scholarly journals Is Closed-Suction Drainage Essential after Minimally Invasive Lumbar Fusion Surgery?: A Retrospective Review of 381 Cases

2017 ◽  
Vol 2 (1) ◽  
pp. 27-31
Author(s):  
Arvind Gopalrao Kulkarni ◽  
Ravish Shammi Patel
Keyword(s):  
Minimally Invasive ◽  
Retrospective Review ◽  
Lumbar Fusion ◽  
Suction Drainage ◽  
Fusion Surgery ◽  
Closed Suction ◽  
Lumbar Fusion Surgery ◽  
Closed Suction Drainage

scholarly journals Comparisons of Lumbar Muscle Performance Between Minimally-Invasive and Open Lumbar Fusion Surgery at 1-Year Follow-Up

2020 ◽  
pp. 219256822097966
Author(s):  
Meng-Ling Lu ◽  
Chih-Hsiu Cheng ◽  
Wen-Chien Chen ◽  
Chen-Ju Fu ◽  
Chi-Chien Niu
Keyword(s):  
Clinical Outcome ◽  
Minimally Invasive ◽  
Muscle Function ◽  
Lumbar Fusion ◽  
Muscle Performance ◽  
Functional Score ◽  
Back Muscle ◽  
Fusion Surgery ◽  
Lumbar Fusion Surgery ◽  
Significant Difference

Study Design: Prospective study. Objective: Minimally-invasive lumbar fusion surgery (MIS) is a viable alternative to conventional open surgery (COS) for spinal disorders. Although MIS seems to be associated with less para-spinal muscle trauma, the actual back muscle performance after MIS and COS remain controversial. This study investigated post-operative para-spinal muscle performance, and the correlation between muscle dysfunction and clinical outcome. Methods: In this prospective, non-randomized control study, 50 patients were enrolled and split into 2 groups: COS and MIS. We established a biomechanical model of the para-spinal muscle in the lumbar spine using electromyography (EMG) and specific muscle function tests. Functional outcomes were also reviewed and analyzed. All patients underwent EMG pre-operatively, and at 3 months and 1 year post-operatively. The para-spinal muscle performance was investigated by comparing the back muscle co-contraction ratio and the load transmission zone to the pre-operative data. Results: Twenty-one patients in the COS group and 25 in the MIS group completed the study. Both groups showed a significant improved functional score. The abdominal and back muscle strengths were decreased post-operatively, and were then increased at 12 months post-operatively in both groups. During the perturbed balance task and static task, the MIS group exhibited a trend of recovery in comparison with the COS group. But, the back muscle performance at 12 months was poorer than the pre-op performance in both groups. Conclusions: There was no significant difference in clinical outcome and para-spinal muscle performance between groups. In both methods, the global muscle function had declined post-operatively.

scholarly journals Women Do Not Have Poorer Outcomes After Minimally Invasive Lumbar Fusion Surgery: A Five-Year Follow-Up Study

10.14444/7108 ◽  
2020 ◽  
Vol 14 (5) ◽  
pp. 756-761
Author(s):  
WINSTON SHANG RONG LIM ◽  
MING HAN LINCOLN LIOW ◽  
GRAHAM SEOW-HNG GOH ◽  
WILLIAM YEO ◽  
ZHIXING MARCUS LING ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Lumbar Fusion ◽  
Fusion Surgery ◽  
Follow Up Study ◽  
Lumbar Fusion Surgery

scholarly journals Minimally Invasive Transforaminal Lumbar Interbody Fusion Ameliorates Persistent Pain After Lumbar Fusion Surgery

2020 ◽  
Author(s):  
Jun Li ◽  
Kai Liu ◽  
Li Yang ◽  
DEGUO WANG
Keyword(s):  
Minimally Invasive ◽  
Interbody Fusion ◽  
Lumbar Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Persistent Pain ◽  
Lumbar Interbody Fusion ◽  
Fusion Surgery ◽  
Drainage Fluid ◽  
Lumbar Fusion Surgery ◽  
Degenerative Lumbar Diseases

