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Completely Minimally Invasive Implant Removal and Transforaminal Lumbar Interbody Fusion for Adjacent Segment Disease: Case Series and Operative Video – Lumbar Fusion

Day Case Lumbar Fusion Surgery

The article describes a novel minimally invasive technique for adjacent level transforaminal lumbar interbody fusion (MIS-TLIF) in patients with lumbar stenosis and a history of previous lumbar fusion. The study included 14 patients who underwent MIS-TLIF along with implant removal through the same incision, with promising outcomes. The procedure proved to be successful with few complications, showing increases in disk and foraminal height postoperatively. The study concluded that minimally invasive spinal implant removal can be effectively combined with adjacent level TLIF through an all-posterior approach

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced spine hospital in UK

Published article

: Minimally invasive spinal IR can be successfully completed along with adjacent level TLIF through the same incisions, via an all-posterior approach.

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Oper Neurosurg (Hagerstown). 2024 Mar 7. doi: 10.1227/ons.0000000000001121. Online ahead of print.ABSTRACTBACKGROUND AND OBJECTIVES: Adjacent segment disease is a relatively common late complication after lumbar fusion. If symptomatic, certain patients require fusion of the degenerated adjacent segment. Currently, there are no posterior completely minimally invasive techniques described for fusion of the adjacent segment above or,

Oper Neurosurg (Hagerstown). 2024 Mar 7. doi: 10.1227/ons.0000000000001121. Online ahead of print.

ABSTRACT

BACKGROUND AND OBJECTIVES: Adjacent segment disease is a relatively common late complication after lumbar fusion. If symptomatic, certain patients require fusion of the degenerated adjacent segment. Currently, there are no posterior completely minimally invasive techniques described for fusion of the adjacent segment above or below a previous fusion. We describe here a novel minimally invasive technique for both implant removal (MIS-IR) and adjacent level transforaminal lumbar interbody fusion (MIS-TLIF) for lumbar stenosis.

METHODS: Demographic, surgical, and radiographic outcome data were collected for patients with lumbar stenosis and previous lumbar fusion, who were treated with MIS-IR and MIS-TLIF through the same incision. Radiographic outcomes were assessed postoperatively and complications were assessed at the primary end point of 3 months.

RESULTS: A total of 14 patients (7 female and 7 male), with average age 64.6 years (SD 13.4), were included in this case series. Nine patients had single-level MIS-IR with single-level MIS-TLIF. Three patients had 2-level MIS-IR with single-level MIS-TLIF. Two patients had single-level MIS-IR with 2-level MIS-TLIF. Only 1 patient had a postoperative complication-hematoma requiring same-day evacuation. There were no other complications at the primary end point and no fusion failure at the hardware removal levels to date (average follow-up, 11 months). Average increases in posterior disk height and foraminal height after MIS-TLIF were 4.44, and 2.18 mm, respectively.

: Minimally invasive spinal IR can be successfully completed along with adjacent level TLIF through the same incisions, via an all-posterior approach.

PMID:38451097 | DOI:10.1227/ons.0000000000001121

The London Spine Unit : most experienced spine hospital in UK

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Completely Minimally Invasive Implant Removal and Transforaminal Lumbar Interbody Fusion for Adjacent Segment Disease: Case Series and Operative Video

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Oper Neurosurg (Hagerstown). 2024 Mar 7. doi: 10.1227/ons.0000000000001121. Online ahead of print.ABSTRACTBACKGROUND AND OBJECTIVES: Adjacent segment disease is a relatively common late complication after lumbar fusion. If symptomatic, certain patients require fusion of the degenerated adjacent segment. Currently, there are no posterior completely minimally invasive techniques described for fusion of the adjacent segment above or

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