Jian Wang1, Yue Zhou2. 1. Department of Orthopaedic Surgery, Affiliated Xinqiao Hospital, The Third Military Medical University, No.2, Xinqiao St, Shapingba District, Chongqing 400037, China. Electronic address: tonywjxq@yahoo.com.cn. 2. Department of Orthopaedic Surgery, Affiliated Xinqiao Hospital, The Third Military Medical University, No.2, Xinqiao St, Shapingba District, Chongqing 400037, China.
Abstract
BACKGROUND CONTEXT: Minimally invasive transforaminal lumbar fusion (MIS-TLIF) has demonstrated efficacy in the treatment of lumbar degenerative diseases. The reported incidence of perioperative complications associated with MIS-TLIF surgery is highly variable. Studies concerning perioperative complications in broad patient populations are quite rare. This study analyzes a retrospectively collected database of patients who underwent an MIS-TLIF surgery at a single center. PURPOSE: To determine the incidence of perioperaive complications with MIS-TLIF procedure based on our definition of Type I and II perioperative complications. STUDY DESIGN: Retrospective cohort study; a review of complications. PATIENT SAMPLE: The sample comprises 204 patients who underwent MIS-TLIF for the treatment of lumbar degenerative diseases. OUTCOME MEASURES: Type I complication including all medical adverse events without direct connection to the specific surgical procedure performed. Type II complication including adverse events with direct connection to the surgical procedure performed. METHODS: A total of 204 MIS-TLIF surgeries on lumbar instability or spondylolisthesis, performed between June 2007 and July 2012, were examined in a retrospective study. A complication classification based on the relation to the surgical procedure and the effect duration was used. Perioperative complications until 1 month postoperatively were reviewed for the patients. RESULTS: The study group comprised 204 patients (106 women, 98 men; mean age at surgery, 52.4 years; age range, 39-84 years). Overall, there were 75 perioperative complications in 204 patients (36.76%). Only one complication occurred in 54 patients. Nine patients had two complications. One patient had three complications. The incidence of perioperative complication was 31.37% (64/204 patients) in the MIS-TLIF operations. Of all complications, seven (9.33%) were classified as persistent complications and 68 (90.67%) were classified as transient complications. The incidence of Type I and II complications were 13.73% and 23.04%, respectively. CONCLUSIONS: Minimally invasive transforaminal lumbar fusion has gained popularity as a procedure for the treatment of lumbar instability or spondylolisthesis, with similar complications as in the open surgery. Transient sensory disturbance was the most common complication in this series.
BACKGROUND CONTEXT: Minimally invasive transforaminal lumbar fusion (MIS-TLIF) has demonstrated efficacy in the treatment of lumbar degenerative diseases. The reported incidence of perioperative complications associated with MIS-TLIF surgery is highly variable. Studies concerning perioperative complications in broad patient populations are quite rare. This study analyzes a retrospectively collected database of patients who underwent an MIS-TLIF surgery at a single center. PURPOSE: To determine the incidence of perioperaive complications with MIS-TLIF procedure based on our definition of Type I and II perioperative complications. STUDY DESIGN: Retrospective cohort study; a review of complications. PATIENT SAMPLE: The sample comprises 204 patients who underwent MIS-TLIF for the treatment of lumbar degenerative diseases. OUTCOME MEASURES: Type I complication including all medical adverse events without direct connection to the specific surgical procedure performed. Type II complication including adverse events with direct connection to the surgical procedure performed. METHODS: A total of 204 MIS-TLIF surgeries on lumbar instability or spondylolisthesis, performed between June 2007 and July 2012, were examined in a retrospective study. A complication classification based on the relation to the surgical procedure and the effect duration was used. Perioperative complications until 1 month postoperatively were reviewed for the patients. RESULTS: The study group comprised 204 patients (106 women, 98 men; mean age at surgery, 52.4 years; age range, 39-84 years). Overall, there were 75 perioperative complications in 204 patients (36.76%). Only one complication occurred in 54 patients. Nine patients had two complications. One patient had three complications. The incidence of perioperative complication was 31.37% (64/204 patients) in the MIS-TLIF operations. Of all complications, seven (9.33%) were classified as persistent complications and 68 (90.67%) were classified as transient complications. The incidence of Type I and II complications were 13.73% and 23.04%, respectively. CONCLUSIONS: Minimally invasive transforaminal lumbar fusion has gained popularity as a procedure for the treatment of lumbar instability or spondylolisthesis, with similar complications as in the open surgery. Transient sensory disturbance was the most common complication in this series.
Authors: Ankur S Narain; James M Parrish; Nathaniel W Jenkins; Brittany E Haws; Benjamin Khechen; Kelly H Yom; Krishna T Kudaravalli; Jordan A Guntin; Kern Singh Journal: Int J Spine Surg Date: 2020-04-30