Abstract Background: Approximately 4-20% patients with degenerative lumbar diseases showed persistent pain after lumbar fusion surgery that may develop into failed back surgery syndrome (FBSS), and this persistent pain may be related to the postoperative increased release of inflammatory mediators. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) can obviously reduce the intraoperative soft tissue trauma. The aim of this study is to investigate the persistent pain in the patients with degenerative lumbar diseases undergoing MIS-TLIF compared with conventional‑invasive TLIF. Material and methods: This study retrospectively included 146 patients (MIS-TLIF vs. conventional‑invasive TLIF: 56 vs. 90), and the incidence of persistent pain were evaluated. Furthermore, inflammation related markers in both blood and drainage fluid samples, including white blood cell (WBC) count, C-reactive protein (CRP), creatine kinase (CK), interleukin-6 (IL-6) and IL-1β, were tested before and after operation. Results: Significantly larger number of patients undergoing conventional‑invasive TLIF showed postoperative persistent pain compared to those undergoing MIS-TLIF (4/56, 7.1% vs. 20/90, 22.2%; P < 0.05). In both treatment groups, the patients with postoperative persistent pain showed increased IL-6 and IL-1β in drainage fluid, as well as increased IL-6 in blood samples (P < 0.05), and there is significant correlation between the inflammation markers in drainage fluid and the extent of postoperative persistent pain in patients with postoperative persistent pain (P < 0.05). Conclusions: Local inflammatory substance accumulation may be potential cause for postoperative persistent pain, and MIS-TLIF may reduce this inflammatory accumulation at the surgical site and subsequently reduce the risk of persistent pain.

Radiation Exposure in Minimally Invasive Lumbar Fusion Surgery

Spine ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jan-Helge Klingler ◽  
Christoph Scholz ◽  
Marie T. Krüger ◽  
Yashar Naseri ◽  
Florian Volz ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Radiation Exposure ◽  
Lumbar Fusion ◽  
Fusion Surgery ◽  
Lumbar Fusion Surgery

scholarly journals Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results

2017 ◽  
Vol 43 (2) ◽  
pp. E8 ◽  
Author(s):  
Dong Hwa Heo ◽  
Sang Kyu Son ◽  
Jin Hwa Eum ◽  
Choon Keun Park
Keyword(s):  
Minimally Invasive ◽  
Interbody Fusion ◽  
Lumbar Fusion ◽  
Clinical Results ◽  
Technical Note ◽  
Lumbar Interbody Fusion ◽  
Fusion Surgery ◽  
Lumbar Fusion Surgery ◽  
Estimated Blood Loss

OBJECTIVEMinimally invasive spine surgery can minimize damage to normal anatomical structures. Recently, fully endoscopic spine surgeries have been attempted for lumbar fusion surgery. In this study, the authors performed a percutaneous unilateral biportal endoscopic (UBE) technique as a minimally invasive surgery for lumbar fusion. The purpose of this study is to present the UBE technique of fully endoscopic lumbar interbody fusion (LIF) and to analyze the clinical results.METHODSPatients who were to undergo single-level fusion surgery from L3–4 to L5–S1 were enrolled. Two channels (endoscopic portal and working portal) were used for endoscopic lumbar fusion surgery. All patients underwent follow-up for more than 12 months. Demographic characteristics, diagnosis, operative time, and estimated blood loss were evaluated. MRI was performed on postoperative Day 2. Clinical evaluations (visual analog scale [VAS] for the leg and Oswestry Disability Index [ODI] scores) were performed preoperatively and during the follow-up period.RESULTSA total of 69 patients (24 men and 45 women) were enrolled in this study. The mean follow-up period was 13.5 months. Postoperative MRI revealed optimal direct neural decompression after fully endoscopic fusion surgery. VAS and ODI scores significantly improved after the surgery. There was no postoperative neurological deterioration.CONCLUSIONSFully endoscopic LIF using the UBE technique may represent an alternative minimally invasive LIF surgery for the treatment of degenerative lumbar disease. Long-term follow-up and larger clinical studies are needed to validate the clinical and radiological results of this surgery.

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