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Clinical role of crosslink augmentation during short-segment posterior lumbar interbody fusion with total facetectomy: A propensity score-matched analysis – Lumbar Fusion

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This article retrospectively reviewed 376 patients who underwent posterior lumbar interbody fusion (PLIF) with unilateral or bilateral total facetectomy to investigate the clinical role of crosslink augmentation. The patients were divided into two groups based on whether a crosslink was used or not. Radiological outcomes, including fusion status and implant failure rates, as well as patient-reported outcome measures were assessed. Surgical complications were also evaluated. After propensity score matching, there were 56 pairs with and without a crosslink. It was found that there were no significant differences in fusion status, screw loosening, cage subsidence, cage dislodgement, patient-reported outcomes, or surgical complications between the two groups. Therefore, the study concluded that crosslink augmentation during PLIF with total facetectomy is not recommended as it does not provide any clinical or radiological benefit and results in avoidable expenses

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Published article

We investigated the clinical role of crosslink augmentation during PLIF with total facetectomy. We retrospectively reviewed 376 patients who underwent one- or two-segment PLIF with unilateral or bilateral total facetectomy between January 2017 and March 2022. The patients were categorized into two groups based on whether a crosslink was instrumented or not. Radiological outcome measurements included fusion status and implant failure rates on 12-month postoperative computed tomography….

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J Clin Neurosci. 2024 Jan 6;120:48-54. doi: 10.1016/j.jocn.2023.12.023. Online ahead of print.ABSTRACTWe investigated the clinical role of crosslink augmentation during PLIF with total facetectomy. We retrospectively reviewed 376 patients who underwent one- or two-segment PLIF with unilateral or bilateral total facetectomy between January 2017 and March 2022. The patients were categorized into two groups based,

J Clin Neurosci. 2024 Jan 6;120:48-54. doi: 10.1016/j.jocn.2023.12.023. Online ahead of print.

ABSTRACT

We investigated the clinical role of crosslink augmentation during PLIF with total facetectomy. We retrospectively reviewed 376 patients who underwent one- or two-segment PLIF with unilateral or bilateral total facetectomy between January 2017 and March 2022. The patients were categorized into two groups based on whether a crosslink was instrumented or not. Radiological outcome measurements included fusion status and implant failure rates on 12-month postoperative computed tomography. Patient-reported outcome measures included the Numerical Rating Scale for lower back pain, Oswestry Disability Index, and Short Form-12 Physical Component Summary scores, which were assessed preoperatively and at 12 months postoperatively. Surgery-related complications included surgical site infection, symptomatic implant failure, and epidural hematoma. Propensity score matching was performed to compare both groups after adjusting for confounding factors, including baseline and surgical procedural characteristics. A total of 200 cases were included in the propensity score calculation, and one-to-one matching was performed, resulting in 56 pairs with and without a crosslink. The fusion status (88.7 % vs. 85.5 %), screw loosening (14.3 % vs. 14.3 %), cage subsidence (17.9 % vs. 16.1 %), and cage dislodgement (5.4 % vs. 0 %) showed no significant difference between those with and without a crosslink, respectively. No significant differences were observed in the patient-reported outcomes or surgery-related complication rates between the groups. Crosslink augmentation during PLIF with total facetectomy is not recommended because it does not provide any radiological or clinical benefit and is associated with avoidable expenses.

PMID:38185006 | DOI:10.1016/j.jocn.2023.12.023

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Clinical role of crosslink augmentation during short-segment posterior lumbar interbody fusion with total facetectomy: A propensity score-matched analysis

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J Clin Neurosci. 2024 Jan 6;120:48-54. doi: 10.1016/j.jocn.2023.12.023. Online ahead of print.ABSTRACTWe investigated the clinical role of crosslink augmentation during PLIF with total facetectomy. We retrospectively reviewed 376 patients who underwent one- or two-segment PLIF with unilateral or bilateral total facetectomy between January 2017 and March 2022. The patients were categorized into two groups based

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