Universität zu Köln

Rieger, Bernhard, Jiang, Hongzhen, Reinshagen, Clemens, Molcanyi, Marek, Zivcak, Jozef, Gronemeyer, Dietrich, Bosche, Bert, Schackert, Gabriele and Ruess, Daniel (2017). Effects of Preoperative Simulation on Minimally Invasive Hybrid Lumbar Interbody Fusion. World Neurosurg., 106. S. 578 - 589. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1878-8769

Full text not available from this repository.

Abstract

OBJECTIVE: The main focus of this study was to evaluate how preoperative simulation affects the surgical work flow, radiation exposure, and outcome of minimally invasive hybrid lumbar interbody fusion (MIS-HLIF). METHODS: A total of 132 patients who underwent single-level MIS-HLIF were enrolled in a cohort study design. Dose area product was analyzed in addition to surgical data. Once preoperative simulation was established, 66 cases (SIM cohort) were compared with 66 patients who had previously undergone MIS-HLIF without preoperative simulation (NO-SIM cohort). - RESULTS: Dose area product was reduced considerably in the SIM cohort (320 cGy.cm(2) NO-SIM cohort: 470 cGy.cm(2); P < 0.01). Surgical time was shorter for the SIM cohort (155 minutes; NO-SIM cohort, 182 minutes; P < 0.05). SIM cohort had a better outcome in Numeric Rating Scale back at 6 months follow-up compared with the NO-SIM cohort (P < 0.05). CONCLUSIONS: Preoperative simulation reduced radiation exposure and resulted in less back pain at the 6 months follow-up time point. Preoperative simulation provided guidance in determining the correct cage height. Outcome controls enabled the surgeon to improve the procedure and the software algorithm.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Rieger, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Jiang, Hongzhen UNSPECIFIED UNSPECIFIED UNSPECIFIED Reinshagen, Clemens UNSPECIFIED UNSPECIFIED UNSPECIFIED Molcanyi, Marek UNSPECIFIED UNSPECIFIED UNSPECIFIED Zivcak, Jozef UNSPECIFIED UNSPECIFIED UNSPECIFIED Gronemeyer, Dietrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Bosche, Bert UNSPECIFIED UNSPECIFIED UNSPECIFIED Schackert, Gabriele UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruess, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-215053
DOI:	10.1016/j.wneu.2017.06.184
Journal or Publication Title:	World Neurosurg.
Volume:	106
Page Range:	S. 578 - 589
Date:	2017
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1878-8769
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PATIENT RADIATION-EXPOSURE; PEDICLE SCREW INSERTION; SPINE SURGERY; NAVIGATION; FIXATION; OUTCOMES; DECOMPRESSION; FLUOROSCOPY; IMPACT; RISKS Multiple languages Clinical Neurology; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21505