uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Clinical and Radiological Comparison between Three Different Minimally Invasive Surgical Fusion Techniques for Single-Level Lumbar Isthmic and Degenerative Spondylolisthesis: Minimally Invasive Surgical Posterolateral Fusion versus Minimally Invasive Surgical Transforaminal Lumbar Interbody Fusion versus Midline Lumbar Fusion
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics. Steel Mem Muroran Hosp, Spine & Spinal Cord Ctr, Muroran, Hokkaido, Japan;Tanta Univ, Fac Med, Dept Orthoped Surg, Tanta, Egypt.
Steel Mem Muroran Hosp, Spine & Spinal Cord Ctr, Muroran, Hokkaido, Japan.
Tanta Univ, Fac Med, Dept Orthoped Surg, Tanta, Egypt.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics.ORCID iD: 0000-0002-2724-6372
Show others and affiliations
2018 (English)In: Asian Spine Journal, ISSN 1976-1902, E-ISSN 1976-7846, Vol. 12, no 5, p. 870-879Article in journal (Refereed) Published
Abstract [en]

Study Design: Retrospective cohort study.

Purpose: Comparison between three different minimally invasive surgical (MIS) fusion techniques for single-level lumbar spondylolisthesis.

Overview of Literature: There has been an increase in the development and utilization of MIS techniques for lumbar spine fusion. No study has compared the efficacy of MIS-posterolateral fusion (MIS-PLF), MIS-transforaminal lumbar interbody fusion (MIS-TLIF), and midline lumbar fusion (MIDLF) with modified cortical bone trajectory screws for lumbar spondylolisthesis.

Methods: Fifty-nine patients with single-level lumbar spondylolisthesis and a minimum follow-up period of 1 year were included in this study. The MIS-PLF, MIS-TLIF, and MIDLF groups included 22, 15, and 22 patients, respectively. The average age of the groups was 70.6, 49.3, and 62.7 years, respectively. The evaluation parameters were operation time, intraoperative bleeding, serum C-reactive protein (CAP) value, creatine kinase (CK) value, and overall functional outcome as per the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) score. The changes in the lumbar lordosis angle (LLA), segmental disc angle (SDA), and disc height were measured. Fusion rate, screw loosening, and loss of correction were also assessed.

Results: MIDLF showed a significantly shorter operation time (111 min), less bleeding amount (112.5 mL), and lower values of CRP and CK than the other two techniques. There was no significant difference in the JOABPEQ scores of the three groups. MIDLF resulted in a greater increase in the LLA and SDA postoperatively. MIDLF and MIS-TLIF resulted in a significant increase in the middle disc height compared with MIS-PLF. MIDLF showed a lower loss of correction after 6 months postoperatively (2.6%) than MIS-PLF (5.2%) and MIS-TLIF (4.2%). The fusion rate was 100% in the MIDLF and MIS-TLIF groups and 90% in the MIS-PLF group. Screw loosening occurred in 10% of the MIS-PLF cases, 7.14% of the MIS-TLIF cases, and 4.76% of the MIDLF cases.

Conclusions: MIDLF was the least invasive, and there was no significant difference between the three groups in terms of fusion, screw loosening, and clinical outcomes.

Place, publisher, year, edition, pages
KOREAN SOC SPINE SURGERY , 2018. Vol. 12, no 5, p. 870-879
Keywords [en]
Thoracolumbar spine, Isthmic and degenerative spondylolisthesis, Minimally invasive spine surgery, Midline lumbar fusion, Modified cortical bone trajectory screw
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:uu:diva-365286DOI: 10.31616/asj.2018.12.5.870ISI: 000444276300012PubMedID: 30213170OAI: oai:DiVA.org:uu-365286DiVA, id: diva2:1263154
Available from: 2018-11-14 Created: 2018-11-14 Last updated: 2018-11-14Bibliographically approved

Open Access in DiVA

fulltext(2246 kB)70 downloads
File information
File name FULLTEXT01.pdfFile size 2246 kBChecksum SHA-512
fc81e30f4b91fb5aab51cba0d033b3339bb3ab6399d10b605f643f1fcd57c412ef5314aabcc648e3362a8797b5f64badc67e891d27a2364f9ef6d5af5fea1b9d
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Elmekaty, MohamedRobinson, Yohan

Search in DiVA

By author/editor
Elmekaty, MohamedRobinson, Yohan
By organisation
Orthopaedics
In the same journal
Asian Spine Journal
Orthopaedics

Search outside of DiVA

GoogleGoogle Scholar
Total: 70 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 70 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf