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minimally invasive spine

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https://www.readbyqxmd.com/read/29788356/return-to-duty-rates-following-minimally-invasive-spine-surgery-performed-on-active-duty-military-patients-in-an-ambulatory-surgery-center
#1
Elder Granger, Stefan Prada, Zoltan Bereczki, Michael Weiss, Chip Wade, Reginald Davis
Background: Low back pain is a primary health care utilization driver in the US population. Health care evaluation visits for low back pain are as common as medical evaluation for the common cold. Low back pain is the most common reason for reductions in activities of daily living and work activity in the general population. Although these statistics are compelling, in the military population, there is arguably a significantly greater economic impact on the military population, as the cost to train, retain, and deploy a service member is a tremendous cost...
May 21, 2018: Military Medicine
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/29767314/minimally-invasive-reduction-and-percutaneous-posterior-fixation-of-one-level-traumatic-thoraco-lumbar-and-lumbar-spine-fractures
#3
Marco Tinelli, Friederike Töpfer, Michael Kreinest, Stefan Matschke, Paul A Grützner, Arnold J Suda
INTRODUCTION: Although open procedures are the gold standard, the alternative approach of minimal invasive reduction using percutaneous screws for thoracic and lumbar spine fractures is under discussion. Aim of this study was to investigate the results of reduction and the accuracy of screw placement in minimally invasive percutaneous posterior instrumentation for these fractures. MATERIALS AND METHODS: One hundred and twenty-seven patients with thoraco-lumbar and lumbar burst fractures and minimal invasive dorsal instrumentation were analyzed retrospectively in terms of the accuracy of pedicle screw placement and results of fracture reduction...
May 16, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29766939/minimally-invasive-options-for-surgical-management-of-adjacent-segment-disease-of-the-lumbar-spine
#4
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/29752555/minimally-invasive-surgery-procedure-in-isthmic-spondylolisthesis
#5
Francesco Ciro Tamburrelli, Maria Concetta Meluzio, Aaron Burrofato, Andrea Perna, Luca Proietti
PURPOSE: The aim of the study was to evaluate the efficacy and safety of the direct lateral approach to the lumbar spine in the treatment of painful isthmic spondylolisthesis in adults. METHODS: Twenty-one patients affected by isthmic spondylolisthesis and treated with extreme lateral interbody fusion and posterior percutaneous pedicle screw fixation were enrolled. All included patients were clinically evaluated with Oswestry Disability Index, SF36 and Visual Scale Anatomy (VAS) for back pain at 1, 3 months and at 1 year...
May 11, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29736802/management-of-aortic-injury-during-minimally-invasive-lateral-lumbar-interbody-fusion
#6
REVIEW
Michael M Safaee, Devin Zarkowsky, Charles M Eichler, Murat Pekmezci, Aaron J Clark
PURPOSE: Minimally invasive lateral approaches to the lumbar spine allow for interbody fusion with good visualization of the disk space, minimal blood loss, and decreased length of stay. Major neurologic, vascular, and visceral complications are rare with this approach; however, the steps in management for severe vascular injuries are not well defined. We present a case report of aortic injury during lateral interbody fusion and discuss the use of endovascular repair. METHODS: This study is a case report of an intraoperative aortic injury...
May 7, 2018: European Spine Journal
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
#7
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
#8
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/29732434/minimally-invasive-spinal-surgery-for-trauma-a-narrative-review
#9
REVIEW
Dolin Bhagawati, Dimpu Dwijen Bhagawati
Over the past decade there has been a revolution in availability for minimally invasive techniques for the fixation of spinal fractures. In this narrative review we aimed to take a comprehensive look at these developments and their results from the Atlas to the Sacrum establishing the current evidence base for percutaneous fixation at each level of the spine.
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732433/bowel-injury-in-lumbar-spine-surgery-a-review-of-the-literature
#10
REVIEW
Ioannis Siasios, Kunal Vakharia, Asham Khan, Joshua E Meyers, Samantha Yavorek, John Pollina, Vassilios Dimopoulos
Although rarely documented in the medical literature, bowel perforation injury can be a severe complication of spine surgery. Our goal was to review current literature regarding this complication and study possible methods of avoidance. We conducted a literature search in the PubMed database between January 1960 and March 2016 using the terms abrasion, bowels, bowel, complication, injury, intestine, intra-abdominal sepsis/shock, perforation, lumbar, spine, surgery, visceral. Diagnostic criteria, outcomes, risk factors, surgical approach, and treatment strategy were the parameters extracted from the search results and used for review...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732417/perioperative-care-for-lumbar-microdiscectomy-a-survey-of-australasian-neurosurgeons
#11
Christopher D Daly, Kai Zheong Lim, Peter Ghosh, Tony Goldschlager
Background: Lumbar microdiscectomy is the most commonly performed spine surgery procedure. Over time it has evolved to a minimally invasive procedure. Traditionally patients were advised to restrict activity following lumbar spine surgery. However, post-operative instructions are heterogeneous. The purpose of this report is to assess, by survey, the perioperative care practices of Australasian neurosurgeons in the minimally invasive era. Methods: A survey was conducted by email invitation sent to all full members of the Neurosurgical Society of Australasia (NSA)...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29727270/pedicle-distraction-increases-intervertebral-and-spinal-canal-area-in-a-cadaver-and-bone-model
#12
Matthew Hughes, Nikolaos Papadakos, Tim Bishop, Jason Bernard
INTRODUCTION: Lumbar spinal stenosis is degenerative narrowing of the spinal canal and/or intervertebral foramen causing compression of the spinal cord and nerve roots. Traditional decompression techniques can often cause significant trauma and vertebral instability. This paper evaluates a method of increasing pedicle length to decompress the spinal and intervertebral foramen, which could be done minimally invasive. METHODS: Three Sawbone (Sawbones Europe, Sweden) and 1 cadaveric lumbar spine underwent bilateral pedicle distraction at L4...
