Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery

B. Hentenaar, A. B. Spoor, J. de Waal Malefijt, C. H. Diekerhof, B. L. den Oudsten

Research output: Contribution to journalArticleScientificpeer-review

72 Downloads (Pure)

Abstract

Purpose
The aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases.
Methods
In a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF.
Results
The follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount.
Conclusion
The MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. It was successful in both groups, but the quality of life and ODI are better in primary cases.
Original languageEnglish
Article number2
JournalJournal of Orthopaedic Surgery and Research
Volume11
DOIs
Publication statusPublished - 2016

Cite this

@article{b95ba1f059f24bfd85826d47a3628813,
title = "Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery",
abstract = "PurposeThe aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases.MethodsIn a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF.ResultsThe follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount.ConclusionThe MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. It was successful in both groups, but the quality of life and ODI are better in primary cases.",
author = "B. Hentenaar and Spoor, {A. B.} and Malefijt, {J. de Waal} and Diekerhof, {C. H.} and {den Oudsten}, {B. L.}",
year = "2016",
doi = "10.1186/s13018-015-0337-y",
language = "English",
volume = "11",
journal = "Journal of Orthopaedic Surgery and Research",
issn = "1749-799X",
publisher = "BioMed Central",

}

Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery. / Hentenaar, B.; Spoor, A. B.; Malefijt, J. de Waal; Diekerhof, C. H.; den Oudsten, B. L.

In: Journal of Orthopaedic Surgery and Research, Vol. 11, 2, 2016.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery

AU - Hentenaar, B.

AU - Spoor, A. B.

AU - Malefijt, J. de Waal

AU - Diekerhof, C. H.

AU - den Oudsten, B. L.

PY - 2016

Y1 - 2016

N2 - PurposeThe aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases.MethodsIn a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF.ResultsThe follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount.ConclusionThe MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. It was successful in both groups, but the quality of life and ODI are better in primary cases.

AB - PurposeThe aim of this study is to compare the clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion (MI-PLIF) in revision and primary cases.MethodsIn a retrospective study, we compared the clinical and radiological results of MI-PLIF for lytic spondylolisthesis (n = 28) and recurrent radiculopathy after herniated disc surgery (n = 28). Clinical outcome was assessed using the visual analogue score (VAS) and Oswestry Disability Index (ODI). Quality of life was assessed with the Euroqol-5d (EQ5D), the EQ5D VAS and the WHOQOL-BREF.ResultsThe follow-up was 5.1 (SD 2.3) years. The decrease in VAS scores was significant and comparable in both groups. We found significantly better ODI and quality of life scores for the patients with lytic spondylolisthesis. The radiological outcome showed only one non-union, and subsidence occurred in both groups at an equal amount.ConclusionThe MI-PLIF technique is a safe procedure with only few complications and a high fusion rate. It was successful in both groups, but the quality of life and ODI are better in primary cases.

U2 - 10.1186/s13018-015-0337-y

DO - 10.1186/s13018-015-0337-y

M3 - Article

VL - 11

JO - Journal of Orthopaedic Surgery and Research

JF - Journal of Orthopaedic Surgery and Research

SN - 1749-799X

M1 - 2

ER -