The combined use of unilateral pedicle screw and contralateral facet joint screw fixation in transforaminal lumbar interbody fusion
Purpose This paper is to evaluate the efficacy and safety of transforaminal lumbar interbody fusion (TLIF) using unilateral pedicle screws along with contralateral translaminar facet joint screw (UPS+TFS) fixation in comparison with the method using bilateral pedicle screws fixation (BPS) in degener...
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| Veröffentlicht in: | European spine journal 2015-11, Vol.24 (11), p.2607-2613 |
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| creator | Cao, Yuanwu Chen, Zixian Jiang, Chun Wan, Shengcheng Jiang, Xiaoxing Feng, Zhenzhou |
| description | Purpose
This paper is to evaluate the efficacy and safety of transforaminal lumbar interbody fusion (TLIF) using unilateral pedicle screws along with contralateral translaminar facet joint screw (UPS+TFS) fixation in comparison with the method using bilateral pedicle screws fixation (BPS) in degenerative lumbar diseases.
Methods
Forty patients with single-level lumbar diseases were divided into two groups randomly. One group was treated by TLIF with BPS fixation while the other group was treated by the new technique with UPS+TFS fixation. The preoperative and postoperative ODI, JOA, VAPS scores, mean operation time, mean operation blood loss, fusion rate and complications were collected for comparison under two surgical methods. In terms of complications, only two cases of superficial infection in the BPS group and one case of urinary tract infection in the other group was found.
Results
The mean operation time and blood loss was significantly less in UPS+TFS group than in BPS group. The preoperation and postoperative ODI, JOA and VAPS at the intervals of 6 weeks, 3, 6 months and 1 year between the BPS and UPS+TFS group showed no significant disparities. Only one patient in UPS+TFS group was not fused with pseudoarthrosis formation.
Conclusions
The clinical efficacy and safety of TLIF with UPS+TFS fixation were comparable to BPS fixation; however, the soft tissue injury and the corresponding operation cost were reduced with unilateral pedicle screw plus translaminar facet screw fixation. |
| doi_str_mv | 10.1007/s00586-015-4120-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1735922417</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3849704181</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-19aa540b84abe9844061237cd21c256ad2229acbe49b93f7c8c90d60dc9a191e3</originalsourceid><addsrcrecordid>eNqF0U1rFTEUBuAgir1Wf4CbEnDjZvTkYzKTZSl-QcFNXYdMcsbmMpPcJjP0du0fN_XeShGKq7N4n3NCeAl5y-ADA-g-FoC2Vw2wtpGMQ7N_RjZMCt6AFvw52YCW0KiO6RPyqpQtVKhBvSQnXLFOcsE35NfVNVKX5iFE9HQtSNNI1xgmu2C2E92hD25CWlzGW2qjrzguNTnmo3W40G0KcTmaMeztElKkIdIKYxlTtnOIFU_rPNhcg7o7JH9Hx7VU-Zq8GO1U8M1xnpIfnz9dXXxtLr9_-XZxftk4Ce3SMG1tK2HopR1Q91KCYlx0znPmeKus55xr6waUetBi7FzvNHgF3mnLNENxSt4f7u5yulmxLGYOxeE02YhpLYZ1otWcyzr_T3mvOi56Xem7f-g2rbl-94_qeqGAqarYQbmcSsk4ml0Os813hoG5L9McyjS1I3NfptnXnbPj5XWY0f_deGivAn4ApUbxJ-ZHTz959Tc3iavi</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1727836016</pqid></control><display><type>article</type><title>The combined use of unilateral pedicle screw and contralateral facet joint screw fixation in transforaminal lumbar interbody fusion</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Cao, Yuanwu ; Chen, Zixian ; Jiang, Chun ; Wan, Shengcheng ; Jiang, Xiaoxing ; Feng, Zhenzhou</creator><creatorcontrib>Cao, Yuanwu ; Chen, Zixian ; Jiang, Chun ; Wan, Shengcheng ; Jiang, Xiaoxing ; Feng, Zhenzhou</creatorcontrib><description>Purpose
This paper is to evaluate the efficacy and safety of transforaminal lumbar interbody fusion (TLIF) using unilateral pedicle screws along with contralateral translaminar facet joint screw (UPS+TFS) fixation in comparison with the method using bilateral pedicle screws fixation (BPS) in degenerative lumbar diseases.
Methods
Forty patients with single-level lumbar diseases were divided into two groups randomly. One group was treated by TLIF with BPS fixation while the other group was treated by the new technique with UPS+TFS fixation. The preoperative and postoperative ODI, JOA, VAPS scores, mean operation time, mean operation blood loss, fusion rate and complications were collected for comparison under two surgical methods. In terms of complications, only two cases of superficial infection in the BPS group and one case of urinary tract infection in the other group was found.
