Yuanwu Cao1, Zixian Chen1, Chun Jiang1, Shengcheng Wan1, Xiaoxing Jiang2, Zhenzhou Feng3. 1. Department of Orthopaedics, Zhongshan Hospital, Fudan University, 180 Fenglin road, Xuhui district, Shanghai, China. 2. Department of Orthopaedics, Zhongshan Hospital, Fudan University, 180 Fenglin road, Xuhui district, Shanghai, China. c13817264291@sina.com.cn. 3. Department of Orthopaedics, Zhongshan Hospital, Fudan University, 180 Fenglin road, Xuhui district, Shanghai, China. minimalcountry@sina.com.cn.
Abstract
PURPOSE: This paper is to evaluate the efficacy and safety of transforaminal lumbar interbody fusion (TLIF) using unilateral pedicle screws along with contralateral translaminar facet joint screw (UPS+TFS) fixation in comparison with the method using bilateral pedicle screws fixation (BPS) in degenerative lumbar diseases. METHODS:Forty patients with single-level lumbar diseases were divided into two groups randomly. One group was treated by TLIF with BPS fixation while the other group was treated by the new technique with UPS+TFS fixation. The preoperative and postoperative ODI, JOA, VAPS scores, mean operation time, mean operation blood loss, fusion rate and complications were collected for comparison under two surgical methods. In terms of complications, only two cases of superficial infection in the BPS group and one case of urinary tract infection in the other group was found. RESULTS: The mean operation time and blood loss was significantly less in UPS+TFS group than in BPS group. The preoperation and postoperative ODI, JOA and VAPS at the intervals of 6 weeks, 3, 6 months and 1 year between the BPS and UPS+TFS group showed no significant disparities. Only one patient in UPS+TFS group was not fused with pseudoarthrosis formation. CONCLUSIONS: The clinical efficacy and safety of TLIF with UPS+TFS fixation were comparable to BPS fixation; however, the soft tissue injury and the corresponding operation cost were reduced with unilateral pedicle screw plus translaminar facet screw fixation.
RCT Entities:
PURPOSE: This paper is to evaluate the efficacy and safety of transforaminal lumbar interbody fusion (TLIF) using unilateral pedicle screws along with contralateral translaminar facet joint screw (UPS+TFS) fixation in comparison with the method using bilateral pedicle screws fixation (BPS) in degenerative lumbar diseases. METHODS: Forty patients with single-level lumbar diseases were divided into two groups randomly. One group was treated by TLIF with BPS fixation while the other group was treated by the new technique with UPS+TFS fixation. The preoperative and postoperative ODI, JOA, VAPS scores, mean operation time, mean operation blood loss, fusion rate and complications were collected for comparison under two surgical methods. In terms of complications, only two cases of superficial infection in the BPS group and one case of urinary tract infection in the other group was found. RESULTS: The mean operation time and blood loss was significantly less in UPS+TFS group than in BPS group. The preoperation and postoperative ODI, JOA and VAPS at the intervals of 6 weeks, 3, 6 months and 1 year between the BPS and UPS+TFS group showed no significant disparities. Only one patient in UPS+TFS group was not fused with pseudoarthrosis formation. CONCLUSIONS: The clinical efficacy and safety of TLIF with UPS+TFS fixation were comparable to BPS fixation; however, the soft tissue injury and the corresponding operation cost were reduced with unilateral pedicle screw plus translaminar facet screw fixation.
Authors: Frank Kandziora; Philip Schleicher; Matti Scholz; Robert Pflugmacher; Tanja Eindorf; Norbert P Haas; Paul W Pavlov Journal: Spine (Phila Pa 1976) Date: 2005-01-15 Impact factor: 3.468
Authors: Philipp Schleicher; Paavo Beth; Andreas Ottenbacher; Robert Pflugmacher; Matti Scholz; Klaus John Schnake; Norbert P Haas; Frank Kandziora Journal: J Neurosurg Spine Date: 2008-10
Authors: Ripul Panchal; Ryan Denhaese; Clint Hill; K Brandon Strenge; Alexandre DE Moura; Peter Passias; Paul Arnold; Andrew Cappuccino; M David Dennis; Andy Kranenburg; Brieta Ventimiglia; Kim Martin; Chris Ferry; Sarah Martineck; Camille Moore; Kee Kim Journal: Int J Spine Surg Date: 2018-08-03