Minimally Invasive Transforaminal Lumbar Interbody Fusion for Isthmic Spondylolisthesis: In Situ Versus Reduction

被引:24
作者
Fan, Guoxin [1 ]
Gu, Guangfei [1 ]
Zhu, Yanjie [1 ]
Guan, Xiaofei [1 ]
Hu, Annan [1 ]
Wu, Xinbo [1 ]
Zhang, Hailong [1 ]
He, Shisheng [1 ]
机构
[1] Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Orthoped, Shanghai, Peoples R China
关键词
Isthmic spondylolisthesis; Minimally invasive; Reduction; Transforaminal lumbar interbody fusion; DEGENERATIVE SPONDYLOLISTHESIS; CLINICAL-OUTCOMES; SLIP REDUCTION; UTILITY; DECOMPRESSION; FIXATION; MINIMUM; TLIF; PAIN;
D O I
10.1016/j.wneu.2016.02.033
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: The study aimed to compare the clinical outcomes of reduction versus in situ fusion with minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for isthmic spondylolisthesis. METHODS: Demographic, preoperative, and postoperative data were collected from the medical records. Radiographic fusion was assessed by use of the grading criteria of Bridwell. Preoperative and postoperative patient-reported outcomes including visual analog scale, Oswestry Disability Index, Japanese Orthopedic Association scale and improvement rate were calculated. Patient satisfaction was assessed with the criteria of Macnab (excellent, good, fair, poor). RESULTS: There were 24 patients (11 male) in the reduction group and 21 patients (10 male) in the in situ fusion group. The average follow-up was 34.75 +/- 8.06 months in reduction group and 31.05 +/- 6.52 months in the in situ fusion group (P = 0.101). There were no significant differences in hospital stay, estimated blood loss, blood transfusion, operation time, fusion grading, and complications between the 2 groups (P > 0.05). Spinal fusion rate was 91.67% (22/24) in the reduction group and 85.71% (18/21) in the in situ group (P = 0.835). There were no significant differences in Japanese Orthopedic Association scale, visual analog scale, and Oswestry Disability Index score between the 2 groups whenever preoperatively, 3-month postoperatively, or at the last follow-up (P > 0.05). According to the criteria of Macnab, the rate of excellent and good was 83.33% in reduction group and 80.95% in the in situ group (P = 0.899). CONCLUSIONS: MIS-TLIF with reduction did not induce significantly better patient-reported outcomes, spinal fusion rate, perioperative outcomes, or fewer complications in isthmic spondylolisthesis. Intentional reduction may not be a requirement in MIS-TLIF for isthmic spondylolisthesis.
引用
收藏
页码:580 / +
页数:9
相关论文
共 38 条
[1]   Transforaminal Lumbar Interbody Fusion in Degenerative Disk Disease and Spondylolisthesis Grade I Minimally Invasive Versus Open Surgery [J].
Brodano, Giovanni B. ;
Martikos, Konstantinos ;
Lolli, Francesco ;
Gasbarrini, Alessandro ;
Cioni, Alfredo ;
Bandiera, Stefano ;
Di Silvestre, Mario ;
Boriani, Stefano ;
Greggi, Tiziana .
JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2015, 28 (10) :E559-E564
[2]   In situ instrumented posterolateral fusion without decompression in symptomatic low-grade isthmic spondylolisthesis in adults [J].
Butt, Mohammed Farooq ;
Dhar, Shabir Ahmed ;
Hakeem, Imtiyaz ;
Farooq, Munir ;
Halwai, Manzoor Ahmed ;
Mir, Mohammad Ramzan ;
Kangu, Khursheed Ahmed .
INTERNATIONAL ORTHOPAEDICS, 2008, 32 (05) :663-669
[3]   Changes in spino-pelvic alignment after surgical treatment of high-grade isthmic spondylolisthesis by a posterior approach: a report of 41 cases [J].
Faldini, Cesare ;
Di Martino, Alberto ;
Perna, Fabrizio ;
Martikos, Kostantinos ;
Greggi, Tiziana ;
Giannini, Sandro .
EUROPEAN SPINE JOURNAL, 2014, 23 (06) :S714-S719
[4]  
Fan GX, 2015, J SPINAL DISORD TECH, V28, pE173, DOI 10.1097/BSD.0000000000000210
[5]   Analysis of factors related to prognosis and curative effect for posterolateral fusion of lumbar low-grade isthmic spondylolisthesis [J].
Feng Ming-li ;
Shen Hui-liang ;
Yong Yi-min ;
Hu Huai-jian ;
Zhang Qing-ming ;
Cao-Li .
INTERNATIONAL ORTHOPAEDICS, 2009, 33 (05) :1335-1340
[6]   Biomechanical Stability of Lateral Interbody Implants and Supplemental Fixation in a Cadaveric Degenerative Spondylolisthesis Model [J].
Fogel, Guy R. ;
Turner, Alexander W. L. ;
Dooley, Zachary A. ;
Cornwall, G. Bryan .
SPINE, 2014, 39 (19) :E1138-E1146
[7]   Reduction and transforaminal lumbar interbody fusion with posterior fixation versus transsacral cage fusion in situ with posterior fixation in the treatment of Grade 2 adult isthmic spondylolisthesis in the lumbosacral spine Clinical article [J].
Gong, Kai ;
Wang, Zhe ;
Luo, Zhuojing .
JOURNAL OF NEUROSURGERY-SPINE, 2010, 13 (03) :394-400
[8]   Fusion for low-grade adult isthmic spondylolisthesis: a systematic review of the literature [J].
Jacobs, WCH ;
Vreeling, A ;
De Kleuver, M .
EUROPEAN SPINE JOURNAL, 2006, 15 (04) :391-402
[9]   Circumferential fusion using a custom-made screw in the management of high-grade spondylolisthesis [J].
Jouve, Jean-Luc ;
Blondel, Benjamin ;
Fuentes, Stephane ;
Choufani, Elie ;
Pesenti, Sebastien ;
Bollini, Gerard .
EUROPEAN SPINE JOURNAL, 2014, 23 :457-462
[10]   Can cantilever transforaminal lumbar interbody fusion (C-TLIF) maintain segmental lordosis for degenerative spondylolisthesis on a long-term basis? [J].
Kida, Kazunobu ;
Tadokoro, Nobuaki ;
Kumon, Masashi ;
Ikeuchi, Masahiko ;
Kawazoe, Tateo ;
Tani, Toshikazu .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2014, 134 (03) :311-315