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minimally invasive lumbar interbody fusion

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https://www.readbyqxmd.com/read/28435913/a-prospective-clinical-study-comparing-mi-tlif-with-unilateral-versus-bilateral-transpedicular-fixation-in-low-grade-lumbar-spondylolisthesis
#1
José-Antonio Soriano-Sánchez, Javier Quillo-Olvera, Sergio Soriano-Solis, Miroslava-Elizabeth Soriano-Lopez, Claudia-Angélica Covarrubias-Rosas, Javier Quillo-Reséndiz, Carlos-Francisco Gutiérrez-Partida, Manuel Rodríguez-García
BACKGROUND: Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) has become one of the standard techniques for approaching ipsilateral decompression, anterior column fusion, and posterior stabilization. This procedure is usually accompanied by the placement of bilateral transpedicular screws in the corresponding segment. The purpose of this study was to evaluate the clinical efficacy of unilateral screw fixation compared with bilateral fixation in patients diagnosed with low-grade symptomatic lumbar spondylolisthesis who underwent an MI-TLIF technique...
March 2017: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/28419312/minimally-invasive-transforaminal-lumbar-interbody-fusion-meta-analysis-of-the-fusion-rates-what-is-the-optimal-graft-material
#2
Avelino Parajón, Marjan Alimi, Rodrigo Navarro-Ramirez, Paul Christos, Jose M Torres-Campa, Yu Moriguchi, Gernot Lang, Roger Härtl
BACKGROUND: Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is an increasingly popular procedure with several potential advantages over traditional open TLIF. OBJECTIVE: The current study aimed to compare fusion rates of different graft materials used in MIS-TLIF, via meta-analysis of the published literature. METHODS: A Medline search was performed and a database was created including patient's type of graft, clinical outcome, fusion rate, fusion assessment modality, and duration of follow-up...
April 17, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28415055/-risk-factors-for-predicting-the-need-for-additional-surgery-for-symptomatic-adjacent-segment-disease-after-minimally-invasive-surgery-transforaminal-lumbar-interbody-fusion
#3
Kenji Fukaya, Mitsuhiro Hasegawa, Mitsuru Shirato, Takashi Teshima
PURPOSE: To determine the incidence of and risk factors for symptomatic adjacent segment disease(SASD)requiring additional surgery in patients previously treated with minimally invasive surgery-transforaminal lumbar interbody fusion(MIS-TLIF)for degenerative lumbar disease. MATERIALS AND METHODS: A series of 467 consecutive patients who had undergone MIS-TLIF of one or two segments to treat degenerative lumbar disease was identified. The mean age of the patients at the time of the index operation was 67...
April 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/28412563/how-are-patients-influenced-when-counselled-for-minimally-invasive-lumbar-spine-surgeries-a-stepwise-model-assessing-pivotal-information-for-decision-making
#4
Hwee Weng Dennis Hey, Nishant Kumar, Alex Quok An Teo, Kimberly-Anne Tan, Ka-Po Gabriel Liu, Hee-Kit Wong
BACKGROUND CONTEXT: While minimally invasive surgery (MIS) transforaminal lumbar interbody fusion (TLIF) has many evidence-based short-term benefits over open TLIF, both procedures have similar long-term outcomes. Patients' preference for MIS over open TLIF may be confounded by a lack of understanding of what each approach entails. PURPOSE: To identify the various factors influencing patients' choice between MIS and open TLIF. STUDY DESIGN/SETTING: Cross-sectional study conducted at a tertiary healthcare institution PATIENT SAMPLE: Patients, for whom TLIF procedures were indicated, were recruited over a 3-month period from specialist outpatient clinics OUTCOME MEASURES: Patients' choice of surgical approach (MIS or Open) METHODS: All patients were subjected to a stepwise interviewing process, and were asked to select between open and MIS approaches at each step...
April 12, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28412560/comparison-of-minimally-invasive-spine-surgery-using-intraoperative-computed-tomography-integrated-navigation-fluoroscopy-and-conventional-open-surgery-for-lumbar-spondylolisthesis-a-prospective-registry-based-cohort-study
#5
Meng-Huang Wu, Navneet Kumar Dubey, Yen-Yao Li, Ching-Yu Lee, Chin-Chang Cheng, Chung-Sheng Shi, Tsung-Jen Huang
BACKGROUND CONTEXT: Till date, the surgical approaches for the treatment of lumbar spondylolisthesis by transforaminal lumbar interbody fusion (TLIF) using minimally invasive spine surgery assisted with intraoperative CT image-integrated navigation (MISS-iCT), fluoroscopy (MISS-FS) and conventional open surgery (OS) are debatable. PURPOSE: This study compared TLIF using MISS-iCT, MISS-FS and OS for treatment of one-level lumbar spondylolisthesis. STUDY DESIGN: This is a prospective registry-based cohort study which compared surgical approaches for patients who underwent surgical treatment for one-level lumbar spondylolisthesis...
