One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosis
Abstract Objective To compare one-stage freehand minimally invasive pedicle screw fixation (freehand MIPS) combined with mini-access surgery through OLIF approach with posterior approach for treatment of lumbar tuberculosis (TB), and evaluate its feasibility, efficacy and safety in debridement, bone...
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-022-03130-4 |
| _version_ | 1798032163900227584 |
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| author | Wenshuai Fan Guangling Yang Tianyao Zhou Yanchao Chen Zhenchao Gao Weili Zhou Yutong Gu |
| author_facet | Wenshuai Fan Guangling Yang Tianyao Zhou Yanchao Chen Zhenchao Gao Weili Zhou Yutong Gu |
| author_sort | Wenshuai Fan |
| collection | DOAJ |
| description | Abstract Objective To compare one-stage freehand minimally invasive pedicle screw fixation (freehand MIPS) combined with mini-access surgery through OLIF approach with posterior approach for treatment of lumbar tuberculosis (TB), and evaluate its feasibility, efficacy and safety in debridement, bone graft fusion and internal fixation. Methods 48 patients with single segment lumbar TB from June 2014 to June 2017 were included. Among them, 22 patients underwent one-stage freehand MIPS combined with mini-access surgery through OLIF approach (group 1), 26 patients were treated with posterior open surgery (group 2). Duration of operation, blood loss, and stay time in hospital were compared. Pre- and postoperative visual analog scale (VAS) pain scores, Oswestry disability index (ODI), erythrocyte sedimentation rate, complications and images were also recorded. Results Patients in group 1 showed significantly less blood loss (165 ± 73 ml vs 873 ± 318 ml, P < 0.001), shorter stay time in hospital (6/4–8 days vs 12/8–15 days, P < 0.001), while longer duration of operation (185 ± 14 min vs 171 ± 12 min, P < 0.001) than group 2 did. VAS scores significantly decreased after surgery in both groups, however, VAS scores of group 1 were significantly lower than that of group 2 immediately after surgery and during follow-ups (P < 0.001). ODI of group 1 was also significantly lower than that of group 2 at 12-month after surgery (P < 0.001). Conclusion One-stage freehand MIPS combined with mini-access surgery through OLIF approach is a feasible, efficient and safe method in treating single segment lumbar TB. It shows advantages of less surgical trauma and faster postoperative recovery. |
| first_indexed | 2024-04-11T20:09:25Z |
| format | Article |
| id | doaj.art-8e1b8054e6e7483794186822cd8af763 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T20:09:25Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-8e1b8054e6e7483794186822cd8af7632022-12-22T04:05:11ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-04-011711710.1186/s13018-022-03130-4One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosisWenshuai Fan0Guangling Yang1Tianyao Zhou2Yanchao Chen3Zhenchao Gao4Weili Zhou5Yutong Gu6Department of Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Orthopaedic Surgery, Shanghai Public Health Clinical Center, Fudan UniversityDepartment of Orthopaedic Surgery, Zhongshan Hospital Fudan UniversityDepartment of Orthopaedic Surgery, Shanghai Public Health Clinical Center, Fudan UniversityDepartment of Orthopaedic Surgery, Shanghai Public Health Clinical Center, Fudan UniversityDepartment of Orthopaedic Surgery, Shanghai Public Health Clinical Center, Fudan UniversityDepartment of Orthopaedic Surgery, Shanghai Public Health Clinical Center, Fudan UniversityAbstract Objective To compare one-stage freehand minimally invasive pedicle screw fixation (freehand MIPS) combined with mini-access surgery through OLIF approach with posterior approach for treatment of lumbar tuberculosis (TB), and evaluate its feasibility, efficacy and safety in debridement, bone graft fusion and internal fixation. Methods 48 patients with single segment lumbar TB from June 2014 to June 2017 were included. Among them, 22 patients underwent one-stage freehand MIPS combined with mini-access surgery through OLIF approach (group 1), 26 patients were treated with posterior open surgery (group 2). Duration of operation, blood loss, and stay time in hospital were compared. Pre- and postoperative visual analog scale (VAS) pain scores, Oswestry disability index (ODI), erythrocyte sedimentation rate, complications and images were also recorded. Results Patients in group 1 showed significantly less blood loss (165 ± 73 ml vs 873 ± 318 ml, P < 0.001), shorter stay time in hospital (6/4–8 days vs 12/8–15 days, P < 0.001), while longer duration of operation (185 ± 14 min vs 171 ± 12 min, P < 0.001) than group 2 did. VAS scores significantly decreased after surgery in both groups, however, VAS scores of group 1 were significantly lower than that of group 2 immediately after surgery and during follow-ups (P < 0.001). ODI of group 1 was also significantly lower than that of group 2 at 12-month after surgery (P < 0.001). Conclusion One-stage freehand MIPS combined with mini-access surgery through OLIF approach is a feasible, efficient and safe method in treating single segment lumbar TB. It shows advantages of less surgical trauma and faster postoperative recovery.https://doi.org/10.1186/s13018-022-03130-4Lumbar tuberculosisMinimally invasive spine surgeryPedicle screw fixationOLIFDebridementBone graft fusion |
| spellingShingle | Wenshuai Fan Guangling Yang Tianyao Zhou Yanchao Chen Zhenchao Gao Weili Zhou Yutong Gu One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosis Journal of Orthopaedic Surgery and Research Lumbar tuberculosis Minimally invasive spine surgery Pedicle screw fixation OLIF Debridement Bone graft fusion |
| title | One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosis |
| title_full | One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosis |
| title_fullStr | One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosis |
| title_full_unstemmed | One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosis |
| title_short | One-stage freehand minimally invasive pedicle screw fixation combined with mini-access surgery through OLIF approach for the treatment of lumbar tuberculosis |
| title_sort | one stage freehand minimally invasive pedicle screw fixation combined with mini access surgery through olif approach for the treatment of lumbar tuberculosis |
| topic | Lumbar tuberculosis Minimally invasive spine surgery Pedicle screw fixation OLIF Debridement Bone graft fusion |
| url | https://doi.org/10.1186/s13018-022-03130-4 |
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