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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 52 - 58 (7page)
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초록· 키워드
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Study Design: Retrospective case series. Purpose: To compare minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) outcomes in primary and revision surgeries. Overview of Literature: Revision spinal fusion is often associated with an increased risk of approach-related complications. Patients can potentially benefit from the decreased approach-related morbidity associated with MI-TLIF. Methods: Sixty consecutive MI-TLIF patients (20 failed back [Fa group], 40 primary [Pr group]) who underwent surgery between January 2011 and May 2012 were reviewed after Institutional Review Board approval to compare operative times, blood loss, complications, Oswestry Disability Index (ODI) scores, and Visual Analog Scale (VAS) scores for back and leg pain before surgery and at the last follow-up. Results: Nineteen revision surgeries were compared with 36 primary surgeries. One failed back and four primary patients were excluded because of inadequate data. The mean follow-up times were 28 months and 24 months in the Pr and Fa groups, respectively. The mean pre- and postoperative ODI scores were 53.18 and 20.23 in the Pr group and 52.01 and 25.72 in the Fa group, respectively (ODI percentage change: Pr group, 60.36%±29.73%; Fa group, 69.32%±13.72%; p =0.304, not significant). The mean pre- and postoperative VAS scores for back pain were 4.77 and 1.75 in the Pr group and 4.1 and 2.0 in the Fa group, respectively, and the percentage changes were statistically significant (VAS back pain percentage change: Pr group, 48.78±30.91; Fa group, 69.32±13.72; p =0.027). The mean pre- and postoperative VAS scores for leg pain were 6.52 and 1.27 in the Pr group and 9.5 and 1.375 in the Fa group, respectively (VAS leg pain percentage change: Pr group, 81.07±29.39; Fa group, 75.72±15.26; p =0.538, not significant). There were no statistically significant differences in operative time and estimated blood loss and no complications. Conclusions: MI-TLIF outcomes were comparable between primary and revision surgeries. The inherent technique of MI-TLIF is particularly suitable for select failed backs because it exploits the intact paramedian corridor.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Mannion R / 2012 / Spine surgery: minimally invasive spinal surgery: does size matter? / Nat Rev Neurol 8:363~365
Karikari IO / 2010 / Minimally invasive transforaminal lumbar interbody fusion: a review of techniques and outcomes / Spine (Phila Pa 1976) 35(26 Suppl):S294~S301
Tian NF / 2013 / Minimally invasive versus open transforaminal lumbar interbody fusion: a meta-analysis based on the current evidence / Eur Spine J 22:1741~1749
Fritsch EW / 1996 / The failed back surgery syndrome: reasons, intraoperative findings, and longterm results: a report of 182 operative treatments / Spine (Phila Pa 1976) 21:626~633
Lee JC / 2012 / Learning curve and clinical outcomes of minimally invasive transforaminal lumbar interbody fusion: our experience in 86 consecutive cases / Spine (Phila Pa 1976) 37:1548~1557
Karikari IO / 2010 / Minimally invasive transforaminal lumbar interbody fusion: a review of techniques and outcomes / Spine (Phila Pa 1976) 35(26 Suppl):S294~S301
Tian NF / 2013 / Minimally invasive versus open transforaminal lumbar interbody fusion: a meta-analysis based on the current evidence / Eur Spine J 22:1741~1749
Fritsch EW / 1996 / The failed back surgery syndrome: reasons, intraoperative findings, and longterm results: a report of 182 operative treatments / Spine (Phila Pa 1976) 21:626~633
Lee JC / 2012 / Learning curve and clinical outcomes of minimally invasive transforaminal lumbar interbody fusion: our experience in 86 consecutive cases / Spine (Phila Pa 1976) 37:1548~1557
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