Radiographic and scientific outcomes following MIS-TLIF in sufferers with grownup lumbar degenerative scoliosis.
J Orthop Surg Res. 2018 Apr 19;13(1):93
Authors: Zhao Y, Liang Y, Mao Ok
BACKGROUND: Sufferers affected by grownup lumbar degenerative scoliosis (ALDS) are generally difficult with superior age, osteoporosis, cardiopulmonary insufficiency, and another medical comorbidity. Due to this fact, the standard open surgical procedure can result in excessive fee of postoperative issues. The needs of this research have been to introduce our experiences and discover the efficacy and feasibility of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) within the therapy of sufferers with ALDS.
METHODS: From January 2008 to January 2014, a retrospective research of 22 sufferers with ALDS handled with MIS-TLIF was adopted up no less than 2 years. All sufferers suffered from one-level lumbar stenosis, and the nerve root block was carried out to verify the precise degree. The scientific and radiographic outcomes have been evaluated preoperatively and on the time of 2-year follow-up.
RESULTS: The imply visible analog scale (VAS) again ache scores decreased from 6.2?±?1.eight preoperatively to 2.2?±?zero.7 at 2-year follow-up (P?<?zero.05), and the imply VAS leg ache scores decreased from eight.2?±?zero.7 preoperatively to 1.four?±?1.four at 2-year follow-up (P?<?zero.05). The Oswestry Incapacity Index rating improved from 62.four?±?16.1% preoperatively to 24.2?±?9.three% at 2-year follow-up (P?<?zero.05). The common lumbar curve was 20.7°?±?7.zero° preoperatively and 12.7°?±?7.1° at 2-year follow-up (P?<?zero.05). The lumbar lordosis modified from -?39.5°?±?13.6° to -?43.6°?±?10.6° at 2-year follow-up (P?<?zero.05). Strong fusion was achieved in all sufferers.
CONCLUSION: The strategy of MIS-TLIF can be utilized to deal with the sufferers with ALDS whose symptom is principally from one-level lumbar stenosis, reaching favorable scientific outcomes and good fusion, with much less blood loss and issues.
PMID: 29673371 [PubMed – in process]