A prospective clinical study comparing MI-TLIF with unilateral versus bilateral transpedicular fixation in low grade lumbar spondylolisthesis

Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) has become one of the standard techniques for approaching ipsilateral decompression, anterior column fusion, and posterior stabilization. This procedure is usually accompanied by the placement of bilateral transpedicular screws in t...

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Veröffentlicht in:Journal of spine surgery (Hong Kong) 2017-03, Vol.3 (1), p.16-22
Hauptverfasser: Soriano-Sánchez, José-Antonio, Quillo-Olvera, Javier, Soriano-Solis, Sergio, Soriano-Lopez, Miroslava-Elizabeth, Covarrubias-Rosas, Claudia-Angélica, Quillo-Reséndiz, Javier, Gutiérrez-Partida, Carlos-Francisco, Rodríguez-García, Manuel
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container_title Journal of spine surgery (Hong Kong)
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creator Soriano-Sánchez, José-Antonio
Quillo-Olvera, Javier
Soriano-Solis, Sergio
Soriano-Lopez, Miroslava-Elizabeth
Covarrubias-Rosas, Claudia-Angélica
Quillo-Reséndiz, Javier
Gutiérrez-Partida, Carlos-Francisco
Rodríguez-García, Manuel
description Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) has become one of the standard techniques for approaching ipsilateral decompression, anterior column fusion, and posterior stabilization. This procedure is usually accompanied by the placement of bilateral transpedicular screws in the corresponding segment. The purpose of this study was to evaluate the clinical efficacy of unilateral screw fixation compared with bilateral fixation in patients diagnosed with low-grade symptomatic lumbar spondylolisthesis who underwent an MI-TLIF technique. A prospective and comparative study was performed in 67 patients with grade 1 symptomatic lumbar spondylolisthesis. The sample was allocated on both unilateral fixation group (n=33) and bilateral fixation group (n=34). Clinical outcomes were evaluated using Oswestry Disability Index (ODI), visual analogue scale (VAS) for leg and back pain, and Short Form 36 Health Survey (SF-36), preoperatively, and at 1, 3, 6, and 12 months postoperatively. Changes over time and differences between the groups were analyzed. Statistical analyses included: Friedman test, Student's -test and Mann-Whitney's U. A two-tailed P value of
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This procedure is usually accompanied by the placement of bilateral transpedicular screws in the corresponding segment. The purpose of this study was to evaluate the clinical efficacy of unilateral screw fixation compared with bilateral fixation in patients diagnosed with low-grade symptomatic lumbar spondylolisthesis who underwent an MI-TLIF technique. A prospective and comparative study was performed in 67 patients with grade 1 symptomatic lumbar spondylolisthesis. The sample was allocated on both unilateral fixation group (n=33) and bilateral fixation group (n=34). Clinical outcomes were evaluated using Oswestry Disability Index (ODI), visual analogue scale (VAS) for leg and back pain, and Short Form 36 Health Survey (SF-36), preoperatively, and at 1, 3, 6, and 12 months postoperatively. Changes over time and differences between the groups were analyzed. Statistical analyses included: Friedman test, Student's -test and Mann-Whitney's U. A two-tailed P value of &lt;0.05 was considered significant. During 1-year of evaluation there were no significant clinical differences between both groups. Patients with grade 1 symptomatic lumbar spondylolisthesis treated with MI-TLIF with unilateral screw fixation had similar clinical results than those treated with bilateral fixation at 12 months postoperatively.</description><identifier>ISSN: 2414-469X</identifier><identifier>EISSN: 2414-4630</identifier><identifier>DOI: 10.21037/jss.2017.03.04</identifier><identifier>PMID: 28435913</identifier><language>eng</language><publisher>China: AME Publishing Company</publisher><subject>Original Study</subject><ispartof>Journal of spine surgery (Hong Kong), 2017-03, Vol.3 (1), p.16-22</ispartof><rights>2017 Journal of Spine Surgery. 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This procedure is usually accompanied by the placement of bilateral transpedicular screws in the corresponding segment. The purpose of this study was to evaluate the clinical efficacy of unilateral screw fixation compared with bilateral fixation in patients diagnosed with low-grade symptomatic lumbar spondylolisthesis who underwent an MI-TLIF technique. A prospective and comparative study was performed in 67 patients with grade 1 symptomatic lumbar spondylolisthesis. The sample was allocated on both unilateral fixation group (n=33) and bilateral fixation group (n=34). Clinical outcomes were evaluated using Oswestry Disability Index (ODI), visual analogue scale (VAS) for leg and back pain, and Short Form 36 Health Survey (SF-36), preoperatively, and at 1, 3, 6, and 12 months postoperatively. Changes over time and differences between the groups were analyzed. Statistical analyses included: Friedman test, Student's -test and Mann-Whitney's U. 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title A prospective clinical study comparing MI-TLIF with unilateral versus bilateral transpedicular fixation in low grade lumbar spondylolisthesis
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