Comparison of biochemical response between the minimally invasive and standard open posterior lumbar interbody fusion
The mini-invasive open posterior lumbar fusion procedure (mini PLIF) procedure is an alternative to standard open procedure (open PLIF) and is intended to reduce surgery-related trauma. The measuring of suitable biochemical factors enables objective comparison of the invasiveness of spinal surgery p...
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| Veröffentlicht in: | Neurologia i neurochirurgia polska 2016-01, Vol.50 (1), p.16-23 |
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| creator | Linzer, Petr Filip, Michal Jurek, Patrik Šálek, Tomáš Gajdoš, Miroslav Jarkovský, Jiří |
| description | The mini-invasive open posterior lumbar fusion procedure (mini PLIF) procedure is an alternative to standard open procedure (open PLIF) and is intended to reduce surgery-related trauma. The measuring of suitable biochemical factors enables objective comparison of the invasiveness of spinal surgery procedures.
Prospectively collected data on myoglobin, creatine kinase, interleukin-6, C-reactive protein levels and intensity of low back pain and radicular pain in one-level mini PLIF and open PLIF procedures were analysed. The mini PLIF and the open PLIF groups included 27 and 23 patients, respectively. The collection of blood samples and clinical data were performed preoperatively and on postoperative days 1, 3 and 7. The non-paired t-test was used for statistical evaluation.
We did not found any statistically significant differences of myoglobin and creatine kinase levels between the groups. In the open PLIF group the IL-6 levels were significantly higher than in the mini PLIF group on postoperative day 3. CRP levels showed significant lower stress response in favour of the mini PLIF group on postoperative days 3 and 7. Levels of post-op low back pain on day 3 were significantly lower in mini PLIF group. Also intensity of radicular pain on day 1 and 3 were lower also mini PLIF group.
The extent of myonecrosis was comparable in both techniques. The analysis of the IL-6 and CRP levels showed significantly lower systemic inflammatory response in mini PLIF technique. The mini PLIF technique provides transiently lower postoperative pain levels. |
| doi_str_mv | 10.1016/j.pjnns.2015.10.008 |
| format | Article |
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Prospectively collected data on myoglobin, creatine kinase, interleukin-6, C-reactive protein levels and intensity of low back pain and radicular pain in one-level mini PLIF and open PLIF procedures were analysed. The mini PLIF and the open PLIF groups included 27 and 23 patients, respectively. The collection of blood samples and clinical data were performed preoperatively and on postoperative days 1, 3 and 7. The non-paired t-test was used for statistical evaluation.
We did not found any statistically significant differences of myoglobin and creatine kinase levels between the groups. In the open PLIF group the IL-6 levels were significantly higher than in the mini PLIF group on postoperative day 3. CRP levels showed significant lower stress response in favour of the mini PLIF group on postoperative days 3 and 7. Levels of post-op low back pain on day 3 were significantly lower in mini PLIF group. Also intensity of radicular pain on day 1 and 3 were lower also mini PLIF group.
The extent of myonecrosis was comparable in both techniques. The analysis of the IL-6 and CRP levels showed significantly lower systemic inflammatory response in mini PLIF technique. The mini PLIF technique provides transiently lower postoperative pain levels.</description><identifier>ISSN: 0028-3843</identifier><identifier>EISSN: 1897-4260</identifier><identifier>DOI: 10.1016/j.pjnns.2015.10.008</identifier><identifier>PMID: 26851685</identifier><language>eng</language><publisher>Poland: Elsevier Urban & Partner Sp. z o.o</publisher><subject>Back pain ; C-Reactive Protein ; Creatine kinase ; Creatine Kinase - blood ; Female ; Humans ; Interleukin-6 ; Interleukin-6 - blood ; Kinases ; Low Back Pain - blood ; Low Back Pain - physiopathology ; Lumbar interbody fusion ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Minimally invasive approach ; Minimally Invasive Surgical Procedures - methods ; Myoglobin ; Myoglobin - blood ; Outcome Assessment (Health Care) ; Postoperative Complications - blood ; Postoperative Complications - physiopathology ; Spinal Fusion - methods</subject><ispartof>Neurologia i neurochirurgia polska, 2016-01, Vol.50 (1), p.16-23</ispartof><rights>2015 Polish Neurological Society</rights><rights>Copyright © 2015 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.</rights><rights>2016. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-8fb9ddfb911753783a4efbdf4f0c20be202cd565c9c47302743e4963616c32e3</citedby><cites>FETCH-LOGICAL-c502t-8fb9ddfb911753783a4efbdf4f0c20be202cd565c9c47302743e4963616c32e3</cites><orcidid>0000-0003-4421-5647</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26851685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Linzer, Petr</creatorcontrib><creatorcontrib>Filip, Michal</creatorcontrib><creatorcontrib>Jurek, Patrik</creatorcontrib><creatorcontrib>Šálek, Tomáš</creatorcontrib><creatorcontrib>Gajdoš, Miroslav</creatorcontrib><creatorcontrib>Jarkovský, Jiří</creatorcontrib><title>Comparison of biochemical response between the minimally invasive and standard open posterior lumbar interbody fusion</title><title>Neurologia i neurochirurgia polska</title><addtitle>Neurol Neurochir Pol</addtitle><description>The mini-invasive open posterior lumbar fusion procedure (mini PLIF) procedure is an alternative to standard open procedure (open PLIF) and is intended to reduce surgery-related trauma. The measuring of suitable biochemical factors enables objective comparison of the invasiveness of spinal surgery procedures.
