Literature DB >> 29322311

Minimally invasive transforaminal lumbar interbody fusion with unilateral pedicle screw fixation (UNILIF): morbidity, clinical and radiological 2-year outcomes of a 66-patient prospective series.

H Giorgi1, R Prebet2, R Andriantsimiavona3, P Tropiano4, B Blondel4, H F Parent2.   

Abstract

PURPOSE: To assess clinical and radiological outcomes at 2-year follow-up of one-level minimally invasive transforaminal interbody fusion with unilateral pedicle screw fixation (UNILIF) in the treatment of stable lumbar degenerative diseases.
METHODS: From January 1, 2012 to January 31, 2013, we prospectively collected clinical and radiological data on patients with stable degenerative lumbar disease managed by UNILIF in a single institution. Preoperatively and at 2 years, we recorded ODI, SF-12, Quebec and VAS. Interbody fusion was analyzed on radiography and on a CT scan, and sagittal balance was tested on full spine radiography.
RESULTS: Mean operation time was 74.5 min ± 16.8, mean blood loss was 130.8 ml ± 210.9. At 2 years, ODI, SF-12, Quebec and VAS were significantly improved (p > 0.005).The fusion rate was 96.8% on radiographic analysis and was 87.9% on CT scan analysis.
CONCLUSIONS: One-level UNILIF constitutes an effective alternative for management of stable lumbar degenerative diseases. These slides can be retrieved under Electronic Supplementary Material.

Entities:  

Keywords:  Minimally invasive transforaminal lumbar interbody fusion; Prospective study; Stable lumbar degenerative diseases; Unilateral pedicle screw fixation

Mesh:

Year:  2018        PMID: 29322311     DOI: 10.1007/s00586-017-5452-5

Source DB:  PubMed          Journal:  Eur Spine J        ISSN: 0940-6719            Impact factor:   3.134


  25 in total

1.  Biomechanical analysis of posterior fixation techniques in a 360 degrees arthrodesis model.

Authors:  Douglas Burton; Terence McIff; Tyler Fox; Richard Lark; Marc A Asher; R Chris Glattes
Journal:  Spine (Phila Pa 1976)       Date:  2005-12-15       Impact factor: 3.468

2.  Less invasive posterior fixation method following transforaminal lumbar interbody fusion: a biomechanical analysis.

Authors:  Andrew V Slucky; Darrel S Brodke; Kent N Bachus; John A Droge; John T Braun
Journal:  Spine J       Date:  2006 Jan-Feb       Impact factor: 4.166

3.  Long-term durability of minimal invasive posterior transforaminal lumbar interbody fusion: a clinical and radiographic follow-up.

Authors:  David Rouben; Michael Casnellie; Michael Ferguson
Journal:  J Spinal Disord Tech       Date:  2011-07

4.  Comparison of lumbar interbody fusion performed with unilateral or bilateral pedicle screw.

Authors:  Lu Mao; Guang-Dong Chen; Xiao-Min Xu; Zhe Guo; Hui-Lin Yang
Journal:  Orthopedics       Date:  2013-04       Impact factor: 1.390

5.  Minimally invasive surgery compared to open spinal fusion for the treatment of degenerative lumbar spine pathologies.

Authors:  Ralph J Mobbs; Praveenan Sivabalan; Jane Li
Journal:  J Clin Neurosci       Date:  2012-03-28       Impact factor: 1.961

6.  Paramedian approach for transforaminal lumbar interbody fusion with unilateral pedicle screw fixation. Technical note and preliminary report on 47 cases.

Authors:  Jonathan Tuttle; Ahmed Shakir; Haroon Fiaz Choudhri
Journal:  Neurosurg Focus       Date:  2006-03-15       Impact factor: 4.047

Review 7.  Comparative outcomes of minimally invasive surgery for posterior lumbar fusion: a systematic review.

Authors:  Christina L Goldstein; Kevin Macwan; Kala Sundararajan; Y Raja Rampersaud
Journal:  Clin Orthop Relat Res       Date:  2014-06       Impact factor: 4.176

8.  Comparison of minimally invasive fusion and instrumentation versus open surgery for severe stenotic spondylolisthesis with high-grade facet joint osteoarthritis.

Authors:  Eleftherios Archavlis; Mario Carvi y Nievas
Journal:  Eur Spine J       Date:  2013-03-12       Impact factor: 3.134

9.  Transforaminal lumbar interbody fusion: the effect of various instrumentation techniques on the flexibility of the lumbar spine.

Authors:  Basil M Harris; Alan S Hilibrand; Paul E Savas; Anthony Pellegrino; Alexander R Vaccaro; Sorin Siegler; Todd J Albert
Journal:  Spine (Phila Pa 1976)       Date:  2004-02-15       Impact factor: 3.468

10.  Unilateral lumbar fusion.

Authors:  M F Hambly; L L Wiltse; R D Peek; P P DiMartino; H E Darakjian
Journal:  Spine (Phila Pa 1976)       Date:  1991-06       Impact factor: 3.468

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