Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery

The aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases. In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and r...

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Veröffentlicht in:Journal of orthopaedic surgery and research 2016-01, Vol.11 (1), p.2-2, Article 2
Hauptverfasser: Hentenaar, B, Spoor, A B, de Waal Malefijt, J, Diekerhof, C H, den Oudsten, B L
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container_issue 1
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container_title Journal of orthopaedic surgery and research
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creator Hentenaar, B
Spoor, A B
de Waal Malefijt, J
Diekerhof, C H
den Oudsten, B L
description The aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases. In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF. The follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount. The MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. It was successful in both groups, but the quality of life and ODI are better in primary cases.
doi_str_mv 10.1186/s13018-015-0337-y
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In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF. The follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount. The MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. 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In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF. The follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount. The MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. It was successful in both groups, but the quality of life and ODI are better in primary cases.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26728013</pmid><doi>10.1186/s13018-015-0337-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Aged
Disability Evaluation
Female
Follow-Up Studies
Fractures
Gender
Hospitalization
Hospitals
Humans
Intervertebral Disc - diagnostic imaging
Intervertebral Disc Displacement - surgery
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Male
Middle Aged
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
Orthopedics
Pain Measurement - methods
Patients
Quality of life
Radiculopathy - etiology
Radiculopathy - surgery
Recurrence
Reoperation - methods
Retrospective Studies
Spinal Fusion - adverse effects
Spinal Fusion - methods
Spine
Spondylolisthesis - surgery
Studies
Surgery
Surgical outcomes
Treatment Outcome
title Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery
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