Does Preoperative Symptom Duration Impact Clinical Outcomes After Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Ambulatory Setting?

Nie, James W.; Hartman, Timothy J.; MacGregor, Keith R; Oyetayo, Omolabake O; Zheng, Eileen; Singh, Kern

doi:10.1016/j.wneu.2022.07.055

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…11 Several studies have evaluated the relationship between PSD and lumbar fusion interventions for a variety of surgical techniques, reporting mixed findings with the majority noting a lack of correlation between PSD and PROM improvement. 12,13,20,30 However, such studies were limited by the inclusion of heterogeneous patient pathology or surgical techniques. Thus, the goal of our study was to identify the potential relationship between PSD and patient-perceived outcomes for patients undergoing MIS-TLIF for DSpond.…”

Section: Discussionmentioning

confidence: 99%

Impact of Preoperative Symptom Duration on Patient-reported Outcomes After Minimally Invasive Transforaminal Interbody Fusion for Degenerative Spondylolisthesis

Hartman,

Nie,

Anwar

et al. 2024

Clinical Spine Surgery

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Study Design: Retrospective cohort study. Objective: To assess the impact of preoperative symptom duration (PSD) on patient-reported outcome measures (PROMs) after minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) for degenerative spondylolisthesis (DSpond). Background: A prolonged duration of preoperative symptoms may implicate inferior long-term outcomes postsurgery. Prior studies of lumbar fusion recipients are limited by the inclusion of heterogeneous populations. Methods: A single-surgeon registry was retrospectively queried for privately insured patients who had undergone primary, elective, single-level MIS-TLIF for DSpond with a recorded symptom start date. Cohorts were formed by PSD: shorter duration (PSD <1 y) or greater duration (GD; PSD ≥1 y). PROMs evaluated included Patient-reported Outcomes Measurement Information System–Physical Function, Oswestry Disability Index, Visual Analog Scale–Back, Visual Analog Scale–Leg, and 9-item Patient Health Questionnaire. The magnitude of PROM (∆PROM) improvement from preoperative baseline to 6 weeks and final follow-up (∆PROM-FF) were compared between cohorts. Intercohort achievement rates of a minimum clinically important difference in each PROM were compared. Results: A total of 133 patients included 85 patients with GD cohort. There were no significant differences in pre hoc demographics and perioperative characteristics between cohorts, as well as preoperative, 6-week, or final follow-up PROMs between cohorts. Both cohorts demonstrated significant improvement in all PROMs at 6 weeks and final follow-up (P ≤ 0.049, all). There were no significant intercohort differences demonstrated in minimum clinically important difference achievement rates, ∆PROM-6W, or ∆PROM-FF in any PROM. Conclusions: Regardless of the symptom duration before MIS-TLIF for DSpond, patients demonstrate significant improvement in physical function, pain, disability, and mental health. Patients with a GD of preoperative symptoms did not report inferior scores in any PROM domain. Patients with a GD of preoperative symptoms did not suffer inferior rates of clinically meaningful improvement after surgical intervention. These findings should be considered when counseling patients before surgical intervention for DSpond.

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Section: Discussionmentioning

confidence: 99%

Impact of Preoperative Symptom Duration on Patient-reported Outcomes After Minimally Invasive Transforaminal Interbody Fusion for Degenerative Spondylolisthesis

Hartman,

Nie,

Anwar

et al. 2024

Clinical Spine Surgery

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“…This is consistent with the previous speculation that the research focus has shifted toward improving patient clinical outcomes. Kern Singh and his team found that hospitalized patients, patients with milder preoperative lower extremity pain and patients with shorter preoperative symptom duration may achieve better clinical outcomes ( 15 , 16 , 17 ). On the other hand, patients with severe preoperative disability, significant low back pain, low mental functioning, and higher degrees of obesity (BMI ≥ 30) tend to have worse clinical outcomes ( 18 , 19 , 20 , 21 ).…”

Section: Discussionmentioning

confidence: 99%

Bibliometric analysis of transforaminal lumbar interbody fusion: research status, trends, and future directions

Wang,

Zhang,

Yao

et al. 2023

EFORT Open Reviews

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Purpose Transforaminal lumbar interbody fusion (TLIF) is a classic surgical procedure for posterior lumbar fusion. This study aims to analyze the TLIF field by bibliometric method and comprehensively summarize the research status and trends. Methods All TLIF-related articles were retrieved from the Web of Science. The data were analyzed using R software and SPSS to calculate corresponding indicators. Visualizations were drawn using VOSviewer and Scimago Graphica, including country, institution, journal, author, and keywords. Results A total of 919 articles were included. The annual publication volume of TLIF-related articles presented an exponential growth. North America, Europe, and Asia were the main sources of articles, with the USA and China being the main contributors and the USA being the global research center for TLIF. The level of the national economy was an important factor affecting TLIF-related research. The highest number of contributions in this field was made by Kern Singh among authors and by Rush University among institutions. The European Spine Journal was the most influential journal. The research focus has gradually shifted from perfecting the TLIF technique toward emphasizing the patient level. The improvement of minimally invasive techniques and how to improve clinical outcomes as well as accelerate postoperative rehabilitation of patients may be the hot spot of future research. Conclusions With the advancement of medical technology and the popularization of minimally invasive concepts in recent years, TLIF and its derivative technologies have attracted increasing attention. Patient-centered minimally invasive surgery is a hot research topic in the field of TLIF currently and will continue to be so into the future

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Impact of preoperative symptom duration in patients undergoing lateral lumbar interbody fusion

et al. 2022

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Does Preoperative Symptom Duration Impact Clinical Outcomes After Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Ambulatory Setting?

Cited by 6 publications

References 25 publications

Impact of Preoperative Symptom Duration on Patient-reported Outcomes After Minimally Invasive Transforaminal Interbody Fusion for Degenerative Spondylolisthesis

Impact of Preoperative Symptom Duration on Patient-reported Outcomes After Minimally Invasive Transforaminal Interbody Fusion for Degenerative Spondylolisthesis

Bibliometric analysis of transforaminal lumbar interbody fusion: research status, trends, and future directions

Impact of preoperative symptom duration in patients undergoing lateral lumbar interbody fusion

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