[Advantages and disadvantages of retro- and transperitoneal approach for fusion of the presacral intervertebral disk].
In a retrospective study, we evaluated 180 patients treated for painful spondylolisthesis with combined anterior and posterior fusion. Group I included 90 patients treated by anterior fusion with the transperitoneal approach. Group II included 90 patients operated on with a retroperitoneal approach. Group II showed a higher incidence of pseudarthrosis L5/S1 (4%), tear of the common iliac vein (1%), postsympathectomy syndrome (4%) and reversible L4 nerve-root lesion (3%). On the basis of our findings, we recommend the transperitoneal approach for anterior interbody fusion L5 to S1 or L4 to S1.
Wimmer
C
C
Universitätsklinik für chirurgische Orthopädie, Innsbruck.
Krismer
M
M
Gluch
H
H
Sterzinger
W
W
Ogon
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012189:Retrospective Studies; D012447:Sacrum / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D013168:Spondylolisthesis / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome