Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All cases operated upon for degenerative lumbar spinal disorders by anterior lumbar fusion either ALIF or ATP during 2015 to 2023, in addition to, a group of TLIF cases matched the same criteria ( diagnosis, level, number of levels, age group,…) treated within the same period. All approaches are used for management of degenerative spinal diseases according to the surgical experience and preference
Exclusion criteria
Exclusion criteria: - Previous abdominal surgery with severe adhesion. - Non degenerative spinal pathology or severe osteoporosis or severe peripheral vascular disease - Patient with incomplete files or in complete follow up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lumbar fusion rate. Bridwell interbody fusion grading system is the basis for the fusion rate-grading criterion. Grades I and II as successful grades | — |
Secondary
| Measure | Time frame |
|---|---|
| • Radiological evaluation: including ADH, PDH, SLA, and FH before the surgery and at the last follow up along with cage position only at the post-operative serial follow up X. rays. • Surgical procedures and complications including operative time, blood loss, number of surgeries. Complications, intraoperative complication (anaesthesia, dural tear, neurological lesion, vascular injury or visceral injury), Postoperative complications: superficial infection, deep infection, neurological lesion, vascular lesion, hematoma, ipsilateral psoas paresis, ipsilateral quadriceps weakness, left lower abdominal pain, incomplete ileus, sympathetic chain symptom, metal malposition and cage shifting. Adverse effects: death, deep venous thrombosis, pulmonary embolism, pneumonia, urinary infection, acute respiratory insufficiency, multiple organ failure, sepsis, implant breakage or loosening, and need for reoperation. | — |
Countries
Egypt
Contacts
Vice Dean for Graduate Studies and Research