Fusion of Spine, Sympathetic Nervous System
Conditions
Brief summary
There would be no difference in the risk of sympathetic plexus damage between the pre sympathetic plexus approach and the post sympathetic plexus approach.
Detailed description
Compare the incidence of sympathetic chain injury between front and back of sympathetic approach in oblique lumbar interbody fusion
Interventions
oblique lumbar interbody fusion or direct lateral interbody fusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with lumbar degenerative disease needs a lateral lumbar interbody fusion of 1-2 segments between L2 to S1.
Exclusion criteria
* Patients who had previously had lumbar surgery * Patients with muscle weakness of motor grade III or lower * Patients with neuropsychiatric diseases such as depression * Patients with musculoskeletal disease, inflammatory musculoskeletal disease, or infection * Patients with cancerous disease * Patients who do not want to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The rate of sympathetic plexus injury | Postoperative day one | The number of patiensts with sympathetic symptom such as edema of the lower extremity, change of skin temperature, pain, or paresthesia without other medical conditions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Other complications | Postoperative 6 month | the number of patients with any other complication such as Injury of vascular structure, ureter, peritoneum, or bowel. |
Countries
South Korea