Universität zu Köln

Sitoci-Ficici, Kerim Hakan, Jiang, Hongzen, Esmael, Agrin, Ruess, Daniel, Reinshagen, Clemens, Brautferger, Uta, Schackert, Gabriele, Molcanyi, Marek, Pinzer, Thomas, Hudak, Radovan, Zivcak, Jozef and Rieger, Bernhard (2022). Patient reported outcomes after navigated minimally invasive hybrid lumbar interbody fusion (nMIS-HLIF) using cortical bone trajectory screws. Medicine (Baltimore), 101 (50). PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1536-5964

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Abstract

Prospective observational study. To evaluate patient-reported outcomes after navigation-guided minimally invasive hybrid lumbar interbody fusion (nMIS-HLIF) for decompression and fusion in degenerative spondylolisthesis (Meyerding grade I-II). Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) are well-known standard procedures for lumbar spinal fusion. nMIS-HLIF is a navigation-guided combined percutaneous and open procedure that combines the advantages of PLIF and TLIF procedures for the preparation of a single-port endoscopic approach. 33 patients underwent nMIS-HLIF. Core outcome measure index (COMI), oswestry disability index (ODI), numeric rating scale (NRS) back, NRS leg, and short form health-36 (SF-36) were collected preoperatively and at follow-up of 6 weeks, 3 months, 6 months, and 1 year. The impact of body mass index (BMI) was also analyzed. Computed tomography reconstruction was used to assess realignment and verify fused facet joints and vertebral bodies at the 1-year follow-up. 28 (85%) completed the 1-year follow-up. The median BMI was 27.6 kg/m(2), age 69 yrs. The mean reduction in listhesis was 8.4% (P < .01). BMI was negatively correlated with listhesis reduction (P = .032). The improvements in the NRS back, NRS leg, ODI, and COMI scores were significant at all times (P P < .01). The SF-36 parameters of bodily pain, physical functioning, physical component summary, role functioning/physical functioning, and social functioning improved (P < .003). The complication rate was 15.2% (n = 5), with durotomy (n = 3) being the most frequent. To reduce the complication rate and allow transitioning to a fully endoscopic approach, expandable devices have been developed. The outcomes of nMIS-HLIF are comparable to the current standard open and minimally invasive techniques. A high BMI hinders this reduction. The nMIS-HLIF procedure is appropriate for learning minimally invasive dorsal lumbar stabilization. The presented modifications will enable single-port endoscopic lumbar stabilization in the future.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sitoci-Ficici, Kerim Hakan UNSPECIFIED UNSPECIFIED UNSPECIFIED Jiang, Hongzen UNSPECIFIED UNSPECIFIED UNSPECIFIED Esmael, Agrin UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruess, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Reinshagen, Clemens UNSPECIFIED UNSPECIFIED UNSPECIFIED Brautferger, Uta UNSPECIFIED UNSPECIFIED UNSPECIFIED Schackert, Gabriele UNSPECIFIED UNSPECIFIED UNSPECIFIED Molcanyi, Marek UNSPECIFIED UNSPECIFIED UNSPECIFIED Pinzer, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Hudak, Radovan UNSPECIFIED UNSPECIFIED UNSPECIFIED Zivcak, Jozef UNSPECIFIED UNSPECIFIED UNSPECIFIED Rieger, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-691811
DOI:	10.1097/MD.0000000000031955
Journal or Publication Title:	Medicine (Baltimore)
Volume:	101
Number:	50
Date:	2022
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1536-5964
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CLINICAL-OUTCOMES; RADIOLOGICAL OUTCOMES; SPINE; SPONDYLOLISTHESIS; OBESITY; COMPLICATIONS; SURGERY; REDUCTION; TLIF; REALIGNMENT Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69181