Mini-open PLIF for Moderate to High Grade Spondylolisthesis: Technique to Achieve Spontaneous Reduction

Jeong, Se Ho; Kim, Hyeun Sung; Kim, Seok Won

doi:10.14245/kjs.2015.12.4.251

Cited by 5 publications

(2 citation statements)

References 13 publications

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“… 27 International studies have also shown similar results: excellent clinical results did not correlate with the return to work, and researchers could not evaluate work resumption because most patients remained in sickness absence for social reasons. 28 …”

Section: Discussionmentioning

confidence: 99%

Minimally invasive spine surgery: evaluation of clinical and functional outcomes and their correlation with the return to work

Silva¹,

Alcântara²

2020

Rev Bras Med Trab

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Background Intervertebral disc changes are a multi-factorial problem whose main clinical feature is pain. Studies show that when clinical treatments fail, the proposed surgical treatments frequently present unsatisfactory results. Traditional lumbar arthrodesis causes important clinical and functional changes that can result in complications and jeopardize the patients’ quality of life. Objectives This study aims to investigate the clinical and functional results of minimally invasive spine surgery in patients with a clinical diagnosis of low-back or sciatic pain and segmental instability, finally correlating these results with the patients’ return to work. Methods Patients signed an informed consent form and were clinical and radiographically re-evaluated by independent professionals in the pre- and postoperative periods. Evaluation methods used the Oswestry disability index, as well as visual analog scale and Medical Outcomes Short Form Health Survey (SF-36) scores. We also retrieved epidemiological data, information on work resumption, and bone consolidation evaluations from the medical records. Results We evaluated 19 patients who had been operated on 33 levels; visual analog scale and Oswestry disability index scores were initially reduced from 10% to 2% and from 64% to 28%, respectively. SF-36 scores were significantly higher in 5 of the 7 questionnaire scales at the end of the follow-up period. Most patients (68.4%) did not return to work after surgery; the others returned 2 to 67 months after the procedure. All patients received social security benefits after the surgery. Conclusion Although the procedure presented positive results, it did not result in a satisfactory return-to-work rate. Our results should be analyzed in view of the low educational level and income of the patients, the manual nature of their labor, and the validity of social security benefits.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive spine surgery: evaluation of clinical and functional outcomes and their correlation with the return to work

Silva¹,

Alcântara²

2020

Rev Bras Med Trab

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“…These methods have numerous advantages, including complete decompression, instantly restored spinal stability and stable surgical efficacy. Currently, PLIF and TLIF are the standard procedures in the treatment of lumbar degenerative disc disease (21)(22)(23)(24). PTED is a technically demanding procedure with a steep learning curve, and therefore requires an experienced surgeon (25).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous transforaminal endoscopic discectomy in the treatment of senior patients with lumbar degenerative disc disease

Bai

Zhang

Liu³

et al. 2018

Exp Ther Med

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The aim of the current study was to analyze the efficacy of percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of lumbar degenerative disc disease for senior patients. The clinical and follow-up data of senior patients were retrospectively reviewed. Patients were divided into a PTED group and an open surgery group. Parameters were analyzed, including surgery time, intraoperative fluoroscopy time, intraoperative blood loss, postoperative complications, visual analog scale (VAS) and Japan Orthopedic Association (JOA) scores. Compared with the open surgery group, the surgery time and intraoperative blood loss were decreased, while the intraoperative fluoroscopy time was increased, in the PTED group (P<0.001). Significant improvements in VAS and JOA scores were identified within both groups from preoperative to 12 months following surgery (P<0.001). VAS and JOA scores were significantly improved in the PTEN group compared with the open surgery group at 1 week after surgery (P<0.001), but there was no significant difference between groups prior to and at 12 months following surgery. The incidence of venous thrombosis of the lower extremities in the PTED group was decreased compared with the open surgery group (P<0.05). In the open surgery group, patients suffered from multiple postoperative complications, including constipation, urinary system infection, wound infection, gastrointestinal hemorrhagic stress ulcer, pneumonia, pulmonary embolism, mortality following myocardial infarction, mortality following cerebral infarction, and hemiplegia following cerebral hemorrhage. By contrast, patients in the PTED group did not experience any of these complications. In conclusion, PTED resulted in reduced trauma and a lower incidence of severe complications compared with open surgery, which suggests that PTED is a safe and effective minimally invasive surgery for senior patients with lumbar degenerative disc disease.

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Percutaneous lumbar interbody fusion and Cortoss cement bone augmentation in osteoporotic patients with anterolisthesis: A technical note

Fiori

Donna

Forcina

et al. 2023

Interdisciplinary Neurosurgery

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Mini-open PLIF for Moderate to High Grade Spondylolisthesis: Technique to Achieve Spontaneous Reduction

Cited by 5 publications

References 13 publications

Minimally invasive spine surgery: evaluation of clinical and functional outcomes and their correlation with the return to work

Minimally invasive spine surgery: evaluation of clinical and functional outcomes and their correlation with the return to work

Percutaneous transforaminal endoscopic discectomy in the treatment of senior patients with lumbar degenerative disc disease

Percutaneous lumbar interbody fusion and Cortoss cement bone augmentation in osteoporotic patients with anterolisthesis: A technical note

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