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Journal of Neurology and Neurorehabilitation Research | Volume 4

September 03-04, 2019 | London, UK

Spine and Spinal Disorders

4

th

International Conference on

J Neurol Neurorehabil Res, Volume 4

L

umbar Spine Degenerative Disorders with radiculopathy is

an increasingly common pathology in the World, and the

most common indication for spinal surgery in patients older

than 65 years. Conservative therapies are often successful

although about 20% of the patients may require surgical

decompression. The conventional surgical technique of

decompressive laminectomy and foraminotomy and fusion

with pedicular screws and lumbar interbody fusion is a

successful procedure, but carries significant risk of surgical

morbidity and complications, specially muscle atrophy and

denervation and chronic low back pain. In this scenario,

the extreme lateral and the anterior interbody fusion

(XLIF and ALIF) techniques allows direct access to the disc

space with minimal tissue destruction and no disruption of

posterior paraspinal musculature, facilitating indirect spinal

decompression, with promising results. Nevertheless, there

are several aspects of these procedures that have to be

studied, and the areas covered in this lecture are: anatomical

understandings of the anterior and lateral approach, safety

andoutcomesstudiedsofarandcostsofthenewtechnologies.

Speaker Biography

Gibran Franzoni Rufca has completed his degree in Medicine and

Neurosurgery from the School of Medicine of São José do Rio Preto. He

lives in the State of São Paulo and my main institution is the Hospital Santa

Casa de Ourinhos, where his team and I provide neurosurgical treatments,

mainly for the pathologies of the vertebral column. He is currently doing

his master's degree student in the Post-Graduation Program of the

University of São Paulo - Campus Botucatu; working in the research of pain

and minimally invasive surgeries of the spine, under the coordination of

Prof. Dr. Flávio Ramalho Romero.

e:

gibran.rufca@gmail.com

Gibran Franzoni Rufca

Hospital Santa Casa de Ourinhos, Brazil

Novelties in XLIF and ALIF as minimally invasive treatments for

Lumbar Spine Degenerative Disorders