Silviu Sabou1, Roberto Carrasco2,3, Rajat Verma1, Irfan Siddique1, Saeed Mohammad1. 1. Department of Complex Spinal Surgery, Salford Royal Hospital NHS Foundation Trust, Stott Lane, Lancashire, UK. 2. Division of Population Health, Health Services Research & Primary Care, Manchester, UK. 3. Biology, Medicine and Health (BMH), The University of Manchester, Manchester, UK.
Abstract
BACKGROUND: Surgical treatment for adult degenerative scoliosis (ADS) is a complex undertaking and is associated with a high complication rate. Our aim was to evaluate the clinical and radiological outcomes, mortality and morbidity of multilevel posterior lumbar interbody fusion (MPLIF) in the treatment in ADS based on the experience of a single tertiary referral center for spinal surgery. METHODS: We performed a retrospective analysis of prospectively collected data of consecutive patients who had undergone multi-level posterior interbody fusion for degenerative scoliosis. We prospectively recorded patients' demographics, co-morbidities; coronal and sagittal plane deformity assessment and surgical details: number of instrumented levels, and intra-operative and postoperative complications. Functional outcomes and patient-reported complications were entered in our local spine surgery database (part of the Eurospine Spine Tango Registry) and used to collect data on functional scores and patient-reported complications preoperatively and at 6, 12 and 24 months' follow-up. RESULTS: Our study involved 13 males and 51 females with a mean age of 70.26 (range 49-90, SD 8.9). MPLIF was performed at five levels in one patient, four levels in 29 patients, three levels in 20 patients, and two levels in 14 patients. There were a total of 14 (21.87%) major, minor and mechanical complications. There were no procedure-related mortalities. The average COMI and Eq5d scores improved significantly post-surgery, and this improvement was maintained at a mean follow-up of up to two years. CONCLUSIONS: Multilevel posterior interbody fusion is a safe procedure, and in selected cases can result in good clinical and radiological outcomes with improvement in patient quality of life. 2019 Journal of Spine Surgery. All rights reserved.
BACKGROUND: Surgical treatment for adult degenerative scoliosis (ADS) is a complex undertaking and is associated with a high complication rate. Our aim was to evaluate the clinical and radiological outcomes, mortality and morbidity of multilevel posterior lumbar interbody fusion (MPLIF) in the treatment in ADS based on the experience of a single tertiary referral center for spinal surgery. METHODS: We performed a retrospective analysis of prospectively collected data of consecutive patients who had undergone multi-level posterior interbody fusion for degenerative scoliosis. We prospectively recorded patients' demographics, co-morbidities; coronal and sagittal plane deformity assessment and surgical details: number of instrumented levels, and intra-operative and postoperative complications. Functional outcomes and patient-reported complications were entered in our local spine surgery database (part of the Eurospine Spine Tango Registry) and used to collect data on functional scores and patient-reported complications preoperatively and at 6, 12 and 24 months' follow-up. RESULTS: Our study involved 13 males and 51 females with a mean age of 70.26 (range 49-90, SD 8.9). MPLIF was performed at five levels in one patient, four levels in 29 patients, three levels in 20 patients, and two levels in 14 patients. There were a total of 14 (21.87%) major, minor and mechanical complications. There were no procedure-related mortalities. The average COMI and Eq5d scores improved significantly post-surgery, and this improvement was maintained at a mean follow-up of up to two years. CONCLUSIONS: Multilevel posterior interbody fusion is a safe procedure, and in selected cases can result in good clinical and radiological outcomes with improvement in patient quality of life. 2019 Journal of Spine Surgery. All rights reserved.
Authors: Michael G Fehlings; Lindsay Tetreault; Anick Nater; Ted Choma; James Harrop; Tom Mroz; Carlo Santaguida; Justin S Smith Journal: Neurosurgery Date: 2015-10 Impact factor: 4.654
Authors: Samuel K Cho; Keith H Bridwell; Lawrence G Lenke; Jin-Seok Yi; Joshua M Pahys; Lukas P Zebala; Matthew M Kang; Woojin Cho; Christine R Baldus Journal: Spine (Phila Pa 1976) Date: 2012-03-15 Impact factor: 3.468
Authors: Jacob M Buchowski; Keith H Bridwell; Lawrence G Lenke; Craig A Kuhns; Ronald A Lehman; Youngjung J Kim; David Stewart; Chris Baldus Journal: Spine (Phila Pa 1976) Date: 2007-09-15 Impact factor: 3.468
Authors: A F Mannion; F Porchet; F S Kleinstück; F Lattig; D Jeszenszky; V Bartanusz; J Dvorak; D Grob Journal: Eur Spine J Date: 2009-03-19 Impact factor: 3.134
Authors: Justin S Smith; Eric Klineberg; Frank Schwab; Christopher I Shaffrey; Bertrand Moal; Christopher P Ames; Richard Hostin; Kai-Ming G Fu; Douglas Burton; Behrooz Akbarnia; Munish Gupta; Robert Hart; Shay Bess; Virginie Lafage Journal: Spine (Phila Pa 1976) Date: 2013-09-01 Impact factor: 3.468
Authors: Shay Bess; Breton Line; Kai-Ming Fu; Ian McCarthy; Virgine Lafage; Frank Schwab; Christopher Shaffrey; Christopher Ames; Behrooz Akbarnia; Han Jo; Michael Kelly; Douglas Burton; Robert Hart; Eric Klineberg; Khaled Kebaish; Richard Hostin; Gregory Mundis; Praveen Mummaneni; Justin S Smith Journal: Spine (Phila Pa 1976) Date: 2016-02 Impact factor: 3.468