Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study
| Autor: | Andrei Andreevich Kalinin, Vadim A. Byvaltsev, Valerii V Shepelev, Yurii Ya Pestryakov, Morgan B. Giers, Mikhail Yu Biryuchkov |
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| Rok vydání: | 2021 |
| Předmět: |
Facet (geometry)
Medicine (General) Clinical Biochemistry degenerative diseases artifacts Single Center Article Multifidus muscle 03 medical and health sciences 0302 clinical medicine Atrophy R5-920 minimally invasive decompression and stabilization Medicine magnetic resonance imaging Fixation (histology) 030222 orthopedics medicine.diagnostic_test business.industry lumbar spine transforaminal interbody fusion open transpedicular fixation postoperative imaging Magnetic resonance imaging medicine.disease Muscle atrophy Implant medicine.symptom business Nuclear medicine 030217 neurology & neurosurgery |
| Zdroj: | Diagnostics Diagnostics, Vol 11, Iss 906, p 906 (2021) Diagnostics; Volume 11; Issue 5; Pages: 906 |
| ISSN: | 2075-4418 |
| Popis: | Analysis of magnetic resonance image (MRI) quality after open (Op)-transforaminal interbody fusion (TLIF) and minimally invasive (MI)-TLIF with the implantation of structurally different systems has not previously been performed. The objective of this study was to conduct a comparative analysis of the postoperative MRI following MI and Op one-segment TLIF. Material and Methods: The nonrandomized retrospective single-center study included 80 patients (46 men and 24 women) aged 48 + 14.2 years. In group I (n = 20) Op-TLIF with open transpedicular screw fixation (TSF) was performed, in II group (n = 60), the MI-TLIF technique was used: IIa (n = 20)—rigid interspinous stabilizer; IIb (n = 20)—unilateral TSF and contralateral facet fixation; IIc (n = 20)—bilateral TSF. Results: Comparison of the quality of postoperative imaging in IIa and IIb subgroups showed fewer MRI artifacts and a significantly greater MR deterioration after Op and MI TSF. Comparison of the multifidus muscle area showed less atrophy after MI-TLIF and significantly greater atrophy after Op-TLIF. Conclusion: MI-TLIF and Op-TLIF with TSF have comparable postoperative MR artifacts at the operative level, with a greater degree of muscle atrophy using the Op-TLIF. Rigid interspinous implant and unilateral TSF with contralateral facet fixation have less artifacts and changes in the multifidus muscle area. |
| Databáze: | OpenAIRE |
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