Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients
Objective Midline lumbar interbody fusion is performed for treatment of various lumbar degenerative diseases, with good clinical outcomes and few complications. However, there are no large-scale or long-term studies regarding midline lumbar interbody fusion. Therefore, the purpose of this study was...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2021-06-01
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| Series: | Neurospine |
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| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-2142016-008.pdf |
| _version_ | 1797329906280955904 |
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| author | Sung Hyun Noh Ho Yeol Zhang |
| author_facet | Sung Hyun Noh Ho Yeol Zhang |
| author_sort | Sung Hyun Noh |
| collection | DOAJ |
| description | Objective Midline lumbar interbody fusion is performed for treatment of various lumbar degenerative diseases, with good clinical outcomes and few complications. However, there are no large-scale or long-term studies regarding midline lumbar interbody fusion. Therefore, the purpose of this study was to evaluate the clinical results of midline lumbar interbody fusion and to compare the results according to surgical level. Methods Between January 2013 and December 2015, 200 patients with lumbar degenerative disease undergoing midline lumbar interbody fusion surgery were enrolled. The mean patient age was 69.9 ± 15.8 years (range, 40–85 years). The patients were divided into groups according to surgical level: (1) level 1 operation (136 patients), (2) level 2 operation (43 patients), (3) level 3 operation (12 patients), and (4) level 4 or higher (9 patients). Clinical outcomes, fusion rates, and complications were compared among the 4 groups. Results All clinical outcomes significantly improved after surgery (measured at 3 years postoperatively) in all groups. Mean fusion rate was 90.5% ± 5.21%. Fusion rate was highest in group I (95.8%) and lowest in group IV (85.2%). There were complications in 17 cases (8.5%). Adjacent segment disease occurred in 16 cases, 5 of which required surgery. Group 1 had 1 case, and group 4 had 4 cases. Screw loosening occurred in 1 case in group 4. There were no cases of infection or mechanical complications. Conclusion This large, single‐institution, retrospective study demonstrates favorable clinical outcomes after midline lumbar interbody fusion for lumbar degenerative disease regardless of surgical level. |
| first_indexed | 2024-03-08T07:12:07Z |
| format | Article |
| id | doaj.art-f10b160904944f8eb207cbe84c4f5ddf |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:12:07Z |
| publishDate | 2021-06-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-f10b160904944f8eb207cbe84c4f5ddf2024-02-03T02:29:39ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912021-06-0118235536210.14245/ns.2142016.0081160Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 PatientsSung Hyun Noh0Ho Yeol Zhang1 Department of Neurosurgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea Department of Neurosurgery, National Health Insurance Service Ilsan Hospital, Goyang, KoreaObjective Midline lumbar interbody fusion is performed for treatment of various lumbar degenerative diseases, with good clinical outcomes and few complications. However, there are no large-scale or long-term studies regarding midline lumbar interbody fusion. Therefore, the purpose of this study was to evaluate the clinical results of midline lumbar interbody fusion and to compare the results according to surgical level. Methods Between January 2013 and December 2015, 200 patients with lumbar degenerative disease undergoing midline lumbar interbody fusion surgery were enrolled. The mean patient age was 69.9 ± 15.8 years (range, 40–85 years). The patients were divided into groups according to surgical level: (1) level 1 operation (136 patients), (2) level 2 operation (43 patients), (3) level 3 operation (12 patients), and (4) level 4 or higher (9 patients). Clinical outcomes, fusion rates, and complications were compared among the 4 groups. Results All clinical outcomes significantly improved after surgery (measured at 3 years postoperatively) in all groups. Mean fusion rate was 90.5% ± 5.21%. Fusion rate was highest in group I (95.8%) and lowest in group IV (85.2%). There were complications in 17 cases (8.5%). Adjacent segment disease occurred in 16 cases, 5 of which required surgery. Group 1 had 1 case, and group 4 had 4 cases. Screw loosening occurred in 1 case in group 4. There were no cases of infection or mechanical complications. Conclusion This large, single‐institution, retrospective study demonstrates favorable clinical outcomes after midline lumbar interbody fusion for lumbar degenerative disease regardless of surgical level.http://www.e-neurospine.org/upload/pdf/ns-2142016-008.pdflumbar spinal stenosisposterior lumbar interbody fusioncortical bone trajectory screw techniqueclinical outcomefusion rate |
| spellingShingle | Sung Hyun Noh Ho Yeol Zhang Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients Neurospine lumbar spinal stenosis posterior lumbar interbody fusion cortical bone trajectory screw technique clinical outcome fusion rate |
| title | Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients |
| title_full | Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients |
| title_fullStr | Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients |
| title_full_unstemmed | Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients |
| title_short | Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients |
| title_sort | minimally invasive spine surgery with midline cortical bone trajectory screw fixation for lumbar degenerative disease in a retrospective study of 200 patients |
| topic | lumbar spinal stenosis posterior lumbar interbody fusion cortical bone trajectory screw technique clinical outcome fusion rate |
| url | http://www.e-neurospine.org/upload/pdf/ns-2142016-008.pdf |
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