Analysis of risk factors for adjacent superior vertebral pedicle-induced facet joint violation during the minimally invasive surgery transforaminal lumbar interbody fusion: a retrospective study
The purpose was to explore possible risk factors of facet joint violation induced by adjacent superior vertebral pedicle screw during the minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF). A total of 69 patients with lumbar degenerative disease, who underwent MIS-TLIF were...
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| Veröffentlicht in: | European journal of medical research 2015-09, Vol.20 (1), p.80-80, Article 80 |
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| creator | Zeng, Zhi-Li Jia, Long Xu, Wei Yu, Yan Hu, Xiao Jia, Yong-Wei Wang, Jian-Jie Cheng, Li-Ming |
| description | The purpose was to explore possible risk factors of facet joint violation induced by adjacent superior vertebral pedicle screw during the minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF).
A total of 69 patients with lumbar degenerative disease, who underwent MIS-TLIF were retrospectively reviewed. Postoperative computed tomography images were used to assess the facet joint violation. The correlation of facet joint violations with gender, age, body mass index (BMI), the adjacent superior vertebral level, fusion segment numbers, position of screw insertion, straight leg-raising test (SLRT) results, clinical diseases and renal dysfunction were analyzed by Chi-square tests and binary logistic regression analysis.
The incidence of adjacent superior facet joint violations was 25.4 %. Chi-square test showed the patients with age |
| doi_str_mv | 10.1186/s40001-015-0174-9 |
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A total of 69 patients with lumbar degenerative disease, who underwent MIS-TLIF were retrospectively reviewed. Postoperative computed tomography images were used to assess the facet joint violation. The correlation of facet joint violations with gender, age, body mass index (BMI), the adjacent superior vertebral level, fusion segment numbers, position of screw insertion, straight leg-raising test (SLRT) results, clinical diseases and renal dysfunction were analyzed by Chi-square tests and binary logistic regression analysis.
The incidence of adjacent superior facet joint violations was 25.4 %. Chi-square test showed the patients with age <60 and high BMI (≥30 kg/m(2)) were more prone to have facet joint violations (P = 0.007; P = 0.006). The single segment fusion presented more facet joint violations than the double segments fusion (P = 0.048). The vertebral pedicle screw implant location at L5 showed more facet joint violations compared with that at L3 and L4 (P = 0.035). No correlation was found between gender, screw implant position, SLRT results, clinical diseases and renal dysfunction and facet joint violations. Logistic regression analysis revealed that age <60 years (OR: 2.902; 95 % CI 1.227-6.864; P = 0.015) and BMI ≥30 kg/m(2) (OR: 2.825; 95 % CI 1.191-6.700; P = 0.018 < 0.05) were significantly associated with facet joint violation.
These results found a high incidence of adjacent superior vertebral facet joint violation in the MIS-TLIF. Age <60 and BMI ≥30 kg/m(2) might be risk factors of facet joint violation. Evidence level: Level 4.</description><identifier>ISSN: 2047-783X</identifier><identifier>ISSN: 0949-2321</identifier><identifier>EISSN: 2047-783X</identifier><identifier>DOI: 10.1186/s40001-015-0174-9</identifier><identifier>PMID: 26399320</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Body Mass Index ; CT imaging ; Female ; Health aspects ; Humans ; Logistic Models ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures - adverse effects ; Minimally Invasive Surgical Procedures - instrumentation ; Minimally Invasive Surgical Procedures - statistics & numerical data ; Pedicle Screws - adverse effects ; Retrospective Studies ; Risk Factors ; Spinal Fusion - adverse effects ; Spinal Fusion - instrumentation ; Spinal Fusion - methods ; Spinal Fusion - statistics & numerical data ; Surgery ; Tomography, X-Ray Computed ; Zygapophyseal Joint - physiopathology ; Zygapophyseal Joint - surgery</subject><ispartof>European journal of medical research, 2015-09, Vol.20 (1), p.80-80, Article 80</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Zeng et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c661t-6f4d6debaeafc74a87e6d9f3ad8dd0c75fc41943deb627d74c236847b9c141663</citedby><cites>FETCH-LOGICAL-c661t-6f4d6debaeafc74a87e6d9f3ad8dd0c75fc41943deb627d74c236847b9c141663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581410/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581410/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26399320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeng, Zhi-Li</creatorcontrib><creatorcontrib>Jia, Long</creatorcontrib><creatorcontrib>Xu, Wei</creatorcontrib><creatorcontrib>Yu, Yan</creatorcontrib><creatorcontrib>Hu, Xiao</creatorcontrib><creatorcontrib>Jia, Yong-Wei</creatorcontrib><creatorcontrib>Wang, Jian-Jie</creatorcontrib><creatorcontrib>Cheng, Li-Ming</creatorcontrib><title>Analysis of risk factors for adjacent superior vertebral pedicle-induced facet joint violation during the minimally invasive surgery transforaminal lumbar interbody fusion: a retrospective study</title><title>European journal of medical research</title><addtitle>Eur J Med Res</addtitle><description>The purpose was to explore possible risk factors of facet joint violation induced by adjacent superior vertebral pedicle screw during the minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF).
