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https://www.readbyqxmd.com/read/29778600/microendoscopy-assisted-minimally-invasive-versus-open-transforaminal-lumbar-interbody-fusion-for-lumbar-degenerative-diseases-five-year-outcomes
#1
Yang Yang, Zhong-Yu Liu, Liang-Ming Zhang, Mao Pang, Kishor Chhantyal, Wen-Bin Wu, Zi-Hao Chen, Chun-Xiao Luo, Li-Min Rong, Bin Liu, Yang Yang, Zhong-Yu Liu
OBJECTIVE: To evaluate five-year outcomes between microendoscopy-assisted minimally invasive (MIS) and open transforaminal lumbar interbody fusion (TLIF). METHODS: Sixty single-level MIS and open surgeries were performed (30 patients in either group). Perioperative parameters, including operative duration, intraoperative estimated blood loss (EBL) and fluoroscopy time, postoperative analgesic usage and ambulatory time, as well as complications, were recorded. Visual analogue scale (VAS, back and leg), Japanese Orthopaedics Association score (JOA) and Oswestry disability index (ODI) were obtained...
May 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29770280/effect-of-body-mass-index-on-perioperative-outcomes-in-minimally-invasive-oblique-lateral-lumbar-interbody-fusion-versus-open-fusions-a-multivariant-analysis
#2
Hamid Abbasi, Alex Grant
Background Obesity is an increasing public health concern associated with increased perioperative complications and expense in lumbar spine fusions. While open and mini-open fusions such as transforaminal lumbar interbody fusion (TLIF) and minimally invasive TLIF (MIS-TLIF) are more challenging in obese patients, new MIS procedures like oblique lateral lumbar interbody fusion (OLLIF) may improve perioperative outcomes in obese patients relative to TLIF and MIS-TLIF. Purpose The purpose of this study is to determine the effects of obesity on perioperative outcomes in OLLIF, MIS-TLIF, and TLIF...
March 8, 2018: Curēus
https://www.readbyqxmd.com/read/29766939/minimally-invasive-options-for-surgical-management-of-adjacent-segment-disease-of-the-lumbar-spine
#3
Mazda K Turel, Mena G Kerolus, Brian T David, Richard G Fessler
Background: The incidence of adjacent segment disease (ASD) after lumbar spine surgery is a condition that has become increasingly common as the rate of lumbar spine surgery continues to rise. Minimally invasive techniques continue to be refined and offer an opportunity to treat ASD with minimal tissue disruption, lower blood loss, a shorter hospital stay, and decreased morbidity. The aim of this report is to describe the various minimally invasive options for ASD with a comprehensive review of the existing literature...
May 2018: Neurology India
https://www.readbyqxmd.com/read/29755237/the-expandable-transforaminal-lumbar-interbody-fusion-two-years-follow-up
#4
Joseph Gamal Boktor, Rhys D Pockett, Navin Verghese
Study Design: This was a retrospective, observational study. Objectives: We hypothesize that the expandable transforaminal lumbar interbody fusion (TLIF) cage achieves satisfactory clinical outcomes while allowing for safe placement, improvement, and maintenance of foraminal and disc dimensions at 24 months postsurgery with low risk of cage migration, subsidence, and nerve injury. Methods: TLIF with expandable cages was performed in 54 patients (62 levels) over a 24-month-period using open midline or minimally invasive surgery techniques with placement of Globus Caliber, Rise, or Altera expandable cages...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29754188/comparison-of-bilateral-versus-unilateral-decompression-incision-of-minimally-invasive-transforaminal-lumbar-interbody-fusion-in-two-level-degenerative-lumbar-diseases
#5
Yongzhao Zhao, Yanjie Zhu, Hailong Zhang, Chuanfeng Wang, Shisheng He, Guangfei Gu
PURPOSE: To compare the efficacy and safety of two different surgical incisions for minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in the management of two-level degenerative lumbar diseases. METHODS: We conducted a retrospective study of 129 patients, who underwent two-level MIS-TLIF for degenerative lumbar diseases from September 2014 to December 2015. Sixty-two patients underwent MIS-TLIF with unilateral long decompression incision (group A) and 67 patients underwent MIS-TLIF with bilateral short decompression incision (group B)...