2018: SICOT-J
https://www.readbyqxmd.com/read/29721356/accuracy-of-percutaneous-pedicle-screw-insertion-in-spinal-fixation-of-traumatic-thoracic-and-lumbar-spine-fractures
#13
Tamer Orief, Mohammad Alfawareh, Mohammad Halawani, Walid Attia, Khaled Almusrea
Background: Percutaneous insertion of pedicle screws was developed as a minimally invasive alternative to the different open spinal procedures. Here, we determined the accuracy of percutaneous pedicle screw insertion. Methods: For 60 consecutive patients with thoracic/lumbar spine fractures, computed tomography (CT) studies were utilized to assess the accuracy of percutaneous pedicle screw positioning. A screw was identified as cortical encroachment if the pedicle cortex could not be visualized, while Frank penetration was defined if screw trajectory being located obviously outside the pedicle boundaries [e...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29718425/incisional-hernia-after-minimally-invasive-lateral-retroperitoneal-surgery-case-series-and-review-of-the-literature
#14
Andrew C Vivas, Jacob Januszewski, Luv Hajirawala, Jason M Paluzzi, Shashank V Gandhi, Juan S Uribe
BACKGROUND: Minimally invasive lateral retroperitoneal (lateral-MIS) approaches to the spine involve traversing the lateral abdominal wall musculature and fascia. Incisional hernia is an uncommon approach-related complication. OBJECTIVE: To review the incidence, treatment, and preventative measures of incisional hernia after lateral-MIS approaches. METHODS: This is a retrospective review of cases performed by a single surgeon from 2011 to 2016...
April 27, 2018: Operative Neurosurgery (Hagerstown, Md.)
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
#15
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/29712516/assessment-of-cost-drivers-and-cost-variation-for-lumbar-interbody-fusion-procedures-using-the-value-driven-outcomes-database
#16
Spencer Twitchell, Michael Karsy, Jared Reese, Jian Guan, William T Couldwell, Andrew Dailey, Erica F Bisson
OBJECTIVE Efforts to examine the value of care-combining both costs and quality-are gaining importance in the current health care climate. This thrust is particularly evident in treating common spinal disease where both incidences and costs are generally high and practice patterns are variable. It is often challenging to obtain direct surgical costs for these analyses, which hinders the understanding of cost drivers and cost variation. Using a novel tool, the authors sought to understand the costs of posterior lumbar arthrodesis with interbody devices...
May 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29707558/limitations-and-complications-of-minimally-invasive-spinal-surgery-in-adult-deformity
#17
Jacob Januszewski, Andrew C Vivas, Juan S Uribe
Minimally invasive spine (MIS) surgery has rapidly progressed from simple short segment fusions to large adult deformity corrections, with radiographic and clinical outcomes as good as those of open surgery. Anterior longitudinal ligament release (ALLR) and anterior column realignment (ACR) have been key advancements in the ability to correct deformity using MIS techniques. However, patient selection and appropriate preoperative workup is critical to obtain good outcomes and for complication avoidance. Despite favorable outcomes in spinal deformity surgery, MIS techniques are limited in (I) pronounced cervical or thoracic deformity; (II) patients with prior fusion mass; and (III) severe sagittal imbalance necessitating Schwab 5 osteotomy or higher...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29707557/prepsoas-oblique-lateral-lumbar-interbody-fusion-in-deformity-surgery
#18
Catherine Miller, Puneet Gulati, Deepak Bandlish, Dean Chou, Praveen V Mummaneni
Interbody fusions are routinely used in deformity surgery to achieve both coronal and sagittal correction and attain increased fusion rates. Minimally invasive interbody techniques, including the prepsoas approach, are being utilized to decrease tissue disruption, blood loss, and patient morbidity with similar outcomes compared to traditional surgery. The prepsoas oblique lateral interbody fusion, accesses the spine between the iliac arteries or aorta and psoas muscle, and allows for exposure of the lumbar spine while avoiding some complications commonly seen with a direct lateral approach...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29707553/minimally-invasive-anterior-lateral-and-oblique-lumbar-interbody-fusion-a-literature-review
#19
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/29707552/minimally-invasive-versus-conventional-spine-surgery-for-vertebral-metastases-a-systematic-review-of-the-evidence
#20
REVIEW
Zach Pennington, A Karim Ahmed, Camilo A Molina, Jeffrey Ehresman, Ilya Laufer, Daniel M Sciubba
One of the major determinants of surgical candidacy in patients with symptomatic spinal metastases is the ability of the patient to tolerate the procedure-associated morbidity. In other pathologies, minimally invasive (MIS) procedures have been suggested to have lower intra-operative morbidity while providing similar outcomes. We conducted a systematic review of the PubMed library searching for articles that directly compared the operative and post-operative outcomes of patients treated for symptomatic spinal metastases...
March 2018: Annals of Translational Medicine
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