PittsburghV1, Main, Exploration, bibRecord, 000305

Stand-alone minimally invasive lateral lumbar interbody fusion: multicenter clinical outcomes.

Identifieur interne : 000305 ( Main/Exploration ); précédent : 000304; suivant : 000306

Stand-alone minimally invasive lateral lumbar interbody fusion: multicenter clinical outcomes.

Auteurs : Amir Ahmadian [États-Unis] ; Konrad Bach [États-Unis] ; Bryan Bolinger [États-Unis] ; Gregory M. Malham [Australie] ; David O. Okonkwo [États-Unis] ; Adam S. Kanter [États-Unis] ; Juan S. Uribe [États-Unis]

Source :

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [ 1532-2653 ] ; 2015.

RBID : pubmed:25684343

Descripteurs français

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Female, Humans, Intervertebral Disc Degeneration (surgery), Length of Stay, Lumbar Vertebrae (surgery), Male, Middle Aged, Minimally Invasive Surgical Procedures (methods), Pain Measurement, Quality of Life, Reoperation, Retrospective Studies, Scoliosis (surgery), Spinal Fusion (methods), Spondylolisthesis (surgery), Surveys and Questionnaires, Treatment Outcome.
MESH :
- methods : Minimally Invasive Surgical Procedures, Spinal Fusion.
- surgery : Intervertebral Disc Degeneration, Lumbar Vertebrae, Scoliosis, Spondylolisthesis.
- Adult, Aged, Aged, 80 and over, Female, Humans, Length of Stay, Male, Middle Aged, Pain Measurement, Quality of Life, Reoperation, Retrospective Studies, Surveys and Questionnaires, Treatment Outcome.

Abstract

Stand-alone minimally invasive lateral transpsoas interbody fusion (MIS-LIF), without posterior instrumentation, is feasible because the technique does not necessitate the disruption of the stabilizing elements. The objectives of this study are to evaluate the efficacy and clinical outcomes of patients who underwent stand-alone lateral interbody fusion. A multicenter chart review was conducted to identify patients who underwent stand-alone MIS-LIF between 2008 and 2012. Patients were classified by spinal pathology (degenerative disc disease [DDD], spondylolisthesis [SL] and adult degenerative scoliosis [ADS]). Routine clinical follow-up was scheduled at 3, 6, and12 months. Outcome measures included hospital length of stay, fusion rates, neurologic complications, integrity of construct and clinical outcome questionnaires (Visual Analog Scale [VAS] and Oswestry Disability Index [ODI]). A total of 59 patients met the inclusion criteria. The average age was 60 years (range 31-86 years). Spinal pathologies treated were DDD in 37 (63%), SL in four (7%) and ADS in 18 (30%) patients. Fusion rate was 93% of patients (95% of levels) at 12 months. Two patients required re-operation. Mean hospital stay and follow-up were 3.3days (range 1-10) and 14.6 months, respectively. The mean preoperative VAS and ODI were 69.1 and 51.8, respectively. VAS improved to 37.8 (p<0.0005). ODI improved to 31.8 (p<0.0005). Seventy percent of patients had grade 0 subsidence while 30% had grade I and grade II subsidence. Stand-alone MIS-LIF is viable option in a carefully selected patient population for both single and multilevel disease and shows significant improvement in health related quality of life.

DOI: 10.1016/j.jocn.2014.08.036
PubMed: 25684343

Affiliations:

Le document en format XML

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<term>Intervertebral Disc Degeneration (surgery)</term>
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<term>Dégénérescence de disque intervertébral ()</term>
<term>Enquêtes et questionnaires</term>
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<term>Humains</term>
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<term>Spinal Fusion</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Intervertebral Disc Degeneration</term>
<term>Lumbar Vertebrae</term>
<term>Scoliosis</term>
<term>Spondylolisthesis</term>
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<term>Reoperation</term>
<term>Retrospective Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Arthrodèse vertébrale</term>
<term>Durée du séjour</term>
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<front><div type="abstract" xml:lang="en">Stand-alone minimally invasive lateral transpsoas interbody fusion (MIS-LIF), without posterior instrumentation, is feasible because the technique does not necessitate the disruption of the stabilizing elements. The objectives of this study are to evaluate the efficacy and clinical outcomes of patients who underwent stand-alone lateral interbody fusion. A multicenter chart review was conducted to identify patients who underwent stand-alone MIS-LIF between 2008 and 2012. Patients were classified by spinal pathology (degenerative disc disease [DDD], spondylolisthesis [SL] and adult degenerative scoliosis [ADS]). Routine clinical follow-up was scheduled at 3, 6, and12 months. Outcome measures included hospital length of stay, fusion rates, neurologic complications, integrity of construct and clinical outcome questionnaires (Visual Analog Scale [VAS] and Oswestry Disability Index [ODI]). A total of 59 patients met the inclusion criteria. The average age was 60 years (range 31-86 years). Spinal pathologies treated were DDD in 37 (63%), SL in four (7%) and ADS in 18 (30%) patients. Fusion rate was 93% of patients (95% of levels) at 12 months. Two patients required re-operation. Mean hospital stay and follow-up were 3.3days (range 1-10) and 14.6 months, respectively. The mean preoperative VAS and ODI were 69.1 and 51.8, respectively. VAS improved to 37.8 (p<0.0005). ODI improved to 31.8 (p<0.0005). Seventy percent of patients had grade 0 subsidence while 30% had grade I and grade II subsidence. Stand-alone MIS-LIF is viable option in a carefully selected patient population for both single and multilevel disease and shows significant improvement in health related quality of life.</div>
</front>
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Stand-alone minimally invasive lateral lumbar interbody fusion: multicenter clinical outcomes.

Stand-alone minimally invasive lateral lumbar interbody fusion: multicenter clinical outcomes.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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