May 13, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29746966/a-systematic-review-of-clinical-outcomes-in-surgical-treatment-of-adult-isthmic-spondylolisthesis
#6
REVIEW
Shaya Noorian, Karen Sorensen, Woojin Cho
BACKGROUND CONTEXT: A variety of surgical methods are available for the treatment of adult isthmic spondylolisthesis, but there is no consensus regarding their relative effects on clinical outcomes. PURPOSE: To compare the effects of different surgical techniques on clinical outcomes in adult isthmic spondylolisthesis. DESIGN: Systematic Review PATIENT SAMPLE: A total of 1,538 patients from six randomized clinical trials and nine observational studies comparing different surgical treatments in adult isthmic spondylolisthesis...
May 7, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29738859/analysis-of-a-unilateral-bridging-cage-for-lumbar-interbody-fusion-2-year-clinical-results-and-fusion-rate-with-a-focus-on-subsidence
#7
Nicolas Heinz von der Hoeh, Tomaso Villa, Fabio Galbusera Galbusera, Anna Voelker, Ulrich A Spiegl, Jan-Sven Jarvers, Christoph-Eckhard Heyde
PURPOSE: The aim of this study was to evaluate the biomechanical stability and the clinical and radiographic outcomes of patients undergoing transforaminal lumbar interbody fusion (TLIF) using an oblique bridging cage with a particular focus on subsidence. METHODS: Finite element models (FEMs) were developed to compare the biomechanics of the oblique cage with conventional PLIF and banana-shaped cages with TLIF. Additionally, a retrospective review of a prospective collected database was performed to investigate the clinical and radiological results with a focus on the subsidence rate using an oblique polyetheretherketone (PEEK) cage with a bicortical load-bearing design...
May 5, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29732437/an-awake-minimally-invasive-fully-endoscopic-surgical-technique-for-treating-lumbar-radiculopathy-secondary-to-heterotopic-foraminal-bone-formation-after-a-minimally-invasive-transforaminal-lumbar-interbody-fusion-with-bmp-technical-note
#8
Albert Edward Telfeian
One complication associated with recombinant human bone morphogenetic protein (rhBMP-2) use in minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is heterotopic bone growth at the neural foramen which results in the compression of neural structures. Here we present an awake, minimally invasive surgical approach for treating the radiculopathy that results from this excessive bone growth in the foramen. A 42-year-old male underwent a lumbar 4-sacral 1 MIS-TLIF by another surgeon. He did well in the initial postoperative period, but he began to note right leg pain and numbness in an L5 dermatomal pattern...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732435/rational-decision-making-in-a-wide-scenario-of-different-minimally-invasive-lumbar-interbody-fusion-approaches-and-devices
#9
REVIEW
Luiz Pimenta, Antoine Tohmeh, David Jones, Rodrigo Amaral, Luis Marchi, Leonardo Oliveira, Bruce C Pittman, Hyun Bae
With the proliferation of a variety of modern MIS spine surgery procedures, it is mandatory that the surgeon dominate all aspects involved in surgical indication. The information related to the decision making in patient selection for specific procedures is mandatory for surgical success. The objective of this study is to present decision-making criteria in minimally invasive surgery (MIS) selection for a variety of patients and pathologies. In this article, practicing surgeons who specialize in various MIS approaches for spinal fusion were engaged to provide expert opinion and literature review on decision making criteria for several MIS procedures...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732430/effect-of-interbody-fusion-cage-on-clinical-and-radiological-outcome-of-surgery-in-l4-l5-lumbar-degenerative-spondylolisthesis
#10
Farzad Omidi-Kashani, Reza Jalilian, Farideh Golhasani-Keshtan
Background: Lumbar degenerative spondylolisthesis (LDS) is a degenerative slippage of a lumbar vertebra relative to the adjacent vertebra below that can be clinically symptomatic. We aim to compare radiological and clinical outcome of surgery in L4-L5 LDS with or without applying the interbody fusion cage. Methods: We studied 60 patients (mean age, 51.3±13.2 years; follow-up, 53.3±14.6 months) with L4-L5 LDS who had been treated by decompression, pedicle screw and rod instrumentation associated with posterolateral fusion (PLF) without and with transforaminal lumbar interbody fusion (TLIF) in equally divided groups A and B, respectively...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732419/complications-following-single-level-interbody-fusion-procedures-an-acs-nsqip-study
