Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes
Although minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is the most common procedure in minimally invasive spine stabilization (MISt), details of the technique remain unclear. This technical report shows the mid-long-term clinical outcomes in patients who underwent posterior ob...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-03-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/6/1651 |
| _version_ | 1797470478107934720 |
|---|---|
| author | Takashi Tomita Keita Kamei Ryota Yamauchi Takahiro Nakagawa Hirotsugu Omi Yoshiro Nitobe Toru Asari Gentaro Kumagai Kanichiro Wada Junji Ito Yasuyuki Ishibashi |
| author_facet | Takashi Tomita Keita Kamei Ryota Yamauchi Takahiro Nakagawa Hirotsugu Omi Yoshiro Nitobe Toru Asari Gentaro Kumagai Kanichiro Wada Junji Ito Yasuyuki Ishibashi |
| author_sort | Takashi Tomita |
| collection | DOAJ |
| description | Although minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is the most common procedure in minimally invasive spine stabilization (MISt), details of the technique remain unclear. This technical report shows the mid-long-term clinical outcomes in patients who underwent posterior oblique square decompression (POSDe) with the three-step wanding technique of tubular MIS-TLIF for degenerative lumbar disease. Tubular MIS-TLIF (POSDe) was performed on 50 patients (males, 19; age, 69.2 ± 9.6 years), and traditional open surgery was performed (OS) on 27 (males, 4; age, 67.9 ± 6.6 years). We evaluated the clinical outcomes using the Visual Analog Scale for back pain, Japanese Orthopedic Association (JOA) scores, and JOA Back Pain Evaluation Questionnaire. We also assessed the fusion rate using the Bridwell grading system with computed tomography or plain radiography for at least 2 years postoperatively. Although there was no significant difference in the improvement rate of JOA scores between the two groups, the mean operation time and blood loss were significantly lower with MIS-TLIF than with OS. In the tubular MIS-TLIF group, there were no cases of deep wound infection; four cases had a pseudarthrosis, two had dural injury, and three had cage retropulsion. We revealed good clinical outcomes in patients who underwent POSDe. |
| first_indexed | 2024-03-09T19:37:49Z |
| format | Article |
| id | doaj.art-b2764bf1cf3f4c8382d58e071aa48c95 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T19:37:49Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b2764bf1cf3f4c8382d58e071aa48c952023-11-24T01:50:13ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01116165110.3390/jcm11061651Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical OutcomesTakashi Tomita0Keita Kamei1Ryota Yamauchi2Takahiro Nakagawa3Hirotsugu Omi4Yoshiro Nitobe5Toru Asari6Gentaro Kumagai7Kanichiro Wada8Junji Ito9Yasuyuki Ishibashi10Department of Orthopaedic Surgery, Aomori Prefectural Central Hospital, Aomori 030-8553, JapanDepartment of Orthopaedic Surgery, Aomori Prefectural Central Hospital, Aomori 030-8553, JapanDepartment of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8562, JapanDepartment of Orthopaedic Surgery, National Defense Medical College, Saitama 359-8513, JapanDepartment of Orthopaedic Surgery, Aomori Prefectural Central Hospital, Aomori 030-8553, JapanDepartment of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8562, JapanDepartment of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8562, JapanDepartment of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8562, JapanDepartment of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8562, JapanDepartment of Orthopaedic Surgery, Aomori Prefectural Central Hospital, Aomori 030-8553, JapanDepartment of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8562, JapanAlthough minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is the most common procedure in minimally invasive spine stabilization (MISt), details of the technique remain unclear. This technical report shows the mid-long-term clinical outcomes in patients who underwent posterior oblique square decompression (POSDe) with the three-step wanding technique of tubular MIS-TLIF for degenerative lumbar disease. Tubular MIS-TLIF (POSDe) was performed on 50 patients (males, 19; age, 69.2 ± 9.6 years), and traditional open surgery was performed (OS) on 27 (males, 4; age, 67.9 ± 6.6 years). We evaluated the clinical outcomes using the Visual Analog Scale for back pain, Japanese Orthopedic Association (JOA) scores, and JOA Back Pain Evaluation Questionnaire. We also assessed the fusion rate using the Bridwell grading system with computed tomography or plain radiography for at least 2 years postoperatively. Although there was no significant difference in the improvement rate of JOA scores between the two groups, the mean operation time and blood loss were significantly lower with MIS-TLIF than with OS. In the tubular MIS-TLIF group, there were no cases of deep wound infection; four cases had a pseudarthrosis, two had dural injury, and three had cage retropulsion. We revealed good clinical outcomes in patients who underwent POSDe.https://www.mdpi.com/2077-0383/11/6/1651minimally invasive spinal treatment (MIST)minimally invasive spine stabilization (MISt)transforaminal lumbar interbody fusion (TLIF)tubular retractor |
| spellingShingle | Takashi Tomita Keita Kamei Ryota Yamauchi Takahiro Nakagawa Hirotsugu Omi Yoshiro Nitobe Toru Asari Gentaro Kumagai Kanichiro Wada Junji Ito Yasuyuki Ishibashi Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes Journal of Clinical Medicine minimally invasive spinal treatment (MIST) minimally invasive spine stabilization (MISt) transforaminal lumbar interbody fusion (TLIF) tubular retractor |
| title | Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes |
| title_full | Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes |
| title_fullStr | Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes |
| title_full_unstemmed | Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes |
| title_short | Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes |
| title_sort | posterior oblique square decompression with a three step wanding technique in tubular minimally invasive transforaminal lumbar interbody fusion technical report and mid long term clinical outcomes |
| topic | minimally invasive spinal treatment (MIST) minimally invasive spine stabilization (MISt) transforaminal lumbar interbody fusion (TLIF) tubular retractor |
| url | https://www.mdpi.com/2077-0383/11/6/1651 |
| work_keys_str_mv | AT takashitomita posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT keitakamei posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT ryotayamauchi posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT takahironakagawa posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT hirotsuguomi posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT yoshironitobe posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT toruasari posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT gentarokumagai posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT kanichirowada posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT junjiito posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes AT yasuyukiishibashi posteriorobliquesquaredecompressionwithathreestepwandingtechniqueintubularminimallyinvasivetransforaminallumbarinterbodyfusiontechnicalreportandmidlongtermclinicaloutcomes |