Stand-alone minimally invasive lateral lumbar interbody fusion: multicenter clinical outcomes.
Identifieur interne : 000374 ( PubMed/Curation ); précédent : 000373; suivant : 000375Stand-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.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Arthrodèse vertébrale (), Durée du séjour, Dégénérescence de disque intervertébral (), Enquêtes et questionnaires, Femelle, Humains, Interventions chirurgicales mini-invasives (), Mesure de la douleur, Mâle, Qualité de vie, Réintervention, Résultat thérapeutique, Scoliose (), Spondylolisthésis (), Sujet âgé, Sujet âgé de 80 ans ou plus, Vertèbres lombales (), Études rétrospectives.
- MESH :
- Adulte, Adulte d'âge moyen, Arthrodèse vertébrale, Durée du séjour, Dégénérescence de disque intervertébral, Enquêtes et questionnaires, Femelle, Humains, Interventions chirurgicales mini-invasives, Mesure de la douleur, Mâle, Qualité de vie, Réintervention, Résultat thérapeutique, Scoliose, Spondylolisthésis, Sujet âgé, Sujet âgé de 80 ans ou plus, Vertèbres lombales, Études rétrospectives.
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
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Uribe</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, University of South Florida, 2 Tampa General Circle, University of South Florida Health, 7th Floor, Tampa, FL 33606, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of South Florida, 2 Tampa General Circle, University of South Florida Health, 7th Floor, Tampa, FL 33606</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia</title><idno type="eISSN">1532-2653</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Intervertebral Disc Degeneration (surgery)</term><term>Length of Stay</term><term>Lumbar Vertebrae (surgery)</term><term>Male</term><term>Middle Aged</term><term>Minimally Invasive Surgical Procedures (methods)</term><term>Pain Measurement</term><term>Quality of Life</term><term>Reoperation</term><term>Retrospective Studies</term><term>Scoliosis (surgery)</term><term>Spinal Fusion (methods)</term><term>Spondylolisthesis (surgery)</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Arthrodèse vertébrale ()</term><term>Durée du séjour</term><term>Dégénérescence de disque intervertébral ()</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Interventions chirurgicales mini-invasives ()</term><term>Mesure de la douleur</term><term>Mâle</term><term>Qualité de vie</term><term>Réintervention</term><term>Résultat thérapeutique</term><term>Scoliose ()</term><term>Spondylolisthésis ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Vertèbres lombales ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Minimally Invasive Surgical Procedures</term><term>Spinal Fusion</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Intervertebral Disc Degeneration</term><term>Lumbar Vertebrae</term><term>Scoliosis</term><term>Spondylolisthesis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Length of Stay</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term><term>Quality of Life</term><term>Reoperation</term><term>Retrospective Studies</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Arthrodèse vertébrale</term><term>Durée du séjour</term><term>Dégénérescence de disque intervertébral</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Interventions chirurgicales mini-invasives</term><term>Mesure de la douleur</term><term>Mâle</term><term>Qualité de vie</term><term>Réintervention</term><term>Résultat thérapeutique</term><term>Scoliose</term><term>Spondylolisthésis</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Vertèbres lombales</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><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></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25684343</PMID><DateCreated><Year>2015</Year><Month>03</Month><Day>27</Day></DateCreated><DateCompleted><Year>2016</Year><Month>04</Month><Day>21</Day></DateCompleted><DateRevised><Year>2015</Year><Month>03</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2653</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia</Title><ISOAbbreviation>J Clin Neurosci</ISOAbbreviation></Journal><ArticleTitle>Stand-alone minimally invasive lateral lumbar interbody fusion: multicenter clinical outcomes.</ArticleTitle><Pagination><MedlinePgn>740-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jocn.2014.08.036</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0967-5868(14)00635-3</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ahmadian</LastName><ForeName>Amir</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, University of South Florida, 2 Tampa General Circle, University of South Florida Health, 7th Floor, Tampa, FL 33606, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bach</LastName><ForeName>Konrad</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, University of South Florida, 2 Tampa General Circle, University of South Florida Health, 7th Floor, Tampa, FL 33606, USA. Electronic address: konrad.bach@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bolinger</LastName><ForeName>Bryan</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, University of Pittsburgh, Pittsburg, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Malham</LastName><ForeName>Gregory M</ForeName><Initials>GM</Initials><AffiliationInfo><Affiliation>Neuroscience Institute, Epworth Hospital, Bridge Road, Melbourne, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Okonkwo</LastName><ForeName>David O</ForeName><Initials>DO</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, University of Pittsburgh, Pittsburg, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kanter</LastName><ForeName>Adam S</ForeName><Initials>AS</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, University of Pittsburgh, Pittsburg, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Uribe</LastName><ForeName>Juan S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, University of South Florida, 2 Tampa General Circle, University of South Florida Health, 7th Floor, Tampa, FL 33606, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>11</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>J Clin Neurosci</MedlineTA><NlmUniqueID>9433352</NlmUniqueID><ISSNLinking>0967-5868</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055959" MajorTopicYN="N">Intervertebral Disc Degeneration</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008159" MajorTopicYN="N">Lumbar Vertebrae</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019060" MajorTopicYN="N">Minimally Invasive Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012086" MajorTopicYN="N">Reoperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012600" MajorTopicYN="N">Scoliosis</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013123" MajorTopicYN="N">Spinal Fusion</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013168" MajorTopicYN="N">Spondylolisthesis</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adult spinal deformity</Keyword><Keyword MajorTopicYN="N">Degenerative disc disease</Keyword><Keyword MajorTopicYN="N">Degenerative scoliosis</Keyword><Keyword MajorTopicYN="N">Interbody fusion</Keyword><Keyword MajorTopicYN="N">Minimally invasive</Keyword><Keyword MajorTopicYN="N">Spondylolisthesis</Keyword><Keyword MajorTopicYN="N">Stand-alone</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>07</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>08</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>2</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>2</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>4</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25684343</ArticleId><ArticleId IdType="pii">S0967-5868(14)00635-3</ArticleId><ArticleId IdType="doi">10.1016/j.jocn.2014.08.036</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix 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