#11
Jamal N Shillingford, Joseph L Laratta, Joseph M Lombardi, John D Mueller, Meghan Cerpa, Hemant P Reddy, Comron Saifi, Charla R Fischer, Ronald A Lehman
Background: Controversy exists over the ability of various lumbar interbody fusion techniques to realign global and regional balance and their effect on patient outcomes. This is a retrospective cohort study to compare thirty-day postoperative outcomes between anterior and posterior interbody fusion techniques within a large national database. Methods: A retrospective cohort study utilizing the National Surgical Quality Improvement Program (NSQIP) database included 2,372 (29...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29713419/comparison-of-clinical-and-radiologic-results-of-mini-open-transforaminal-lumbar-interbody-fusion-and-extreme-lateral-interbody-fusion-indirect-decompression-for-degenerative-lumbar-spondylolisthesis
#12
Yutaka Kono, Hogaku Gen, Yoshio Sakuma, Yasuhide Koshika
Study Design: Retrospective study. Purpose: In this study, we compared the postoperative outcomes of extreme lateral interbody fusion (XLIF) indirect decompression with that of mini-open transforaminal lumbar interbody fusion (TLIF) in patients with lumbar degenerative spondylolisthesis. Overview of Literature: There are very few reports examining postoperative results of XLIF and minimally invasive TLIF for degenerative lumbar spondylolisthesis, and no reports comparing XLIF and mini-open TLIF...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29713413/comparative-prospective-study-reporting-intraoperative-parameters-pedicle-screw-perforation-and-radiation-exposure-in-navigation-guided-versus-non-navigated-fluoroscopy-assisted-minimal-invasive-transforaminal-lumbar-interbody-fusion
#13
Tarun Dusad, Vishal Kundnani, Shumayou Dutta, Ankit Patel, Gaurav Mehta, Mahendra Singh
Study Design: Prospective cohort study. Purpose: To compare intraoperative parameters, radiation exposure, and pedicle screw perforation rate in navigation-guided versus non-navigated fluoroscopy-assisted minimal invasive transforaminal lumbar interbody fusion (MIS TLIF). Overview of Literature: The poor reliability of fluoroscopy-guided instrumentation and growing concerns about radiation exposure have led to the development of navigation-guided instrumentation techniques in MIS TLIF...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29713406/assessment-of-paraspinal-muscle-atrophy-percentage-after-minimally-invasive-transforaminal-lumbar-interbody-fusion-and-unilateral-instrumentation-using-a-novel-contralateral-intact-muscle-controlled-model
#14
Luis Alberto Ortega-Porcayo, Andres Leal-López, Miroslava Elizabeth Soriano-López, Carlos Francisco Gutiérrez-Partida, Luis Rodolfo Ramírez-Barrios, Sergio Soriano-Solis, Manuel Rodríguez-García, Hector Antonio Soriano-Solis, José Antonio Soriano-Sánchez
Study Design: Retrospective comparative clinical study. Purpose: This study aimed to assess paraspinal muscle atrophy in patients who underwent minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) and unilateral pedicle screw fixation using a novel contralateral intact muscle-controlled model. Overview of Literature: The increased incidence of paravertebral lumbar muscle injuries after open techniques has raised the importance of implementing minimally invasive spine surgical techniques using tubular retractors and minimally invasive screw placement...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29709549/use-of-the-subcutaneous-lumbar-spine-sls-index-as-a-predictor-for-surgical-complications-in-lumbar-spine-surgery
#15
Kylie Shaw, James Chen, William Sheppard, Mohanad Alazzeh, Howard Park, Don Park, A Nick Shamie
BACKGROUND CONTEXT: Lumbar spine surgeries require adequate exposure to visualize key structures and limited exposure can make surgery more technically difficult, thus increasing the potential for complications. Body mass index and body mass distribution have been shown to be associated with worse surgical outcomes. PURPOSE: This study aims to further previous investigations in elucidating the predictive nature of body mass distribution with peri- and post-operative complications in lumbar surgery...