Results
The mean operation time and blood loss was significantly less in UPS+TFS group than in BPS group. The preoperation and postoperative ODI, JOA and VAPS at the intervals of 6 weeks, 3, 6 months and 1 year between the BPS and UPS+TFS group showed no significant disparities. Only one patient in UPS+TFS group was not fused with pseudoarthrosis formation.
Conclusions
The clinical efficacy and safety of TLIF with UPS+TFS fixation were comparable to BPS fixation; however, the soft tissue injury and the corresponding operation cost were reduced with unilateral pedicle screw plus translaminar facet screw fixation.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-015-4120-x</identifier><identifier>PMID: 26174232</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bone Screws ; Costs and Cost Analysis ; Humans ; Imaging, Three-Dimensional ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - surgery ; Medicine ; Medicine & Public Health ; Neurosurgery ; Operative Time ; Original Article ; Pedicle Screws ; Postoperative Period ; Soft Tissue Injuries - etiology ; Spinal Fusion - adverse effects ; Spinal Fusion - economics ; Spinal Fusion - methods ; Surgical Orthopedics ; Tomography, X-Ray Computed ; Treatment Outcome ; Zygapophyseal Joint - diagnostic imaging ; Zygapophyseal Joint - surgery</subject><ispartof>European spine journal, 2015-11, Vol.24 (11), p.2607-2613</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-19aa540b84abe9844061237cd21c256ad2229acbe49b93f7c8c90d60dc9a191e3</citedby><cites>FETCH-LOGICAL-c405t-19aa540b84abe9844061237cd21c256ad2229acbe49b93f7c8c90d60dc9a191e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-015-4120-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-015-4120-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26174232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cao, Yuanwu</creatorcontrib><creatorcontrib>Chen, Zixian</creatorcontrib><creatorcontrib>Jiang, Chun</creatorcontrib><creatorcontrib>Wan, Shengcheng</creatorcontrib><creatorcontrib>Jiang, Xiaoxing</creatorcontrib><creatorcontrib>Feng, Zhenzhou</creatorcontrib><title>The combined use of unilateral pedicle screw and contralateral facet joint screw fixation in transforaminal lumbar interbody fusion</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
This paper is to evaluate the efficacy and safety of transforaminal lumbar interbody fusion (TLIF) using unilateral pedicle screws along with contralateral translaminar facet joint screw (UPS+TFS) fixation in comparison with the method using bilateral pedicle screws fixation (BPS) in degenerative lumbar diseases.
Methods
Forty patients with single-level lumbar diseases were divided into two groups randomly. One group was treated by TLIF with BPS fixation while the other group was treated by the new technique with UPS+TFS fixation. The preoperative and postoperative ODI, JOA, VAPS scores, mean operation time, mean operation blood loss, fusion rate and complications were collected for comparison under two surgical methods. In terms of complications, only two cases of superficial infection in the BPS group and one case of urinary tract infection in the other group was found.
Results
The mean operation time and blood loss was significantly less in UPS+TFS group than in BPS group. The preoperation and postoperative ODI, JOA and VAPS at the intervals of 6 weeks, 3, 6 months and 1 year between the BPS and UPS+TFS group showed no significant disparities. Only one patient in UPS+TFS group was not fused with pseudoarthrosis formation.
