POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000100031 |
Resumo: | ABSTRACT Objective: Degenerative disc disease is a common problem that could require surgical treatment. The aim of this study was to compare clinical outcomes, complications and benefits associated with intersomatic fusions by the MI-TLIF, PLIF and PLF techniques. Methods: A total of 212 patients were retrospectively reviewed. All patients underwent the same pre- and postoperative clinical evaluations using the Oswestry Disability Index (ODI), Visual Analog Scale (VAS), and SF-36. Follow-ups were performed for at least one year. Inpatient days, complications, blood loss and operative times were equally quantified. Results: Estimated blood loss for MI-TLIF was statistically lower compared to the amount of blood recovered by Cell Saver device on PLIF and PLF groups. Mean surgical time for MI-TLIF were not significantly different compared to PLIF and PLF groups. Inpatient days were significantly lower in the MI-TLIF group, with an average decrease of one day. Four complications were recorded in the PLIF group, 2 in the PLF group, and one in the MI-TLIF group. Analysis of the clinical parameters revealed post-operative improvements at all time points, with the most statistically significant differences occurring at the first six months. Better results were achieved with the MI-TLIF technique. Conclusions: Compared to more invasive techniques, MI-TLIF showed fewer complications, less blood loss and shorter hospitalization times. Longer operative times in this group can be explained by the greater technical complexity and incipient learning curves. Interbody fusion by PLIF, PLF and MI-TLIF provided good clinical outcomes, but faster recovery was obtained with less invasive techniques. Level of evidence: III; Type of study: Retrospective comparative case study. |
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Coluna/Columna |
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POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASESChronic diseaseSpineSurgeryComplicationsABSTRACT Objective: Degenerative disc disease is a common problem that could require surgical treatment. The aim of this study was to compare clinical outcomes, complications and benefits associated with intersomatic fusions by the MI-TLIF, PLIF and PLF techniques. Methods: A total of 212 patients were retrospectively reviewed. All patients underwent the same pre- and postoperative clinical evaluations using the Oswestry Disability Index (ODI), Visual Analog Scale (VAS), and SF-36. Follow-ups were performed for at least one year. Inpatient days, complications, blood loss and operative times were equally quantified. Results: Estimated blood loss for MI-TLIF was statistically lower compared to the amount of blood recovered by Cell Saver device on PLIF and PLF groups. Mean surgical time for MI-TLIF were not significantly different compared to PLIF and PLF groups. Inpatient days were significantly lower in the MI-TLIF group, with an average decrease of one day. Four complications were recorded in the PLIF group, 2 in the PLF group, and one in the MI-TLIF group. Analysis of the clinical parameters revealed post-operative improvements at all time points, with the most statistically significant differences occurring at the first six months. Better results were achieved with the MI-TLIF technique. Conclusions: Compared to more invasive techniques, MI-TLIF showed fewer complications, less blood loss and shorter hospitalization times. Longer operative times in this group can be explained by the greater technical complexity and incipient learning curves. Interbody fusion by PLIF, PLF and MI-TLIF provided good clinical outcomes, but faster recovery was obtained with less invasive techniques. Level of evidence: III; Type of study: Retrospective comparative case study.Sociedade Brasileira de Coluna2018-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000100031Coluna/Columna v.17 n.1 2018reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120181701175723info:eu-repo/semantics/openAccessMAIA,BRUNO MIGUEL BRÍGIDOSILVA,LUÍS PEDRO DUARTESIMÕES,ISABEL CRISTINA GOMES COSTASIMÕES,PEDRO CARVALHAISTEIXEIRA,LUÍS PEDRO SOUSA FERREIRAeng2018-04-20T00:00:00Zoai:scielo:S1808-18512018000100031Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2018-04-20T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES |
title |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES |
spellingShingle |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES MAIA,BRUNO MIGUEL BRÍGIDO Chronic disease Spine Surgery Complications |
title_short |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES |
title_full |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES |
title_fullStr |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES |
title_full_unstemmed |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES |
title_sort |
POSTEROLATERAL, POSTERIOR AND MI-TRANSFORAMINAL LUMBAR INTERBODY FUSION: A STUDY OF 212 CASES |
author |
MAIA,BRUNO MIGUEL BRÍGIDO |
author_facet |
MAIA,BRUNO MIGUEL BRÍGIDO SILVA,LUÍS PEDRO DUARTE SIMÕES,ISABEL CRISTINA GOMES COSTA SIMÕES,PEDRO CARVALHAIS TEIXEIRA,LUÍS PEDRO SOUSA FERREIRA |
author_role |
author |
author2 |
SILVA,LUÍS PEDRO DUARTE SIMÕES,ISABEL CRISTINA GOMES COSTA SIMÕES,PEDRO CARVALHAIS TEIXEIRA,LUÍS PEDRO SOUSA FERREIRA |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
MAIA,BRUNO MIGUEL BRÍGIDO SILVA,LUÍS PEDRO DUARTE SIMÕES,ISABEL CRISTINA GOMES COSTA SIMÕES,PEDRO CARVALHAIS TEIXEIRA,LUÍS PEDRO SOUSA FERREIRA |
dc.subject.por.fl_str_mv |
Chronic disease Spine Surgery Complications |
topic |
Chronic disease Spine Surgery Complications |
description |
ABSTRACT Objective: Degenerative disc disease is a common problem that could require surgical treatment. The aim of this study was to compare clinical outcomes, complications and benefits associated with intersomatic fusions by the MI-TLIF, PLIF and PLF techniques. Methods: A total of 212 patients were retrospectively reviewed. All patients underwent the same pre- and postoperative clinical evaluations using the Oswestry Disability Index (ODI), Visual Analog Scale (VAS), and SF-36. Follow-ups were performed for at least one year. Inpatient days, complications, blood loss and operative times were equally quantified. Results: Estimated blood loss for MI-TLIF was statistically lower compared to the amount of blood recovered by Cell Saver device on PLIF and PLF groups. Mean surgical time for MI-TLIF were not significantly different compared to PLIF and PLF groups. Inpatient days were significantly lower in the MI-TLIF group, with an average decrease of one day. Four complications were recorded in the PLIF group, 2 in the PLF group, and one in the MI-TLIF group. Analysis of the clinical parameters revealed post-operative improvements at all time points, with the most statistically significant differences occurring at the first six months. Better results were achieved with the MI-TLIF technique. Conclusions: Compared to more invasive techniques, MI-TLIF showed fewer complications, less blood loss and shorter hospitalization times. Longer operative times in this group can be explained by the greater technical complexity and incipient learning curves. Interbody fusion by PLIF, PLF and MI-TLIF provided good clinical outcomes, but faster recovery was obtained with less invasive techniques. Level of evidence: III; Type of study: Retrospective comparative case study. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000100031 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000100031 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120181701175723 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.17 n.1 2018 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
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1752126615606788096 |