A total of 69 patients with lumbar degenerative disease, who underwent MIS-TLIF were retrospectively reviewed. Postoperative computed tomography images were used to assess the facet joint violation. The correlation of facet joint violations with gender, age, body mass index (BMI), the adjacent superior vertebral level, fusion segment numbers, position of screw insertion, straight leg-raising test (SLRT) results, clinical diseases and renal dysfunction were analyzed by Chi-square tests and binary logistic regression analysis.
The incidence of adjacent superior facet joint violations was 25.4 %. Chi-square test showed the patients with age <60 and high BMI (≥30 kg/m(2)) were more prone to have facet joint violations (P = 0.007; P = 0.006). The single segment fusion presented more facet joint violations than the double segments fusion (P = 0.048). The vertebral pedicle screw implant location at L5 showed more facet joint violations compared with that at L3 and L4 (P = 0.035). No correlation was found between gender, screw implant position, SLRT results, clinical diseases and renal dysfunction and facet joint violations. Logistic regression analysis revealed that age <60 years (OR: 2.902; 95 % CI 1.227-6.864; P = 0.015) and BMI ≥30 kg/m(2) (OR: 2.825; 95 % CI 1.191-6.700; P = 0.018 < 0.05) were significantly associated with facet joint violation.
These results found a high incidence of adjacent superior vertebral facet joint violation in the MIS-TLIF. Age <60 and BMI ≥30 kg/m(2) might be risk factors of facet joint violation. Evidence level: Level 4.</description><subject>Body Mass Index</subject><subject>CT imaging</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - statistics & numerical data</subject><subject>Pedicle Screws - adverse effects</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Spinal Fusion - adverse effects</subject><subject>Spinal Fusion - instrumentation</subject><subject>Spinal Fusion - methods</subject><subject>Spinal Fusion - statistics & numerical data</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Zygapophyseal Joint - physiopathology</subject><subject>Zygapophyseal Joint - surgery</subject><issn>2047-783X</issn><issn>0949-2321</issn><issn>2047-783X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</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><recordid>eNptkt-K1DAUxoso7rLuA3gjAUH2pmvTZpLWC2FY_AcL3ih4F9LkdCZjmoxJOtDX88k83VmXWZEQWtLf953mnK8oXtLqmtKWv02sqipaVnSFW7Cye1Kc1xUTpWibH09P3s-Ky5R2CFe85qLrnhdnNW-6rqmr8-L32is3J5tIGEi06ScZlM4hJjKESJTZKQ0-kzTtIVo8OUDM0EflyB6M1Q5K682kwSw6yGQXLOIHG5zKNnhipmj9huQtkNF6OyrnZmL9QSV7ALSNG4gzyVH5hAUVMmjtprFXEbEMsQ9mJsOU0OwdUSRCjiHtQec7fZ7M_KJ4NiiX4PL-eVF8__jh283n8vbrpy8369tSc05zyQdmuIFegRq0YKoVwE03NMq0xlRarAbNaMcaRHgtjGC6bnjLRN9pyijnzUXx_ui7n_oRzNIX7IPcR7xVnGVQVj7-4u1WbsJBslWLDhUaXN0bxPBrgpTlaJMG55SHMCVJBc4RF11qvf4H3YUpYm8WStT1irPuhNooB9L6IWBdvZjK9erun1nTIHX9HwqXgdHq4GGweP5I8OZEsAXl8jYFNy0DTY9BegQ1ziRFGB6aQSu5hFQeQyoxpHIJqexQ8-q0iw-Kv5Fs_gBvuefp</recordid><startdate>20150924</startdate><enddate>20150924</enddate><creator>Zeng, Zhi-Li</creator><creator>Jia, Long</creator><creator>Xu, Wei</creator><creator>Yu, Yan</creator><creator>Hu, Xiao</creator><creator>Jia, Yong-Wei</creator><creator>Wang, Jian-Jie</creator><creator>Cheng, Li-Ming</creator><general>BioMed Central Ltd</general><general>BioMed Central</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>7X7</scope><scope>7XB</scope><scope>88E</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>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150924</creationdate><title>Analysis of risk factors for adjacent superior vertebral pedicle-induced facet joint violation during the minimally invasive surgery transforaminal lumbar interbody fusion: a retrospective study</title><author>Zeng, Zhi-Li ; Jia, Long ; Xu, Wei ; Yu, Yan ; Hu, Xiao ; Jia, Yong-Wei ; Wang, Jian-Jie ; Cheng, Li-Ming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c661t-6f4d6debaeafc74a87e6d9f3ad8dd0c75fc41943deb627d74c236847b9c141663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Body Mass Index</topic><topic>CT imaging</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - statistics & numerical data</topic><topic>Pedicle Screws - adverse effects</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Spinal Fusion - adverse effects</topic><topic>Spinal Fusion - instrumentation</topic><topic>Spinal Fusion - methods</topic><topic>Spinal Fusion - statistics & numerical data</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Zygapophyseal Joint - physiopathology</topic><topic>Zygapophyseal Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeng, Zhi-Li</creatorcontrib><creatorcontrib>Jia, Long</creatorcontrib><creatorcontrib>Xu, Wei</creatorcontrib><creatorcontrib>Yu, Yan</creatorcontrib><creatorcontrib>Hu, Xiao</creatorcontrib><creatorcontrib>Jia, Yong-Wei</creatorcontrib><creatorcontrib>Wang, Jian-Jie</creatorcontrib><creatorcontrib>Cheng, Li-Ming</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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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 Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content 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><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of medical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeng, Zhi-Li</au><au>Jia, Long</au><au>Xu, Wei</au><au>Yu, Yan</au><au>Hu, Xiao</au><au>Jia, Yong-Wei</au><au>Wang, Jian-Jie</au><au>Cheng, Li-Ming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of risk factors for adjacent superior vertebral pedicle-induced facet joint violation during the minimally invasive surgery transforaminal lumbar interbody fusion: a retrospective study</atitle><jtitle>European journal of medical research</jtitle><addtitle>Eur J Med Res</addtitle><date>2015-09-24</date><risdate>2015</risdate><volume>20</volume><issue>1</issue><spage>80</spage><epage>80</epage><pages>80-80</pages><artnum>80</artnum><issn>2047-783X</issn><issn>0949-2321</issn><eissn>2047-783X</eissn><abstract>The purpose was to explore possible risk factors of facet joint violation induced by adjacent superior vertebral pedicle screw during the minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF).
A total of 69 patients with lumbar degenerative disease, who underwent MIS-TLIF were retrospectively reviewed. Postoperative computed tomography images were used to assess the facet joint violation. The correlation of facet joint violations with gender, age, body mass index (BMI), the adjacent superior vertebral level, fusion segment numbers, position of screw insertion, straight leg-raising test (SLRT) results, clinical diseases and renal dysfunction were analyzed by Chi-square tests and binary logistic regression analysis.
The incidence of adjacent superior facet joint violations was 25.4 %. Chi-square test showed the patients with age <60 and high BMI (≥30 kg/m(2)) were more prone to have facet joint violations (P = 0.007; P = 0.006). The single segment fusion presented more facet joint violations than the double segments fusion (P = 0.048). The vertebral pedicle screw implant location at L5 showed more facet joint violations compared with that at L3 and L4 (P = 0.035). No correlation was found between gender, screw implant position, SLRT results, clinical diseases and renal dysfunction and facet joint violations. Logistic regression analysis revealed that age <60 years (OR: 2.902; 95 % CI 1.227-6.864; P = 0.015) and BMI ≥30 kg/m(2) (OR: 2.825; 95 % CI 1.191-6.700; P = 0.018 < 0.05) were significantly associated with facet joint violation.
These results found a high incidence of adjacent superior vertebral facet joint violation in the MIS-TLIF. Age <60 and BMI ≥30 kg/m(2) might be risk factors of facet joint violation. Evidence level: Level 4.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26399320</pmid><doi>10.1186/s40001-015-0174-9</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Body Mass Index CT imaging Female Health aspects Humans Logistic Models Lumbar Vertebrae - surgery Male Middle Aged Minimally Invasive Surgical Procedures - adverse effects Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - statistics & numerical data Pedicle Screws - adverse effects Retrospective Studies Risk Factors Spinal Fusion - adverse effects Spinal Fusion - instrumentation Spinal Fusion - methods Spinal Fusion - statistics & numerical data Surgery Tomography, X-Ray Computed Zygapophyseal Joint - physiopathology Zygapophyseal Joint - surgery |
| title | Analysis of risk factors for adjacent superior vertebral pedicle-induced facet joint violation during the minimally invasive surgery transforaminal lumbar interbody fusion: a retrospective study |
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