Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine
Study design: retrospective cohort study of prospectively collected data. Objective: The treatment guidelines for thoracolumbar spinal fractures are controversial although minimally invasive surgery (MIS) is a popular alternative to the traditional open approach (TOA). Limited data exists about outc...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529424000389 |
| _version_ | 1826932802936897536 |
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| author | Girts Murans Laurynas Meska Marius Gaurilcikas Stig Mindedahl Jespersen Martin Lindberg-Larsen |
| author_facet | Girts Murans Laurynas Meska Marius Gaurilcikas Stig Mindedahl Jespersen Martin Lindberg-Larsen |
| author_sort | Girts Murans |
| collection | DOAJ |
| description | Study design: retrospective cohort study of prospectively collected data. Objective: The treatment guidelines for thoracolumbar spinal fractures are controversial although minimally invasive surgery (MIS) is a popular alternative to the traditional open approach (TOA). Limited data exists about outcomes after MIS fracture treatment. The main aim of our study was to evaluate self-reported disability, health-related quality of life, pain, and satisfaction after MIS compared with TOA. Methods: Of 173 patients operated from 2014 to 2018, 64.7% patients completed the Oswestry Disability Index (ODI), the EQ-5D-5L, and a tailored clinical follow-up questionnaire on employment status, pain, activity level, and satisfaction with treatment. Results: Of the 112 patients, 34 had MIS and 78 had TOA. Mean follow-up was 56 months. The two groups were comparable on demographic variables apart from mean age - MIS group was 10 years older. The MIS group had better ODI scores (p = 0.046), but the groups were similar regarding return to work and disability retirement. The EQ-5D-5L index for the MIS were very close (mean −0.033, median +0.049) to the Danish population score, while the TOA showed a greater deviation (mean - 0.125, median −0.040). The MIS used less pain medication than the TOA. Both groups were similarly satisfied with treatment results. Conclusion: Our data indicates that MIS surgery for thoracolumbar spinal fractures can achieve acceptable self-reported outcomes in terms of disability, health-related quality of life, pain, and satisfaction with treatment. However, a randomized controlled trial is needed to determine whether the MIS approach is superior to TOA. |
| first_indexed | 2024-04-24T23:46:22Z |
| format | Article |
| id | doaj.art-2ef1fac02f684a69a5fb0d4e64f6c4ab |
| institution | Directory Open Access Journal |
| issn | 2772-5294 |
| language | English |
| last_indexed | 2025-02-17T17:21:28Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj.art-2ef1fac02f684a69a5fb0d4e64f6c4ab2024-12-15T06:18:16ZengElsevierBrain and Spine2772-52942024-01-014102782Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spineGirts Murans0Laurynas Meska1Marius Gaurilcikas2Stig Mindedahl Jespersen3Martin Lindberg-Larsen4Department of Orthopaedic Surgery and Traumatology, Odense University Hospital and Svendborg, Odense, Denmark; Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Denmark; University Center for Spine Surgery, Department of Neurosurgery, Odense University Hospital, Denamrk; Corresponding author. Department of Orthopaedic Surgery and Traumatology, Odense University Hospital and Svendborg, Odense, Denmark.Department of Orthopaedic Surgery and Traumatology, Odense University Hospital and Svendborg, Odense, Denmark; University Center for Spine Surgery, Department of Neurosurgery, Odense University Hospital, DenamrkDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital and Svendborg, Odense, Denmark; University Center for Spine Surgery, Department of Neurosurgery, Odense University Hospital, DenamrkDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital and Svendborg, Odense, Denmark; University Center for Spine Surgery, Department of Neurosurgery, Odense University Hospital, DenamrkDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital and Svendborg, Odense, Denmark; Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, DenmarkStudy design: retrospective cohort study of prospectively collected data. Objective: The treatment guidelines for thoracolumbar spinal fractures are controversial although minimally invasive surgery (MIS) is a popular alternative to the traditional open approach (TOA). Limited data exists about outcomes after MIS fracture treatment. The main aim of our study was to evaluate self-reported disability, health-related quality of life, pain, and satisfaction after MIS compared with TOA. Methods: Of 173 patients operated from 2014 to 2018, 64.7% patients completed the Oswestry Disability Index (ODI), the EQ-5D-5L, and a tailored clinical follow-up questionnaire on employment status, pain, activity level, and satisfaction with treatment. Results: Of the 112 patients, 34 had MIS and 78 had TOA. Mean follow-up was 56 months. The two groups were comparable on demographic variables apart from mean age - MIS group was 10 years older. The MIS group had better ODI scores (p = 0.046), but the groups were similar regarding return to work and disability retirement. The EQ-5D-5L index for the MIS were very close (mean −0.033, median +0.049) to the Danish population score, while the TOA showed a greater deviation (mean - 0.125, median −0.040). The MIS used less pain medication than the TOA. Both groups were similarly satisfied with treatment results. Conclusion: Our data indicates that MIS surgery for thoracolumbar spinal fractures can achieve acceptable self-reported outcomes in terms of disability, health-related quality of life, pain, and satisfaction with treatment. However, a randomized controlled trial is needed to determine whether the MIS approach is superior to TOA.http://www.sciencedirect.com/science/article/pii/S2772529424000389ThoracolumbarVertebral body fractureEuroQolEQ-5D-5LOswestry disability indexODI |
| spellingShingle | Girts Murans Laurynas Meska Marius Gaurilcikas Stig Mindedahl Jespersen Martin Lindberg-Larsen Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine Brain and Spine Thoracolumbar Vertebral body fracture EuroQol EQ-5D-5L Oswestry disability index ODI |
| title | Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine |
| title_full | Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine |
| title_fullStr | Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine |
| title_full_unstemmed | Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine |
| title_short | Patient-reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine |
| title_sort | patient reported outcome from minimal invasive surgery compared with conventional open surgery for thoracolumbar fractures of the spine |
| topic | Thoracolumbar Vertebral body fracture EuroQol EQ-5D-5L Oswestry disability index ODI |
| url | http://www.sciencedirect.com/science/article/pii/S2772529424000389 |
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