Minimally invasive transaxial lumbosacral interbody fusion: a ten year single-centre experience.

Abstract

PURPOSE:

Our aim was to evaluate mid- and long-term results in a cohort of patients who underwent minimally invasive transaxial lumbosacral fixation and to identify clinical and other parameters that can aid in proper patient selection.

METHODS:

Over a period of ten years, we assessed 164 patients who had a complete follow-up of a minimum of one year (average 54 months). On follow-up, we recorded clinical status, fusion status, visual analogue scale (VAS), Oswestry Lower Back Pain Disability Index (ODI) scores and patient satisfaction.

RESULTS:

There were no intra- or peri-operative complications. Overall clinical success rate was 73.8 %. Only sex (female), working status (still working), body mass index (BMI) (lower) and presence of Modic II changes (absent) were correlated with a good result.

CONCLUSIONS:

Transaxial fixation is a safe, minimally invasive technique that can offer good results in patients with single-level degenerative disc disease (DDD) at the lumbosacral level, with minimal operative risk.

• Authors: Dick J Zeilstra, Victor E Staartjes, Marc L Schröder
• Journal: International orthopaedics (Int Orthop) Vol. 41 Issue 1 Pg. 113-119 (Jan 2017) ISSN: 1432-5195 [Electronic] Germany
• PMID: 27553062 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Female
• Follow-Up Studies
• Humans
• Intervertebral Disc Degeneration (surgery)
• Low Back Pain (surgery)
• Lumbosacral Region
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures (methods)
• Patient Satisfaction
• Severity of Illness Index
• Spinal Fusion (methods)
• Spine (pathology, surgery)
• Treatment Outcome
• Visual Analog Scale