Quality-of-life outcomes with minimally invasive transforaminal lumbar interbody fusion based on long-term analysis of 304 consecutive patients
| Autor: | Mick J. Perez-Cruet, G. Zachary White, Sammy A. Yacob, Robert A. Collins, Daniel K. Fahim, Fadumo M. Adbi, Evan M. Begun, Namath S. Hussain, Girish K. Hiremath |
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| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Time Factors medicine.medical_treatment patient outcomes Lumbar vertebrae Intervertebral Disc Degeneration Outcomes minimally invasive transforaminal Young Adult Quality of life Lumbar interbody fusion medicine Humans Minimally Invasive Surgical Procedures Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Aged Aged 80 and over Lumbar Vertebrae business.industry Follow up studies Middle Aged minimally invasive spine surgery musculoskeletal system Surgery lumbar fusion Clinical trial Radiography lumbar interbody fusion percutaneous pedicle screws medicine.anatomical_structure Spinal Fusion Treatment Outcome Spinal fusion Prospective clinical study Physical therapy Quality of Life Female Neurology (clinical) business Follow-Up Studies |
| Zdroj: | Spine |
| ISSN: | 1528-1159 |
| Popis: | Long-term prospective outcomes in patients undergoing minimally invasive transforaminal lumbar interbody fusion (MITLIF) is not well studied. This article is a prospective clinical study to examine short-/long-term outcomes of 304 patients undergoing MITLIF. There were statistically significant clinical outcomes after MITLIF surgery, including spinal fusion and decreased postoperative complications. Study Design. This was a prospective clinical study that took place in an outpatient spine clinic. Objective. To demonstrate the short-/long-term outcomes from a large cohort of patients undergoing minimally invasive transforaminal lumbar interbody fusion (MITLIF). Summary of Background Data. Long-term prospective outcomes in patients undergoing minimally invasive spinal fusion for debilitating back pain has not been well studied. Methods. Presenting diagnosis was determined from clinical findings and radiographical (radiograph, magnetic resonance image, computed tomographic scan) evaluations preoperatively. Patients were assessed with outcome measures preoperatively, and postoperatively at 2 weeks, 3 months, 6 months, 12 months, 24 months, and annually 2 to 7 years (mean follow-up: 47 mo) final follow-up. The rate of postoperative complications and reoperations at the initial level of MITLIF and adjacent level(s) were followed. Fusion rates were assessed blinded and independently by radiograph. Results. Visual analogue scale scores decreased significantly from 7.0 preoperatively to 3.5 at mean 47-month follow-up. Oswestry Disability Index scores declined from 43.1 preoperatively to 28.2 at mean 47-month follow-up. Short-Form 36 mental component scores increased from 43.8 preoperatively to 49.7 at 47-month follow-up. Short-Form 36 physical component scores increased from 30.6 preoperatively to 39.6 at 47-month follow-up (P < 0.05). Conclusion. This prospectively collected outcomes study shows long-term statistically significant clinical outcomes improvement after MITLIF in patients with clinically symptomatic spondylolisthesis and degenerative disc disease with or without stenosis. MITLIF resulted in a high rate of spinal fusion and very low rate of interbody fusion failure and/or adjacent segment disease requiring reoperation while reducing postoperative complications. Level of Evidence: 3 |
| Databáze: | OpenAIRE |
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