Percutaneous CT-guided lumbar trans-facet pedicle screw fixation in lumbar microinstability syndrome: feasibility of a novel approach

Manfrè, L.; Vivo, Aldo Eros De; Qatami, Hosam Al; Ventura, Fausto; Zobel, B Beomonte; Midiri, Massimo; Chandra, Ronil V.; Carter, Nicole S.; Hirsch, Joshua A

doi:10.1007/s00234-020-02438-4

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…Biomechanical changes in lumbar instability are associated with disk degeneration, which results in the loss of the physiological ability to absorb applied loading stresses and apply torsional resistance [ 9 ]. Numerous studies on lumbar intervertebral fusion adjacent to functional spinal units (FSUs) have reported: Increased postoperative stress between adjacent vertebral bodies can easily lead to poor stability of the FSU above or below the fused segment, include disk herniation, vertebral endplate degeneration, stenosis and hypertrophic small joint arthritis.…”

Section: Discussionmentioning

confidence: 99%

“…It has been found that after lumbar fusion, instability can occur in adjacent vertebrae due to changes in stress relationships [ 8 ]. Vertebral instability is due to pathological changes caused by the inability of the vertebral body position to maintain normal positional relationships under normal loading [ 9 ]. There are no specific signs or symptoms in the early stages, which can only be detected by radiological data on postoperative review; among them, lumbar flexion and extension radiography is the most widely used [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the results of open PLIF versus UBE PLIF in lumbar spinal stenosis: postoperative adjacent segment instability is lesser in UBE

Liu

2023

J Orthop Surg Res

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Objective To compare the difference in efficacy between open PLIF and UBE for lumbar spinal stenosis and the effect on postoperative adjacent segment instability. Method The clinical data of 37 patients with PLIF and 32 patients with UBE for lumbar spinal stenosis were retrospectively analyzed to compare the differences in perioperative conditions and short- and medium-term outcomes. Results All 69 patients completed the surgery successfully. The operating time, number of intraoperative fluoroscopies and hospital days were higher in the UBE group than in the open PLIF group. Intraoperative bleeding and postoperative drainage were lower than in the open PLIF group (P < 0.05). The visual analogue scale (VAS) of low back pain was lower in the UBE group than in the open PLIF group at 1 month and 3 months postoperatively (P < 0.05), and there were no statistically significant VAS scores for low back pain in the two groups at 1 day and 6 months postoperatively (P > 0.05). Leg pain VAS scores were lower in the UBE group than in the open PLIF group at 1 month, 3 months and 6 months postoperatively (P < 0.05), and leg pain VAS scores were not statistically significant in both groups at 1 day postoperatively (P > 0.05). The ODI index was lower in the UBE group than in the open PLIF group at 1 day and 1 month postoperatively (P < 0.05) and was not statistically significant in the two groups at 3 months and 6 months postoperatively (P > 0.05). There was no statistically significant difference between the two groups in postoperative interbody height, sagittal diameter of the spinal canal, efficacy of modified MacNab and interbody fusion (P > 0.05). The open PLIF group was more prone to postoperative adjacent vertebral instability than the UBE group, and the difference was statistically significant (P < 0.05). Conclusion With appropriate indications, the open PLIF group and the UBE group had similar short- and medium-term clinical outcomes for the treatment of lumbar spinal stenosis, but patients in the UBE group had better symptomatic improvement than the open PLIF group at 3 months postoperatively, and the effect on postoperative adjacent vertebral instability was smaller in the endoscopic group than in the open PLIF group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the results of open PLIF versus UBE PLIF in lumbar spinal stenosis: postoperative adjacent segment instability is lesser in UBE

Liu

2023

J Orthop Surg Res

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“…Therefore, the puncture needle is easy to slip into the patient's foramina after implantation, resulting in damage to the patient's dural sac and nerve root. As a result, during the actual clinical operation, doctors often need to perform multiple X-ray fluoroscopy the operation, which not only prolongs the operation time but also increases the radiation dose of patients (17,18). In the process of locating the facet, the tip of the dilator is applied to the dorsal side of the superior facet.…”

Section: Evaluation Of the Prognostic Efficacy Of Il-8 Crp And Txb2 I...mentioning

confidence: 99%

The effect of locating and sliding of facet combined with percutaneous endoscopic lumbar discectomy on cell inflammatory indicators and the treatment of disc herniation

Zhang

2022

Cell Mol Biol (Noisy-le-grand)

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This study aimed to investigate the effects of IL-8, CRP and TXB2 in the treatment of lumbar disc herniation by combining with percutaneous endoscopic discectomy. For this purpose, 290 patients with disc herniation were selected as the research objects and randomly divided into two groups. The control group was treated with traditional intervertebral fenestration of nucleus pulposus, and the research group was treated with joint process location slip technique combined with percutaneous endoscopic lumbar disc discectomy. The clinical efficacy, functional scores and serological indexes of the two groups were compared, and the prognostic value of IL-8, CRP and TXB2 in the treatment of disc herniation by the combination of the sliding technique of facet location and percutaneous endoscopic discectomy was explored. The results showed that the total effective rate of 95.55% in the study group was higher than 79.31% in the control group, and the difference was significant (P<0.05). The operative time, incision length, length of hospital stay and intraoperative blood loss in the study group were lower than those in the control group (P<0.05). JOA score was higher and ODI score was lower in the two groups after surgery than before surgery, and JOA score in the study group was higher than that in the control group, while the ODI score was lower than that in the control group (P<0.05). Il-8, CRP and MDA in 2 groups increased after the operation, while SOD and TXB2 decreased significantly. Il-8, CRP, TXB2 and SOD in the study group were lower than those in the control group, while MDA was higher than those in the control group (P<0.05). ROC curve indicated that the areas under the curves of IL-8, CRP and TXB2 were 0.725, 0.835 and 0.880, and the areas under the curves, sensitivity and specificity of the combined determination were higher than those of any index (P<0.05). In general, compared with traditional interlaminar fenestration of nucleus pulposus, combined with percutaneous endoscopic lumbar disc discectomy has a significant effect on the treatment of disc herniation, and can reduce the levels of IL-8, CRP and TXB2.

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Percutaneous CT-guided lumbar trans-facet pedicle screw fixation in lumbar microinstability syndrome: feasibility of a novel approach

Cited by 2 publications

References 29 publications

Comparison of the results of open PLIF versus UBE PLIF in lumbar spinal stenosis: postoperative adjacent segment instability is lesser in UBE

Comparison of the results of open PLIF versus UBE PLIF in lumbar spinal stenosis: postoperative adjacent segment instability is lesser in UBE

The effect of locating and sliding of facet combined with percutaneous endoscopic lumbar discectomy on cell inflammatory indicators and the treatment of disc herniation

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