Bracing Following Transforaminal Lumbar Interbody Fusion is not Necessary for Patients With Degenerative Lumbar Spine Disease

Yu, Yanbing; Lin, Horng‐Chyuan; Chang, Ming Chau

doi:10.1097/bsd.0000000000000697

Cited by 15 publications

(36 citation statements)

References 18 publications

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“…Of the 391 citations screened, four randomized controlled trials met the inclusion criteria and were included in this review [1][2][3][4] (Fig. 1).…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

“…The use of bracing following various types of surgery for lumbar degenerative disease is common, and it extends to fusion procedures, as well as microdiscectomy and laminectomy [1][2][3][4]. Postoperative bracing was, respectively, prescribed for 49% and 38% of the patients in two surveybased studies in North America and Europe following lumbar procedures [5,6].…”

Section: Introductionmentioning

confidence: 99%

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The efficacy of postoperative bracing after spine surgery for lumbar degenerative diseases: a systematic review

2019

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“…Of the 391 citations screened, four randomized controlled trials met the inclusion criteria and were included in this review [1][2][3][4] (Fig. 1).…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The efficacy of postoperative bracing after spine surgery for lumbar degenerative diseases: a systematic review

2019

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“…We do not recommend any brace or orthosis to our patients. Clinical studies have shown that using brace after TLIF surgery is not effective 27. Hemovac drain is kept until 50 cc per day and is removed when less than 50 cc.…”

Section: Surgical Technique Of Tlifmentioning

confidence: 99%

<p>Transforaminal Lumbar Interbody Fusion For Lumbar Degenerative Disease: Patient Selection And Perspectives</p>

Uçar

Özcan

Polat

et al. 2019

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Most adults will experience low back pain during their lifetime, with most of these instances resolving or improving without sequelae in a few weeks. For the small number of patients with severe, recalcitrant pain, lumbar fusion may be required, particularly when concomitant leg pain or deformity is present. Lumbar interbody fusion surgery is the usual treatment for degenerative lumbar disease, but it requires a long recovery period. Many surgical techniques have been described in the literature for spondylolisthesis. The main objective is to create interbody fusion, decompression of normal structures and a stable vertebrae. TLIF surgical techniques has a long learning curve. Comorbidities of the patient may make surgery more difficult. Methods such as transforaminal lumbar interbody fusion (TLIF), posterior lumbar interbody fusion, anterior lumbar interbody fusion and lateral lumbar interbody fusion are also available for interbody fusion in the literatüre. The aim of this review is to show which patients are more suitable for TLIF surgery and to discuss the advantages and disadvantages of TLIF surgery over other techniques.

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“…The reason why there were no significant postoperative differences between the postoperatively applied LSO may be related to why LSO was applied postoperatively in the first place. Previous studies have compared non-surgical and postoperative patients with LSO or without LSO and showed variable and controversial results [1,3,5,27,28]. Soliman et al [1] analyzed 43 patients who underwent PSIF for lumbar degenerative conditions and reported that postoperative bracing did not show better improvement in the quality of life and pain relief.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effectiveness of Three Lumbosacral Orthoses on Early Spine Surgery Patients: A Prospective Cohort Study

et al. 2021

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Objective To compare the convenience and effectiveness of the existing lumbosacral orthoses (LSO) (classic LSO and Cybertech) and a newly developed LSO (V-LSO) by analyzing postoperative data. Methods This prospective cohort study was performed from May 2019 to November 2019 and enrolled and analyzed 88 patients with degenerative lumbar spine disease scheduled for elective lumbar surgery. Three types of LSO that were provided according to the time of patient registration were applied for 6 weeks. Patients were randomized into the classic LSO group (n=31), Cybertech group (n=26), and V-LSO group (n=31). All patients were assessed using the Oswestry Disability Index (ODI) preoperatively and underwent plain lumbar radiography (anteroposterior and lateral views) 10 days postoperatively. Lumbar lordosis (LS angle) and frontal imbalance were measured with and without LSO. At the sixth postoperative week, a follow-up assessment with the ODI and orthosis questionnaire was conducted. Results No significant differences were found among the three groups in terms of the LS angle, frontal imbalance, ODI, and orthosis questionnaire results. When the change in the LS angle and frontal imbalance toward the reference value was defined as a positive change with and without LSO, the rate of positive change was significantly different in the V-LSO group (LS angle: 41.94% vs. 61.54% vs. 83.87%; p=0.003). Conclusion The newly developed LSO showed no difference regarding its effectiveness and compliance when compared with the existing LSO, but it was more effective in correcting lumbar lordosis.

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Bracing Following Transforaminal Lumbar Interbody Fusion is not Necessary for Patients With Degenerative Lumbar Spine Disease

Abstract: Level II-therapeutic.

Cited by 15 publications

References 18 publications

The efficacy of postoperative bracing after spine surgery for lumbar degenerative diseases: a systematic review

The efficacy of postoperative bracing after spine surgery for lumbar degenerative diseases: a systematic review

<p>Transforaminal Lumbar Interbody Fusion For Lumbar Degenerative Disease: Patient Selection And Perspectives</p>

Comparison of the Effectiveness of Three Lumbosacral Orthoses on Early Spine Surgery Patients: A Prospective Cohort Study

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