Conclusions
The clinical efficacy and safety of TLIF with UPS+TFS fixation were comparable to BPS fixation; however, the soft tissue injury and the corresponding operation cost were reduced with unilateral pedicle screw plus translaminar facet screw fixation.</description><subject>Bone Screws</subject><subject>Costs and Cost Analysis</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Pedicle Screws</subject><subject>Postoperative Period</subject><subject>Soft Tissue Injuries - etiology</subject><subject>Spinal Fusion - adverse effects</subject><subject>Spinal Fusion - economics</subject><subject>Spinal Fusion - methods</subject><subject>Surgical Orthopedics</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Zygapophyseal Joint - diagnostic imaging</subject><subject>Zygapophyseal Joint - surgery</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqF0U1rFTEUBuAgir1Wf4CbEnDjZvTkYzKTZSl-QcFNXYdMcsbmMpPcJjP0du0fN_XeShGKq7N4n3NCeAl5y-ADA-g-FoC2Vw2wtpGMQ7N_RjZMCt6AFvw52YCW0KiO6RPyqpQtVKhBvSQnXLFOcsE35NfVNVKX5iFE9HQtSNNI1xgmu2C2E92hD25CWlzGW2qjrzguNTnmo3W40G0KcTmaMeztElKkIdIKYxlTtnOIFU_rPNhcg7o7JH9Hx7VU-Zq8GO1U8M1xnpIfnz9dXXxtLr9_-XZxftk4Ce3SMG1tK2HopR1Q91KCYlx0znPmeKus55xr6waUetBi7FzvNHgF3mnLNENxSt4f7u5yulmxLGYOxeE02YhpLYZ1otWcyzr_T3mvOi56Xem7f-g2rbl-94_qeqGAqarYQbmcSsk4ml0Os813hoG5L9McyjS1I3NfptnXnbPj5XWY0f_deGivAn4ApUbxJ-ZHTz959Tc3iavi</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Cao, Yuanwu</creator><creator>Chen, Zixian</creator><creator>Jiang, Chun</creator><creator>Wan, Shengcheng</creator><creator>Jiang, Xiaoxing</creator><creator>Feng, Zhenzhou</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>The combined use of unilateral pedicle screw and contralateral facet joint screw fixation in transforaminal lumbar interbody fusion</title><author>Cao, Yuanwu ; Chen, Zixian ; Jiang, Chun ; Wan, Shengcheng ; Jiang, Xiaoxing ; Feng, Zhenzhou</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-19aa540b84abe9844061237cd21c256ad2229acbe49b93f7c8c90d60dc9a191e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Bone Screws</topic><topic>Costs and Cost Analysis</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Pedicle Screws</topic><topic>Postoperative Period</topic><topic>Soft Tissue Injuries - etiology</topic><topic>Spinal Fusion - adverse effects</topic><topic>Spinal Fusion - economics</topic><topic>Spinal Fusion - methods</topic><topic>Surgical Orthopedics</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Zygapophyseal Joint - diagnostic imaging</topic><topic>Zygapophyseal Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cao, Yuanwu</creatorcontrib><creatorcontrib>Chen, Zixian</creatorcontrib><creatorcontrib>Jiang, Chun</creatorcontrib><creatorcontrib>Wan, Shengcheng</creatorcontrib><creatorcontrib>Jiang, Xiaoxing</creatorcontrib><creatorcontrib>Feng, Zhenzhou</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cao, Yuanwu</au><au>Chen, Zixian</au><au>Jiang, Chun</au><au>Wan, Shengcheng</au><au>Jiang, Xiaoxing</au><au>Feng, Zhenzhou</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The combined use of unilateral pedicle screw and contralateral facet joint screw fixation in transforaminal lumbar interbody fusion</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>24</volume><issue>11</issue><spage>2607</spage><epage>2613</epage><pages>2607-2613</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
This paper is to evaluate the efficacy and safety of transforaminal lumbar interbody fusion (TLIF) using unilateral pedicle screws along with contralateral translaminar facet joint screw (UPS+TFS) fixation in comparison with the method using bilateral pedicle screws fixation (BPS) in degenerative lumbar diseases.
Methods
Forty patients with single-level lumbar diseases were divided into two groups randomly. One group was treated by TLIF with BPS fixation while the other group was treated by the new technique with UPS+TFS fixation. The preoperative and postoperative ODI, JOA, VAPS scores, mean operation time, mean operation blood loss, fusion rate and complications were collected for comparison under two surgical methods. In terms of complications, only two cases of superficial infection in the BPS group and one case of urinary tract infection in the other group was found.
Results
The mean operation time and blood loss was significantly less in UPS+TFS group than in BPS group. The preoperation and postoperative ODI, JOA and VAPS at the intervals of 6 weeks, 3, 6 months and 1 year between the BPS and UPS+TFS group showed no significant disparities. Only one patient in UPS+TFS group was not fused with pseudoarthrosis formation.
Conclusions
The clinical efficacy and safety of TLIF with UPS+TFS fixation were comparable to BPS fixation; however, the soft tissue injury and the corresponding operation cost were reduced with unilateral pedicle screw plus translaminar facet screw fixation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26174232</pmid><doi>10.1007/s00586-015-4120-x</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2015-11, Vol.24 (11), p.2607-2613 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bone Screws Costs and Cost Analysis Humans Imaging, Three-Dimensional Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - surgery Medicine Medicine & Public Health Neurosurgery Operative Time Original Article Pedicle Screws Postoperative Period Soft Tissue Injuries - etiology Spinal Fusion - adverse effects Spinal Fusion - economics Spinal Fusion - methods Surgical Orthopedics Tomography, X-Ray Computed Treatment Outcome Zygapophyseal Joint - diagnostic imaging Zygapophyseal Joint - surgery |
| title | The combined use of unilateral pedicle screw and contralateral facet joint screw fixation in transforaminal lumbar interbody fusion |
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