Long-Term Outcome After Midline Lumbar Fusion for the Treatment of Lumbar Spine Instability Due to Degenerative Disease

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F21%3AA2202CDG" target="_blank" >RIV/61988987:17110/21:A2202CDG - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/21:43921816 RIV/00064173:_____/21:N0000053

Result on the web

<a href="https://pubmed.ncbi.nlm.nih.gov/34332153/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/34332153/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.wneu.2021.07.108" target="_blank" >10.1016/j.wneu.2021.07.108</a>

Result language

angličtina

Original language name

Long-Term Outcome After Midline Lumbar Fusion for the Treatment of Lumbar Spine Instability Due to Degenerative Disease

Original language description

BACKGROUND: Midline lumbar fusion (MIDLF) is one promising new surgical technique that has been developed to minimize perioperative damage to the paravertebral stabilizing musculotendinous system. The aim of this study was to assess long-term clinical and radiological effects of MIDLF. METHODS: This prospective cohort study evaluated patients who underwent MIDLF for degenerative spinal instability. Clinical and radiological examinations were performed before and after surgery. Perioperative and postoperative complications were recorded. Follow-up was 2 years. P pound 0.05 was considered statistically significant. RESULTS: The study included 64 patients (mean age 58.9 +/- 10.7 years; 41 women [64.1%]). The most frequent indication for MIDLF was degenerative spondylolisthesis grade I (28 cases [43.8%]); the prevalent spinal segment to be fused was L4-L5 (35 cases [54.7%]). Mean duration of surgery was 148.2 +/- 28.9 minutes. Relief of low back pain and leg pain was significant and stable in the postoperative period as assessed by visual analog scale (P < 0.001). Of patients, 86.9% reported fair, good, or excellent outcomes in terms of pain relief based on MacNab score 2 years after surgery. Patients' level of function in activities of daily living improved significantly based on Oswestry Disability Index score: from 66.8 +/- 9.8 before surgery to 33.9 +/- 16.5 2 years after surgery (P < 0.001). X-rays and computed tomography at 12 months showed interbody fusion in 46 cases (73.4%), inconclusive results in 13 cases (20.3%), and no fusion in 4 cases (6.3%). No damage to neural or vascular structures and no failure of hardware or screw loosening were recorded. CONCLUSIONS: MIDLF is a safe, efficient method for surgical treatment of lumbar spine instability. Its limited invasiveness contributes to better preservation of paravertebral muscles and enhanced postoperative spinal stability.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30210 - Clinical neurology

Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

WORLD NEUROSURGERY

ISSN

1878-8750

e-ISSN

1878-8769

Volume of the periodical

154

Issue of the periodical within the volume

OCT 2021

Country of publishing house

US - UNITED STATES

Number of pages

8

Pages from-to

'E641'-'E648'

UT code for WoS article

000705004300015

EID of the result in the Scopus database

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