April 12, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28376780/kinematic-characteristics-of-lumbar-spinous-processes-during-axial-rotation-in-patients-with-lumbar-degenerative-disc-disease-lateral-lumbar-interbody-fusion-and-intervention
#6
BaoLiang Zhang, Wenhan Huang, Hong Xia, Xinglong Feng
BACKGROUND: Data about minimally invasive surgery for the treatment of patients with degenerative disc disease (DDD) has been reported. However, no quantitative knowledge about the biomechanical characteristics of the spinous processes in patients with DDD after operation was reported in the literature. METHODS: Fourteen adult patients with DDD at the L3-4 level were recruited and scanned using computed tomography (CT) to construct three-dimensional (3D) anatomical vertebral models of L2-5...
April 4, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28362966/does-mis-surgery-allow-for-shorter-constructs-in-the-surgical-treatment-of-adult-spinal-deformity
#7
Juan S Uribe, Joshua Beckman, Praveen V Mummaneni, David Okonkwo, Pierce Nunley, Michael Y Wang, Gregory M Mundis Jr, Paul Park, Robert Eastlack, Neel Anand, Adam Kanter, Frank Lamarca, Richard Fessler, Chris I Shaffrey, Virginie Lafage, Dean Chou, Vedat Deviren
BACKGROUND: The length of construct can potentially influence perioperative risks in adult spinal deformity (ASD) surgery. A head-to-head comparison between open and minimally invasive surgery (MIS) techniques for treatment of ASD has yet to be performed. OBJECTIVE: To examine the impact of MIS approaches on construct length and clinical outcomes in comparison to traditional open approaches when treating similar ASD profiles. METHODS: Two multicenter databases for ASD, 1 involving MIS procedures and the other open procedures, were propensity matched for clinical and radiographic parameters in this observational study...
March 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28355766/-clinical-outcomes-of-single-level-lumbar-spondylolisthesis-by-minimally-invasive-transforaminal-lumbar-interbody-fusion-with-bilateral-tubular-channels
#8
Z L Zeng, L Jia, Y Yu, W Xu, X Hu, X H Zhan, Y W Jia, J J Wang, L M Cheng
Objective: To evaluate the clinical effectiveness of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for single-level lumbar spondylolisthesis treatment with bilateral Spotlight tubular channels. Methods: A total of 21 patients with lumbar spondylolisthesis whom underwent MIS-TLIF via bilateral Spotlight tubular channels were retrospectively analyzed from October 2014 to November 2015. The 21 patients included 11 males and 10 females ranged from 35 to 82 years (average aged 60.7 years)...
April 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28355744/-clinical-effect-of-minimally-invasive-surgical-transforaminal-lumbar-interbody-fusion-technique-associated-with-percutaneous-pedicle-screws-in-micro-endoscopy-discectomy
#9
J H Dai, H B Lin, X Li, Y Y Wu, H Z Zhang, Z X Yu
Objective: To evaluate the clinical efficacy between the minimally-Invasive surgical (MIS)-transforaminal lumbar interbody fusion (TLIF) technique associated with percutaneous pedicle screws in micro endoscopy discectomyand MIS-TLIF technique associated with both sides of the lower lumbar spine Wiltse approach in Quadrant channel with treatment of single segment herniation associated with lumbar instability syndrome. Methods: From January 2012 to January 2015, 75 cases that meet the inclusion and exclusion criteria were treated by retrospective study method, which were divided into two groups in Department of Orthopedics, the Affiliated Hospital of Putian University...
March 21, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28352340/clinical-efficacy-of-lumbar-interbody-fusion-using-a-channel-system-combined-with-ozone-therapy-for-the-treatment-of-central-type-l3-l4-lumbar-disc-herniation
#10
Yu Wang, Hong Sun, Shuzhen Qin
The clinical efficacy of minimally invasive lumbar interbody fusion via the intervertebral foramen combined with ozone (O3) therapy for the treatment of L3-L4 central-type lumbar disc herniation was explored. We recruited patients with sciatica who attended our hospital between July 2013 and October 2015 and underwent lumbar X-ray (anteroposterior and lateral view), lumbar flexion-extension radiographs, computed tomography, and magnetic resonance imaging after admission. Seventy-four patients with central-type lumbar disc herniation but no other complications were randomly selected and divided into the observation and control groups...
