Minimally invasive tubular versus conventional open microsurgery of the lumbar spine for degenerative disorders

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F24%3A10490980" target="_blank" >RIV/00216208:11110/24:10490980 - isvavai.cz</a>

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=PyjrBLyw.t" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=PyjrBLyw.t</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s41983-024-00927-4" target="_blank" >10.1186/s41983-024-00927-4</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Minimally invasive tubular versus conventional open microsurgery of the lumbar spine for degenerative disorders

Popis výsledku v původním jazyce

Background: The aim of this study was to investigate patient-related variables, hospital-related variables and surgeon-related variables of minimally invasive tubular microsurgery (MITM) compared to conventional open microsurgery (COMS) in patients undergoing microsurgery for lumbar degenerative disorders (LDD). Results: 403 included patients were treated microsurgically for LDD between 09/2018 and 09/2021. Mean blood loss (44 vs. 72 ml), surgery time (76.2 vs. 85.7 min) and mean Rx-Dosis (1.1 mGy vs. 1.6 mGy) were lower in the MITM group (all p &lt; 0.05). The Macnab criteria and VAS pain scale (VAS Leg/VAS Back) of the MITM group were better at 6 weeks as well as 1 year postoperatively (Macnab at 6W: 1.5 vs. 1.7 (p = 0.02), at 1y: 1.2 vs. 1.4 (p = 0.002); VAS Leg at 6W: 1.4 vs. 1.9 (p = 0.005), at 1y: 0.4 vs. 0.9 (p &lt; 0.001), VAS Back at 6W 1.4 vs. 3.2 (p &lt; 0.001), at 1y: 1.2 vs. 1.4 (p &lt; 0.001)). Conclusion: The patient-related variables, hospital-related variables and surgeon-related variables are equivalent or better in MITM compared to COMS. MITM showed more favourable clinical outcomes in both short- and long-term follow-up, albeit small between-group differences in our single-center study and can be considered for various microsurgical indications for LDD.

Název v anglickém jazyce

Minimally invasive tubular versus conventional open microsurgery of the lumbar spine for degenerative disorders

Popis výsledku anglicky

Background: The aim of this study was to investigate patient-related variables, hospital-related variables and surgeon-related variables of minimally invasive tubular microsurgery (MITM) compared to conventional open microsurgery (COMS) in patients undergoing microsurgery for lumbar degenerative disorders (LDD). Results: 403 included patients were treated microsurgically for LDD between 09/2018 and 09/2021. Mean blood loss (44 vs. 72 ml), surgery time (76.2 vs. 85.7 min) and mean Rx-Dosis (1.1 mGy vs. 1.6 mGy) were lower in the MITM group (all p &lt; 0.05). The Macnab criteria and VAS pain scale (VAS Leg/VAS Back) of the MITM group were better at 6 weeks as well as 1 year postoperatively (Macnab at 6W: 1.5 vs. 1.7 (p = 0.02), at 1y: 1.2 vs. 1.4 (p = 0.002); VAS Leg at 6W: 1.4 vs. 1.9 (p = 0.005), at 1y: 0.4 vs. 0.9 (p &lt; 0.001), VAS Back at 6W 1.4 vs. 3.2 (p &lt; 0.001), at 1y: 1.2 vs. 1.4 (p &lt; 0.001)). Conclusion: The patient-related variables, hospital-related variables and surgeon-related variables are equivalent or better in MITM compared to COMS. MITM showed more favourable clinical outcomes in both short- and long-term follow-up, albeit small between-group differences in our single-center study and can be considered for various microsurgical indications for LDD.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2024

Kód důvěrnosti údajů

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

Název periodika

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

ISSN

1110-1083

e-ISSN

1687-8329

Svazek periodika

60

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

8

Strana od-do

151

Kód UT WoS článku

001385831200002

EID výsledku v databázi Scopus

2-s2.0-85213253102