Prospectively collected data on myoglobin, creatine kinase, interleukin-6, C-reactive protein levels and intensity of low back pain and radicular pain in one-level mini PLIF and open PLIF procedures were analysed. The mini PLIF and the open PLIF groups included 27 and 23 patients, respectively. The collection of blood samples and clinical data were performed preoperatively and on postoperative days 1, 3 and 7. The non-paired t-test was used for statistical evaluation.
We did not found any statistically significant differences of myoglobin and creatine kinase levels between the groups. In the open PLIF group the IL-6 levels were significantly higher than in the mini PLIF group on postoperative day 3. CRP levels showed significant lower stress response in favour of the mini PLIF group on postoperative days 3 and 7. Levels of post-op low back pain on day 3 were significantly lower in mini PLIF group. Also intensity of radicular pain on day 1 and 3 were lower also mini PLIF group.
The extent of myonecrosis was comparable in both techniques. The analysis of the IL-6 and CRP levels showed significantly lower systemic inflammatory response in mini PLIF technique. The mini PLIF technique provides transiently lower postoperative pain levels.</description><subject>Back pain</subject><subject>C-Reactive Protein</subject><subject>Creatine kinase</subject><subject>Creatine Kinase - blood</subject><subject>Female</subject><subject>Humans</subject><subject>Interleukin-6</subject><subject>Interleukin-6 - blood</subject><subject>Kinases</subject><subject>Low Back Pain - blood</subject><subject>Low Back Pain - physiopathology</subject><subject>Lumbar interbody fusion</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally invasive approach</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Myoglobin</subject><subject>Myoglobin - blood</subject><subject>Outcome Assessment (Health Care)</subject><subject>Postoperative Complications - blood</subject><subject>Postoperative Complications - physiopathology</subject><subject>Spinal Fusion - methods</subject><issn>0028-3843</issn><issn>1897-4260</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1v1DAQQC1ERZfCL0BClrj0ku34I05y4IBWFJAqcendcuyJ6iixg50s2n-Ply0cOHDwWB69mbHmEfKOwZ4BU3fjfhlDyHsOrC6ZPUD7guxY2zWV5Apekh0AbyvRSnFNXuc8Asi6BnhFrrlqa1bOjmyHOC8m-RwDjQPtfbRPOHtrJpowLzFkpD2uPxEDXZ-Qzj742UzTifpwNNkfkZrgaF5LNMnRuBRwiXnF5GOi0zb3JhW2vPvoTnTYso_hDbkazJTx7fN9Qx7vPz8evlYP3798O3x6qGwNfK3aoe-cK4GxphZNK4zEoXeDHMBy6JEDt65Wte2sbATwRgqUnRKKKSs4ihtye2m7pPhjw7zq2WeL02QCxi1r1ijJRCMVFPTDP-gYtxTK5zSXSnLOOyYLJS6UTTHnhINeUllHOmkG-ixFj_q3FH2Wck4WKaXq_XPvrZ_R_a35Y6EAHy8All0cPSadrcdg0fmEdtUu-v8O-AU1baCM</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Linzer, Petr</creator><creator>Filip, Michal</creator><creator>Jurek, Patrik</creator><creator>Šálek, Tomáš</creator><creator>Gajdoš, Miroslav</creator><creator>Jarkovský, Jiří</creator><general>Elsevier Urban & Partner Sp. z o.o</general><general>Wydawnictwo Via Medica</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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4421-5647</orcidid></search><sort><creationdate>20160101</creationdate><title>Comparison of biochemical response between the minimally invasive and standard open posterior lumbar interbody fusion</title><author>Linzer, Petr ; Filip, Michal ; Jurek, Patrik ; Šálek, Tomáš ; Gajdoš, Miroslav ; Jarkovský, Jiří</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-8fb9ddfb911753783a4efbdf4f0c20be202cd565c9c47302743e4963616c32e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Back pain</topic><topic>C-Reactive Protein</topic><topic>Creatine kinase</topic><topic>Creatine Kinase - blood</topic><topic>Female</topic><topic>Humans</topic><topic>Interleukin-6</topic><topic>Interleukin-6 - blood</topic><topic>Kinases</topic><topic>Low Back Pain - blood</topic><topic>Low Back Pain - physiopathology</topic><topic>Lumbar interbody fusion</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally