, Jivanelli B et al (2019) The rate of fusion for stand-alone anterior lumbar interbody fusion: a systematic review. Spine J 19:1294–1301. https://doi.org/10.1016/j.spinee.2019.03.001
  
  –
  
  DOI
  
  –
  
  PubMed
1. Pavlov PW, Meijers H, van Limbeek J et al (2004) Good outcome and restoration of lordosis after anterior lumbar interbody fusion with additional posterior fixation. Spine 29:1893–1899. https://doi.org/10.1097/01.brs.0000137067.68630.70
  
  –
  
  DOI
  
  –
  
  PubMed
1. Kim S-M, Lim TJ, Paterno J, Kim DH (2004) A biomechanical comparison of supplementary posterior translaminar facet and transfacetopedicular screw fixation after anterior lumbar interbody fusion. J Neurosurg Spine 1:101–107. https://doi.org/10.3171/spi.2004.1.1.0101
  
  –
  
  DOI
  
  –
  
  PubMed
1. Yeager MS, Dupre DA, Cook DJ et al (2015) Anterior lumbar interbody fusion with integrated fixation and adjunctive posterior stabilization: a comparative biomechanical analysis. Clin Biomech 30:769–774. https://doi.org/10.1016/j.clinbiomech.2015.06.015
  
  –
  
  DOI