METHODS: This retrospective study reviewed patient demographics, medium-term outcomes and complication rates following ALIF surgery performed over a 5-year period. A total of 110 consecutive patients had undergone ALIF surgery at a single tertiary spinal centre. The database was reviewed with a primary outcome of identifying postoperative 90-day complications and whether a revision anterior operation was required after primary ALIF.
RESULTS: No patients required revision anterior operation after their primary ALIF surgery by final follow-up. Out of 110 patients, 11 (10%) recorded a complication attributed to the anterior stage of their operation within 90 days.
CONCLUSIONS: Our 90-day complication rate of 10% lies within the 2.6% acute complication and 40% overall complications rates described in previous literature. The risk of vascular/visceral injury is significant (3%) and we recommend that ALIF be performed as a dual surgeon procedure with a vascular-trained access surgeon accompanying the spinal surgeon. ALIF is a valid revision surgical option for failed posterior approaches leading to complications such as pseudoarthrosis. In our sample, 89% of patients were managed with posterior fixation to augment the anterior fusion as, biomechanically, this is a proven construct.
方法:这项回顾性研究回顾了患者的人口统计学,ALIF手术5年后的中期结局和并发症发生率.共有110名连续患者在一个三级脊柱中心接受了ALIF手术。对数据库进行了审查,主要结果是确定术后90天的并发症以及原发性ALIF后是否需要进行前路翻修手术。
结果:最终随访时,没有患者在进行ALIF初次手术后需要进行前路翻修。110名患者中,11(10%)记录了90天内手术前阶段的并发症。
结论:我们的90天并发症发生率为10%,在先前文献中描述的2.6%的急性并发症和40%的总体并发症发生率之内。血管/内脏损伤的风险很大(3%),我们建议ALIF作为双重外科医生进行,并由受过血管训练的外科医师陪同脊柱外科医生。ALIF是一种有效的翻修手术选择,可用于失败的后路手术,从而导致假关节病等并发症。在我们的样本中,89%的患者接受了后路固定以加强前路融合,生物力学,这是一个成熟的结构。