Menu
Menu
19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

Report From a Quality Assurance Program on Patients Undergoing the MILD Procedure.

Related Articles

Report From a Quality Assurance Program on Patients Undergoing the MILD Procedure.

Pain Med. 2013 Mar 14;

Authors: Durkin B, Romeiser J, Shroyer AL, Schiller R, Bae J, Davis RP, Peyster R, Benveniste H

Abstract
OBJECTIVES.: To characterize trends in pain and functional outcomes and identify risk factors in patients with lumbar spinal stenosis (LSS) and neurogenic claudication undergoing the “Minimally Invasive Lumbar Decompression” (MILD) procedure. DESIGN.: Retrospective observational cohort study. SETTING.: Academic multidisciplinary pain center at Stony Brook Medicine. SUBJECTS.: Patients undergoing the MILD procedure from October 2010 to November 2012. METHODS.: De-identified perioperative, pain and function related data for 50 patients undergoing MILD were extracted from the Center for Pain Management’s quality assessment database. Data included numerical rating scale (NRS), symptom severity and physical function (Zurich Claudication Questionnaire), functional status (Oswestry Disability Index [ODI]), pain interference scores (National Institutes of Health Patient-Reported Outcomes Measurement Information System [PROMIS]), and patients’ self-reported low back and lower extremity pain distribution. RESULTS.: No MILD patient incurred procedure-related complications. Average NRS scores decreased postoperatively and 64.3% of patients reported less pain at 3 months. Clinically meaningful functional ODI improvements of at least 20% from baseline were present in 25% of the patients at 6 months. Preliminary analysis of changes in PROMIS scores at 3 months revealed that pre-MILD “severe” lumbar canal stenosis may be associated with high risk of “no improvement.” No such impact was observed for NRS or ODI outcomes. CONCLUSION.: Overall, pain is reduced and functional status improved in LSS patients following the MILD procedure at 3 and 6 months. Given the small sample size, it is not yet possible to identify patient subgroups at risk for “no improvement.” Continued follow-up of longer-term outcomes appears warranted to develop evidence-based patient selection criteria.

PMID: 23489390 [PubMed – as supplied by publisher]

Share to care...

Share on facebook
Facebook
Share on twitter
Twitter
Share on pinterest
Pinterest
Share on google
Google+
Share on linkedin
LinkedIn
Share on skype
Skype

What we do...

The Harley Street Hospital

Testimonials

What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......

Paraspinal atrophy

I was very impressed with the consultation and diagnosis I received at the Hospital. The treatment (injection into the spine) did help but not as

Read More »