February 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28323239/biomechanical-analysis-of-lateral-interbody-fusion-strategies-for-adjacent-segment-degeneration-in-the-lumbar-spine
#11
Melodie F Metzger, Samuel T Robinson, Ruben C Maldonado, Jeremy Rawlinson, John Liu, Frank L Acosta
BACKGROUND CONTEXT: Surgical treatment of symptomatic adjacent segment disease (ASD) typically involves extension of previous instrumentation to include the newly-affected level(s). Disruption of the incision-site can present challenges and increases the risk of complication. Lateral-based interbody fusion techniques may provide a viable surgical alternative that avoids these risks. This study is the first to analyze the biomechanical effect of adding a lateral-based construct to an existing fusion...
March 17, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28319468/the-impact-of-cage-dimensions-positioning-and-side-of-approach-in-extreme-lateral-interbody-fusion
#12
Marjan Alimi, Gernot Lang, Rodrigo Navarro-Ramirez, Moritz Perrech, Connor Berlin, Christoph P Hofstetter, Yu Moriguchi, Eric Elowitz, Roger Härtl
STUDY DESIGN: This is a retrospective single-center study. OBJECTIVE: The aim of the study was to evaluate the impact of cage characteristics and position toward clinical and radiographic outcome measures in patients undergoing extreme lateral interbody fusion (ELIF). SUMMARY OF BACKGROUND DATA: ELIF is utilized for indirect decompression and minimally invasive surgical treatment for various degenerative spinal disorders. However, evidence regarding the influence of cage characteristics in patient outcome is minimal...
March 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28264244/demineralized-bone-matrix-dbm-as-a-bone-void-filler-in-lumbar-interbody-fusion-a-prospective-pilot-study-of-simultaneous-dbm-and-autologous-bone-grafts
#13
Bum-Joon Kim, Se-Hoon Kim, Haebin Lee, Seung-Hwan Lee, Won-Hyung Kim, Sung-Won Jin
OBJECTIVE: Solid bone fusion is an essential process in spinal stabilization surgery. Recently, as several minimally invasive spinal surgeries have developed, a need of artificial bone substitutes such as demineralized bone matrix (DBM), has arisen. We investigated the in vivo bone growth rate of DBM as a bone void filler compared to a local autologous bone grafts. METHODS: From April 2014 to August 2015, 20 patients with a one or two-level spinal stenosis were included...
March 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28259005/removal-of-fixation-construct-could-mitigate-adjacent-segment-stress-after-lumbosacral-fusion-a-finite-element-analysis
#14
Yueh-Ying Hsieh, Chia-Hsien Chen, Fon-Yih Tsuang, Lien-Chen Wu, Shang-Chih Lin, Chang-Jung Chiang
BACKGROUND DATA: Combined usage of posterior lumbar interbody fusion and transpedicular fixation has been extensively used to treat the various lumbar degenerative disc diseases. The transpedicular fixator aims to increase stability and enhance the fusion rate. However, how the fused disc and bridged vertebrae respectively affect adjacent-segment diseases progression is not yet clear. METHODS: Using a validated lumbosacral finite-element model, three variations at the L4-L5 segment were analyzed: 1) moderate disc degeneration, 2) instrumented with a stand-alone cage and pedicle screw fixators, and 3) with the cage only after fusion...
February 23, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28254672/is-the-use-of-minimally-invasive-fusion-technologies-associated-with-improved-outcomes-after-elective-interbody-lumbar-fusion-analysis-of-a-nationwide-prospective-patient-reported-outcomes-registry
#15
Matthew J McGirt, Scott L Parker, Praveen Mummaneni, John Knightly, Deborah Pfortmiller, Kevin Foley, Anthony L Asher
BACKGROUND CONTEXT: Over the last decade, clinical investigators and biomedical industry groups have used significant resources to develop advanced technologies that enable less invasive spine fusions. These minimally invasive surgery (MIS) technologies often require increased expenditures by hospitals and payers. Although several small single center studies have suggested MIS technologies decrease surgical morbidity and reduce hospital stay, evidence documenting benefit from a patient perspective remains limited...
