Robot-Guided Transforaminal Versus Robot-Guided Posterior Lumbar Interbody Fusion for Lumbar Degenerative Disease
| Autor: | Bianca Battilana, Victor E. Staartjes, Marc L. Schröder |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment posterior lumbar interbody fusion lcsh:RC346-429 Lumbar Degenerative disease medicine Back pain transforaminal lumbar interbody fusion lcsh:Neurology. Diseases of the nervous system spondylolisthesis robotics business.industry Minimal clinically important difference robot medicine.disease Spondylolisthesis Surgery Oswestry Disability Index Editorial Spinal fusion Propensity score matching spinal fusion Neurology (clinical) medicine.symptom business |
| Zdroj: | Neurospine Neurospine, Vol 18, Iss 1, Pp 98-105 (2021) |
| ISSN: | 2586-6583 |
| Popis: | Objective There have been no clinical studies comparing different robotic techniques. We compare minimally invasive, robot-guided transforaminal lumbar interbody fusion (RG-TLIF) and mini-open robot-guided posterior lumbar interbody fusion (RG-PLIF). Methods Using data from a prospective institutional registry, we identified 38 patients who underwent RG-PLIF. Propensity score matching using a nearest-neighbor algorithm was implemented to select RG-TLIF controls. Twelve-month patient-reported outcome measures are presented. A reduction of ≥ 30% from baseline was defined as the minimum clinically important difference (MCID). Results Among the 76 included patients, there was no difference between RG-TLIF and RG-PLIF in surgical time (132.3 ± 29.4 minutes vs. 156.5 ± 53.0 minutes, p = 0.162), length of stay (55.9 ± 20.0 hours vs. 57.2 ± 18.8 hours, p = 0.683), and radiation dose area product (310.6 ± 126.1 mGy × cm2 vs. 287.9 ± 90.3 mGy × cm2, p = 0.370). However, while there was no difference among the 2 groups in terms of raw postoperative patient-reported outcome measures scores (all p > 0.05), MCID in leg pain was greater for RG-PLIF (55.3% vs. 78.9%, p = 0.028), and MCID in Oswestry Disability Index was greater for RG-TLIF (92.1% vs. 68.4%, p = 0.009). There was no difference concerning back pain (81.6% vs. 68.4%, p = 0.185). Conclusion Our findings suggest that both RG-TLIF and RG-PLIF are viable and equally effective techniques in robotic spine surgery. |
| Databáze: | OpenAIRE |
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