Anterior and Posterior Lumbar Interbody Fusion With Percutaneous Pedicle Screws

Dickerman, Rob D.; East, Joshua; Winters, Karl; Tackett, Jennifer L.; Hajovsky-Pietla, Annette

doi:10.1097/brs.0b013e3181af0523

Cited by 31 publications

(18 citation statements)

References 11 publications

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“…17,24,25,[37][38][39][40][41] In addition to mini-open interbody approaches, the widespread availability of percutaneous and minimally invasive pedicle screw delivery systems has further driven complete (360°) minimally invasive procedures by decreasing paraspinal muscle dissection and high infection rates common to open posterior exposures. 39,[42][43][44][45][46][47] To our knowledge, there are only two economic studies that compare Mini-open and Open techniques for interbody fusion. 28 9.9% and 13.6% fewer hospital charges for one-and two-level patients, respectively.…”

Section: Discussionmentioning

confidence: 99%

A comparison of perioperative charges and outcome between open and mini-open approaches for anterior lumbar discectomy and fusion

Smith

Christian²,

Serrano³

et al. 2012

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

A comparison of perioperative charges and outcome between open and mini-open approaches for anterior lumbar discectomy and fusion

Smith

Christian²,

Serrano³

et al. 2012

Journal of Clinical Neuroscience

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“…Perioperative morbidity is compounded by the complexity of patients with adult degenerative scoliosis as well as patient-specific comorbidities [11, 21, 26, 27, 32]. MIS techniques, in comparison to open traditional surgery, may reduce approach-related and overall morbidity and so are attractive both to patients and surgeons [1, 18, 31, 33, 38]. However, the magnitude of radiographic correction and degree of clinical improvement with MIS techniques for adult spinal deformity remain ill defined.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgical Techniques in Adult Degenerative Spinal Deformity: A Systematic Review

Bach

Ahmadian

Deukmedjian

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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BackgroundMinimally invasive surgery (MIS) approaches have the potential to reduce procedure-related morbidity when compared with traditional approaches. However, the magnitude of radiographic correction and degree of clinical improvement with MIS techniques for adult spinal deformity remain undefined.Question/purposesIn this systematic review, we sought to determine whether MIS approaches to adult spinal deformity correction (1) improve pain and function; (2) reliably correct deformity and result in fusion; and (3) are safe with respect to surgical and medical complications.MethodsA systematic review of PubMed and Medline databases was performed for published articles from 1950 to August 2013. A total of 1053 papers were identified. Thirteen papers were selected based on prespecified criteria, including a total of 262 patients. Studies with limited short-term followup (mean, 12.1 months; range, 1.5–39 months) were included to capture early complications. All of the papers included in the review constituted Level IV evidence. Patient age ranged from 20 to 86 years with a mean of 65.8 years. Inclusion and exclusion criteria were variable, but all required at minimum a diagnosis of adult degenerative scoliosis.ResultsFour studies demonstrated improvement in leg/back visual analog scale, three demonstrated improvement in the Oswestry Disability Index, one demonstrated improvement in treatment intensity scale, and one improvement in SF-36. Reported fusion rates ranged from 71.4% to 100% 1 year postoperatively, but only two of 13 papers relied consistently on CT scan to assess fusion, and, interestingly, only four of 10 studies reporting radiographic results on deformity correction found the procedures effective in correcting deformity. There were 115 complications reported among the 258 patients (46%), including 37 neurological complications (14%).ConclusionsThe literature on these techniques is scanty; only two of the 13 studies that met inclusion criteria were considered high quality; CT scans were not generally used to evaluate fusion, deformity correction was inconsistent, and complication rates were high. Future directions for analysis must include comparative trials, longer-term followup, and consistent use of CT scans to assess for fusion to determine the role of MIS techniques for adult spinal deformity.

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“…Despite the fact that minimally invasive (MIS) fusion techniques clearly cause less paraspinous muscle damage association than open fusion, to the authors' knowledge, there have been no studies to demonstrate whether MIS surgery is reduces the incidence of ASD. We hypothesized that MIS results in a lower incidence of ASD than open surgery because the former causes less damage to paraspinous muscles.…”

Section: Introductionmentioning

confidence: 99%

What is the Rate of Lumbar Adjacent Segment Disease after Percutaneous versus Open Fusion?

Radcliff

Kepler

Maaieh

et al. 2014

Orthopaedic Surgery

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Anterior and Posterior Lumbar Interbody Fusion With Percutaneous Pedicle Screws

Cited by 31 publications

References 11 publications

A comparison of perioperative charges and outcome between open and mini-open approaches for anterior lumbar discectomy and fusion

A comparison of perioperative charges and outcome between open and mini-open approaches for anterior lumbar discectomy and fusion

Minimally Invasive Surgical Techniques in Adult Degenerative Spinal Deformity: A Systematic Review

What is the Rate of Lumbar Adjacent Segment Disease after Percutaneous versus Open Fusion?

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