invasive approach</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Myoglobin</topic><topic>Myoglobin - blood</topic><topic>Outcome Assessment (Health Care)</topic><topic>Postoperative Complications - blood</topic><topic>Postoperative Complications - physiopathology</topic><topic>Spinal Fusion - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Linzer, Petr</creatorcontrib><creatorcontrib>Filip, Michal</creatorcontrib><creatorcontrib>Jurek, Patrik</creatorcontrib><creatorcontrib>Šálek, Tomáš</creatorcontrib><creatorcontrib>Gajdoš, Miroslav</creatorcontrib><creatorcontrib>Jarkovský, Jiří</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>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</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>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neurologia i neurochirurgia polska</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Linzer, Petr</au><au>Filip, Michal</au><au>Jurek, Patrik</au><au>Šálek, Tomáš</au><au>Gajdoš, Miroslav</au><au>Jarkovský, Jiří</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of biochemical response between the minimally invasive and standard open posterior lumbar interbody fusion</atitle><jtitle>Neurologia i neurochirurgia polska</jtitle><addtitle>Neurol Neurochir Pol</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>50</volume><issue>1</issue><spage>16</spage><epage>23</epage><pages>16-23</pages><issn>0028-3843</issn><eissn>1897-4260</eissn><abstract>The mini-invasive open posterior lumbar fusion procedure (mini PLIF) procedure is an alternative to standard open procedure (open PLIF) and is intended to reduce surgery-related trauma. The measuring of suitable biochemical factors enables objective comparison of the invasiveness of spinal surgery procedures.
Prospectively collected data on myoglobin, creatine kinase, interleukin-6, C-reactive protein levels and intensity of low back pain and radicular pain in one-level mini PLIF and open PLIF procedures were analysed. The mini PLIF and the open PLIF groups included 27 and 23 patients, respectively. The collection of blood samples and clinical data were performed preoperatively and on postoperative days 1, 3 and 7. The non-paired t-test was used for statistical evaluation.
We did not found any statistically significant differences of myoglobin and creatine kinase levels between the groups. In the open PLIF group the IL-6 levels were significantly higher than in the mini PLIF group on postoperative day 3. CRP levels showed significant lower stress response in favour of the mini PLIF group on postoperative days 3 and 7. Levels of post-op low back pain on day 3 were significantly lower in mini PLIF group. Also intensity of radicular pain on day 1 and 3 were lower also mini PLIF group.
The extent of myonecrosis was comparable in both techniques. The analysis of the IL-6 and CRP levels showed significantly lower systemic inflammatory response in mini PLIF technique. The mini PLIF technique provides transiently lower postoperative pain levels.</abstract><cop>Poland</cop><pub>Elsevier Urban & Partner Sp. z o.o</pub><pmid>26851685</pmid><doi>10.1016/j.pjnns.2015.10.008</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4421-5647</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Back pain C-Reactive Protein Creatine kinase Creatine Kinase - blood Female Humans Interleukin-6 Interleukin-6 - blood Kinases Low Back Pain - blood Low Back Pain - physiopathology Lumbar interbody fusion Lumbar Vertebrae - surgery Male Middle Aged Minimally invasive approach Minimally Invasive Surgical Procedures - methods Myoglobin Myoglobin - blood Outcome Assessment (Health Care) Postoperative Complications - blood Postoperative Complications - physiopathology Spinal Fusion - methods |
| title | Comparison of biochemical response between the minimally invasive and standard open posterior lumbar interbody fusion |
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