Associated lumbar scoliosis does not affect outcomes in patients undergoing focal minimally invasive surgery-transforaminal lumbar interbody fusion (MISTLIF) for neurogenic symptoms—a minimum 2-year follow-up study

Tay, Kae Sian; Bassi, Anupreet; Yeo, William; Yue, Wai-Mun

doi:10.1016/j.spinee.2016.05.022

Cited by 4 publications

(2 citation statements)

References 33 publications

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“…There are several MIS tissue-sparing approaches that have been shown to lead to lower blood loss, lower transfusion rates, shorter hospital stay, less pain, lower opioid intake, faster recovery, and lower cost of care. [1][2][3][4][5][6][7][8][9][10][11][12] Open posterior lumbar fusion allows for direct visualization of anatomic landmarks for accurate decompression and hardware placement while minimizing the risk of nerve or blood vessel damage. Such direct visualization requires extensive dissection of muscles off the posterior spinal elements all the way out to the tips of the transverse processes.…”

Section: Introductionmentioning

confidence: 99%

Single Position Lateral Lumbar Interbody Fusion With Posterior Instrumentation Utilizing Computer Navigation and Robotic Assistance: Retrospective case review and surgical technique considerations

Sinkov¹,

Lockey

Cunningham

2022

Global Spine Journal

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Study Design Retrospective cohort study. Objective To determine safety and short-term outcomes of single-position lateral lumbar interbody fusion (LLIF) with bilateral posterior instrumentation and robotic assistance. The article also describes surgical technique considerations for the procedure. Methods 20 patients underwent single-position LLIF with posterior instrumentation and robotic assistance. The patients were followed for a minimum of 3 months post-operatively. Results Average operative time was 211 ± 34 minutes, average blood loss was 51.25 ± 17 cc’s, and average length of stay was 1.4 ± .75 days. There were no intraoperative complications, readmissions, revision surgeries, and no incidence of hardware malposition. Significant improvement in pain and ODI scores was noted at 3 month follow up. Conclusions The study demonstrated safety and short-term clinical efficacy of minimally invasive single-position lateral lumbar interbody fusion with bilateral posterior instrumentation utilizing robotic assistance and navigation. There are certain surgical technique considerations that must be followed to ensure optimal surgical workflow and predictable outcomes.

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Section: Introductionmentioning

confidence: 99%

Single Position Lateral Lumbar Interbody Fusion With Posterior Instrumentation Utilizing Computer Navigation and Robotic Assistance: Retrospective case review and surgical technique considerations

Sinkov¹,

Lockey

Cunningham

2022

Global Spine Journal

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“…2,17 Since the introduction of ACR, multiple studies have demonstrated an expansion in the ability of MIS techniques to successfully treat moderate to severe adult deformities with excellent SVA correction (± 5 mm SVA) and PI-LL correction (± 10°), particularly when hyperlordotic cages are used. 3,24,34,36 Further examination of segmental lordosis restoration showed that a combination of ACR and varying degrees of PCOs can achieve greater correction of segmental lordosis, regional lordosis, and restoration of global sagittal balance. 6,26,37 Over the past 5 years, an increasing number of publications have described the role of ACR in adult deformity correction and its role in MIS correction of sagittal malalignment.…”

Section: Discussionmentioning

confidence: 99%

The comprehensive anatomical spinal osteotomy and anterior column realignment classification

Uribe

Schwab

Mundis

et al. 2018

Journal of Neurosurgery: Spine

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OBJECTIVESpinal osteotomies and anterior column realignment (ACR) are procedures that allow preservation or restoration of spine lordosis. Variations of these techniques enable different degrees of segmental, regional, and global sagittal realignment. The authors propose a comprehensive anatomical classification system for ACR and its variants based on the level of technical complexity and invasiveness. This serves as a common language and platform to standardize clinical and radiographic outcomes for the utilization of ACR.METHODSThe proposed classification is based on 6 anatomical grades of ACR, including anterior longitudinal ligament (ALL) release, with varying degrees of posterior column release or osteotomies. Additionally, a surgical approach (anterior, lateral, or posterior) was added. Reliability of the classification was evaluated by an analysis of 16 clinical cases, rated twice by 14 different spine surgeons, and calculation of Fleiss kappa coefficients.RESULTSThe 6 grades of ACR are as follows: grade A, ALL release with hyperlordotic cage, intact posterior elements; grade 1 (ACR + Schwab grade 1), additional resection of the inferior facet and joint capsule; grade 2 (ACR + Schwab grade 2), additional resection of both superior and inferior facets, interspinous ligament, ligamentum flavum, lamina, and spinous process; grade 3 (ACR + Schwab grade 3), additional adjacent-level 3-column osteotomy including pedicle subtraction osteotomy; grade 4 (ACR + Schwab grade 4), 2-level distal 3-column osteotomy including pedicle subtraction osteotomy and disc space resection; and grade 5 (ACR + Schwab grade 5), complete or partial removal of a vertebral body and both adjacent discs with or without posterior element resection. Intraobserver and interobserver reliability were 97% and 98%, respectively, across the 14-reviewer cohort.CONCLUSIONSThe proposed anatomical realignment classification provides a consistent description of the various posterior and anterior column release/osteotomies. This reliability study confirmed that the classification is consistent and reproducible across a diverse group of spine surgeons.

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Prediction of respiratory function in patients with severe scoliosis on the basis of the novel individualized spino-pelvic index

Zhao

Bao

Tseng

et al. 2018

International Orthopaedics (SICOT)

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For the first time, this study proposed a method to predict pulmonary function of patients with severe scoliosis using SPI, as an age-independent parameter in normal adolescents. After body height correction, pulmonary function of patients with severe scoliosis was found to be significantly decreased, indicating that pulmonary function impairment was underestimated in patients with severe scoliosis when evaluating pulmonary function with arm span.

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Associated lumbar scoliosis does not affect outcomes in patients undergoing focal minimally invasive surgery-transforaminal lumbar interbody fusion (MISTLIF) for neurogenic symptoms—a minimum 2-year follow-up study

Cited by 4 publications

References 33 publications

Single Position Lateral Lumbar Interbody Fusion With Posterior Instrumentation Utilizing Computer Navigation and Robotic Assistance: Retrospective case review and surgical technique considerations

Single Position Lateral Lumbar Interbody Fusion With Posterior Instrumentation Utilizing Computer Navigation and Robotic Assistance: Retrospective case review and surgical technique considerations

The comprehensive anatomical spinal osteotomy and anterior column realignment classification

Prediction of respiratory function in patients with severe scoliosis on the basis of the novel individualized spino-pelvic index

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