April 27, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29707554/comparison-of-minimally-invasive-and-open-transforaminal-lumbar-interbody-fusion-in-the-treatment-of-single-segmental-lumbar-spondylolisthesis-minimum-two-year-follow-up
#16
Ai-Min Wu, Zhi-Chao Hu, Xiao-Bin Li, Zhen-Hua Feng, Dong Chen, Hui Xu, Qi-Shan Huang, Yan Lin, Xiang-Yang Wang, Kai Zhang, Jie Zhao, Wen-Fei Ni
Background: Compare the efficacy and safety of minimally invasive and open transforaminal lumbar interbody fusion (TLIF) in the treatment of single segmental lumbar spondylolisthesis. Methods: From 2010-01 to 2015-10, in total, 167 patients with single segmental spondylolisthesis treated by TLIF were included, 79 cases in minimally invasive TLIF (MI-TLIF) group and 88 cases in open TLIF group. The peri-operative parameters of operative time, estimated blood loss and length of postoperative hospital stay was recorded, as well as complications...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29707553/minimally-invasive-anterior-lateral-and-oblique-lumbar-interbody-fusion-a-literature-review
#17
REVIEW
David S Xu, Corey T Walker, Jakub Godzik, Jay D Turner, William Smith, Juan S Uribe
Lumbar interbody fusion involves insertion of a structural graft into an intervertebral disc space to promote bony arthrodesis. It is a well-established surgical strategy for multiple spinal disorders ranging from degenerative conditions to trauma, neoplastic diseases, and deformities requiring correction. Since the inception of lumbar interbody fusion, the most established techniques have been two posterior approaches, the posterior lumbar interbody fusion (PLIF) and the transforaminal lumbar interbody fusion (TLIF)...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29705337/cost-effectiveness-of-circumferential-fusion-for-lumbar-spondylolisthesis-propensity-matched-comparison-of-transforaminal-lumbar-interbody-fusion-versus-anterior-posterior-fusion
#18
Ehsan Jazini, Jeffrey L Gum, Steven D Glassman, Charles H Crawford, Mladen Djurasovic, R Kirk Owens, John R Dimar, Katlyn E McGraw, Leah Y Carreon
BACKGROUND CONTEXT: Transforaminal Lumbar Interbody Fusion (TLIF) and dual approach antero-posterior (AP) are common techniques to achieve circumferential fusion for lumbar spondylolisthesis. It is unclear which approach is more cost-effective. PURPOSE: Our goal is to determine the incremental cost-effectiveness ratio (ICER) by calculating the cost per quality-adjusted life year (QALY) for each approach. STUDY DESIGN/SETTING: Propensity matched cost-effectiveness comparison...
April 26, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29705297/effect-of-plif-and-tlif-on-sagittal-spinopelvic-balance-of-patients-with-degenerative-spondylolisthesis
#19
Mustafa Uysal, Metin Ozalay, Alihan Derincek, Alauddin Kochai, Mehmet Turker
OBJECTIVE: The aim of this study was to evaluate the effects of PLIF and TLIF on sagittal spinopelvic balance and to compare radiological results of two surgical procedures with regard to spinopelvic parameters. METHODS: Thirty-five patients (34 female and 1 male; mean age: 52.29 ± 13.08 (range: 35-75)) with degenerative spondylolisthesis cases were included in the study. Patients were divided into two groups according to surgical technique: PLIF and TLIF. The level and the severity of listhesis according to Meyerding classification were assessed and spinopelvic parameters including sacral slope, pelvic tilt, pelvic incidence (PI), lumbar lordosis, and segmental lumbar lordosis were measured on digital X-rays...
April 25, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29702308/unilateral-veral-pedicle-screw-fixation-combined-with-transforaminal-lumbar-interbody-fusion-rsus-bilatefor-the-treatment-of-low-lumbar-degenerative-disc-diseases-analysis-of-clinical-and-radiographic-results
#20
De-Jian Chen, Cong Yao, Quanwei Song, Benyu Tang, Xuqiang Liu, Bin Zhang, Min Dai, Tao Nie, Zongmiao Wan
OBJECTIVE: Our objective was to compare the clinical and radiographic results of unilateral pedicle screw fixation (UPSF) and bilateral pedicle screw fixation (BPSF) after unilateral transforaminal lumbar interbody fusion (TLIF) for the treatment of lumbar degenerative disc diseases (DDD). MATERIALS AND METHODS: 63 patients who underwent UPSF or BPSF combined with unilateral TLIF at L4-L5 or L5-S1 were included in our hospital from 2014-2016. The perioperative outcomes and radiographic results were recorded at preoperative and postoperative follow-up...
April 24, 2018: World Neurosurgery
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