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Does Preoperative Back Pain Impact Patient-reported Outcomes in Patients Undergoing Minimally Invasive Transforaminal Lumbar Interbody Fusion for Isthmic Spondylolisthesis? – Lumbar Fusion

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This article is a retrospective review that aimed to determine the postoperative clinical outcomes in patients undergoing minimally invasive transforaminal lumbar interbody fusion (TLIF) for isthmic spondylolisthesis (IS). The study found that patients undergoing MIS-TLIF for IS experienced significant improvement in physical function, mental function, pain, and disability outcomes after surgery, regardless of the severity of their preoperative back pain. However, patients with lower preoperative back pain demonstrated better outcomes in physical function, mental function, pain, and disability. On the other hand, patients with greater preoperative back pain achieved higher rates of clinically relevant improvement in mental function, back pain, and disability outcomes. This suggests that patients with greater severity of preoperative back pain may experience greater rates of improvement in these areas after MIS-TLIF for IS

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established day surgery spinal centre on Harley Street UK

Published article

: Patients undergoing MIS-TLIF for IS demonstrated significant postoperative improvement in PF, mental function, pain, and disability outcomes independent of preoperative severity of BP. Patients with lower preoperative BP demonstrated superior outcomes in PF, mental function, pain, and disability. However, patients with greater preoperative BP achieved higher rates of MCID in mental function, BP, and disability outcomes. Patients with greater severity of preoperative BP undergoing…

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Clin Spine Surg. 2024 Jan 5. doi: 10.1097/BSD.0000000000001568. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective review.OBJECTIVE: To determine postoperative clinical outcomes in patients undergoing minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) for isthmic spondylolisthesis (IS).BACKGROUND: Few studies have examined the postoperative clinical trajectory in patients undergoing MIS-TLIF specifically for IS.METHODS: Patients were separated into two,

Clin Spine Surg. 2024 Jan 5. doi: 10.1097/BSD.0000000000001568. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective review.

OBJECTIVE: To determine postoperative clinical outcomes in patients undergoing minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) for isthmic spondylolisthesis (IS).

BACKGROUND: Few studies have examined the postoperative clinical trajectory in patients undergoing MIS-TLIF specifically for IS.

METHODS: Patients were separated into two cohorts based on the previously defined Visual Analog Scale (VAS) back pain (BP) for severe pain: VAS-BP <7 and VAS-BP ≥7. Patient-reported outcome measures (PROMs) of Patient-Reported Outcomes Measurement Information System-physical function (PF), 12-item Short Form (SF-12) Physical/Mental Component Score, Patient Health Questionnaire-9, VAS-BP, VAS leg pain, and Oswestry Disability Index were collected preoperatively and up to 2-year postoperatively. Minimum clinically important difference (MCID) was calculated through previously defined thresholds.

RESULTS: A total of 160 patients were recorded, with 58 patients in the VAS-BP <7 cohort. The VAS-BP <7 cohort demonstrated significant improvement in all PROMs at one or more postoperative time points. The VAS-BP ≥7 demonstrated significant improvement at 3 or more postoperative time points in all PROMs except for SF-12 Mental Component Score. The VAS-BP <7 cohort reported significantly superior preoperative and postoperative PROMs in all domains, except for SF-12 Physical Component Score. The VAS-BP ≥7 cohort had higher MCID achievement rates at one or more time points in multiple PROMs.

: Patients undergoing MIS-TLIF for IS demonstrated significant postoperative improvement in PF, mental function, pain, and disability outcomes independent of preoperative severity of BP. Patients with lower preoperative BP demonstrated superior outcomes in PF, mental function, pain, and disability. However, patients with greater preoperative BP achieved higher rates of MCID in mental function, BP, and disability outcomes. Patients with greater severity of preoperative BP undergoing MIS-TLIF for IS may experience greater rates of clinically relevant improvement in mental function, BP, and disability outcomes.

PMID:38178316 | DOI:10.1097/BSD.0000000000001568

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Does Preoperative Back Pain Impact Patient-reported Outcomes in Patients Undergoing Minimally Invasive Transforaminal Lumbar Interbody Fusion for Isthmic Spondylolisthesis?

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Clin Spine Surg. 2024 Jan 5. doi: 10.1097/BSD.0000000000001568. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective review.OBJECTIVE: To determine postoperative clinical outcomes in patients undergoing minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) for isthmic spondylolisthesis (IS).BACKGROUND: Few studies have examined the postoperative clinical trajectory in patients undergoing MIS-TLIF specifically for IS.METHODS: Patients were separated into two

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