UNASSIGNED: The purpose of this study was to evaluate our initial experience utilizing extreme lateral interbody fusion (XLIF; NuVasive, San Diego, CA, USA) with percutaneous posterior instrumentation to treat 11 @entity1512 @entity1 between January 2011 and February 2014. Although medical management is the first line treatment for @entity1512 , many patients fail antibiotic therapy and bracing, or present with instability, @entity51 , or @entity295 , requiring operative debridement and stabilization. High rates of fusion and @entity281 clearance have been reported with anterior lumbar interbody fusion (ALIF), but this approach requires a morbid exposure, associated with non-trivial rates of vascular and peritoneal complications. XLIF is an increasingly popular interbody fusion technique which utilizes a fast and minimally invasive approach, sparing the anterior longitudinal ligament, and allowing sufficient visualization of the intervertebral discs and bodies to debride and place a large, lordotic cage. The outcome measures for this study included lumbar @entity1515 , sagittal balance, subsidence, fusion, @entity158 , @entity51 , and microbiology/laboratory evidence of @entity281 . The mean follow-up time was 9.3months. All @entity1 had improvements in @entity16 . The mean @entity1515 change was 11.0  , from 23.1   preoperatively to 34.0   postoperatively. Fusion was confirmed with CT scans in five of six @entity1 . At the last follow-up, all @entity1 had normalization of inflammatory markers, no symptoms of @entity281 , and none required repeat surgical treatment for @entity1512 . XLIF with percutaneous posterior instrumentation is a minimally invasive technique with reduced morbidity for lumbar spine fusion which affords adequate exposure to the vertebral bodies and discs to aggressively debride necrotic and infected tissue. This study suggests that XLIF may be a safe and effective alternative to ALIF for the treatment of @entity1512 .

Extreme lateral interbody fusion with posterior instrumentation for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity1512 :: ('MESH:D015299', 'Disease') :: ['spondylodiscitis'] @entity16 :: ('MESH:D009422', 'Disease') :: ['pain and neurological symptoms'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurologic deficits', 'neurological deficit'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1515 :: ('MESH:D008141', 'Disease') :: ['lordosis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity1512 :: (MESH:D015299,Disease) :: ['spondylodiscitis']