February 27, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28250249/one-stage-extreme-lateral-interbody-fusion-and-percutaneous-pedicle-screw-fixation-in-lumbar-spine-tuberculosis
#16
Q-Y Wang, M-G Huang, D-Q Ou, Y-C Xu, J-W Dong, H-D Yin, W Chen, L-M Rong
OBJECTIVES: We explored the efficacy of minimal invasive surgery including one-stage debridement and intervertebral fusion through extreme lateral channel (XLIF) combined with lateral or percutaneous posterior pedicle screw fixation for the treatment of lumbar spine tuberculosis. METHODS: Twenty two patients with lumbar tuberculosis who underwent surgery with XLIF technique and internal fixation were included in the study. Their data about operative time, intraoperative blood loss, bone fusion, kyphosis correction, and clinical recovery were retrospectively collected and analyzed...
March 1, 2017: Journal of Musculoskeletal & Neuronal Interactions
https://www.readbyqxmd.com/read/28243378/change-of-lumbar-ligamentum-flavum-after-indirect-decompression-using-anterior-lumbar-interbody-fusion
#17
Seiji Ohtori, Sumihisa Orita, Kazuyo Yamauchi, Yawara Eguchi, Yasuchika Aoki, Junichi Nakamura, Masayuki Miyagi, Miyako Suzuki, Gou Kubota, Kazuhide Inage, Takeshi Sainoh, Jun Sato, Kazuki Fujimoto, Yasuhiro Shiga, Koki Abe, Hiroto Kanamoto, Gen Inoue, Kazuhisa Takahashi, Takeo Furuya, Masao Koda
STUDY DESIGN: Retrospective case series. PURPOSE: The purpose of this study was to examine changes in the ligamentum flavum thickness and remodeling of the spinal canal after anterior fusion during a 10-year follow-up. OVERVIEW OF LITERATURE: Extreme lateral interbody fusion provides minimally invasive treatment of the lumbar spine; this anterior fusion without direct posterior decompression, so-called indirect decompression, can achieve pain relief...
February 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28235698/the-effect-of-anterior-longitudinal-ligament-resection-on-lordosis-correction-during-minimally-invasive-lateral-lumbar-interbody-fusion-biomechanical-and-radiographic-feasibility-of-an-integrated-spacer-plate-interbody-reconstruction-device
#18
Choll Kim, Jonathan A Harris, Aditya Muzumdar, Saif Khalil, Joseph A Sclafani, Kamshad Raiszadeh, Brandon S Bucklen
BACKGROUND: Lateral lumbar interbody fusion is powerful for correcting degenerative conditions, yet sagittal correction remains limited by anterior longitudinal ligament tethering. Although lordosis has been restored via ligament release, biomechanical consequences remain unknown. Investigators examined radiographic and biomechanical of ligament release for restoration of lumbar lordosis. METHODS: Six fresh-frozen human cadaveric spines (L3-S1) were tested: (Miller et al...
February 14, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28229033/an-innovative-use-of-cortoss-bone-cement-to-stabilize-a-nonunion-after-interbody-fusion
#19
Michelle Granville, Robert E Jacobson
A 65-year-old male originally had surgery for spondylolisthesis at L5-S1 in 2008 and then went on to have an L4-5 transforaminal lumbar interbody fusion (TLIF) with pedicle screw fixation from L4 to S1 and interbody graft in 2010. Despite having two surgical procedures, he continued with intractable back pain and was told he had a failed lumbar fusion. When he was evaluated with a computerized tomography (CT) scan from April 2015, it demonstrated an erosive nonunion of the L4-5 interbody fusion without incorporation of the polyetheretherketone (PEEK) cage...
January 20, 2017: Curēus
https://www.readbyqxmd.com/read/28215460/early-experience-with-lateral-lumbar-total-disc-replacement-utility-complications-and-revision-strategies
#20
Gregory M Malham, Rhiannon M Parker
Lumbar total disc replacement (TDR) is an alternative to interbody fusion for the treatment of symptomatic degenerative disc disease. Traditionally, lumbar TDR is performed via an anterior retroperitoneal approach with regional risks of vascular and visceral injury. The direct lateral retroperitoneal, transpsoas approach avoids mobilisation of the great vessels and preserves the anterior longitudinal ligament, thereby maintaining physiological limits on motion. This study aimed to (i) report one site's early experience with lateral lumbar TDR and (ii) provide case examples illustrating the utility, complications and revision strategies of the XL-TDR device...
February 16, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
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