Single-Level Anterior Lumbar Interbody Fusion versus Minimally Invasive Transforaminal Lumbar Interbody Fusion at L5/S1 for an Obese Population

Patel Madhav Rajesh; Jacob Kevin Chacko; Zamanian Cameron; Pawlowski Hanna; Prabhu Michael Clifford; Vanjani Nisheka Navin; Singh Kern

doi:10.31616/asj.2022.0071

추천

검색

자료유형: 학술저널

저자정보: Patel Madhav Rajesh (Department of Orthopaedic Surgery Rush University Medical Center Chicago IL USA) Jacob Kevin Chacko (Department of Orthopaedic Surgery Rush University Medical Center Chicago IL USA) Zamanian Cameron (Department of Orthopaedic Surgery Rush University Medical Center Chicago IL USA) Pawlowski Hanna (Department of Orthopaedic Surgery Rush University Medical Center Chicago IL USA) Prabhu Michael Clifford (Department of Orthopaedic Surgery Rush University Medical Center Chicago IL USA) Vanjani Nisheka Navin (Department of Orthopaedic Surgery Rush University Medical Center Chicago IL USA) Singh Kern (Orthopaedic Surgery Rush University Medical Center Chicago IL USA)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.17 No.2

발행연도: 2023.4

수록면: 293 - 303 (11page)

DOI: 10.31616/asj.2022.0071

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Study Design: Retrospective study.Purpose: To compare perioperative outcomes, patient-reported outcome measures (PROMs), and minimal clinically important difference (MCID) achievement rates for an obese patient cohort between single-level minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) vs. anterior lumbar interbody fusion (ALIF).Overview of Literature: To the best of our knowledge, no study has compared the outcomes of MIS TLIF and ALIF in an obese population.Methods: Obese patients (body mass index [BMI] ≥30.0 kg/m2) who underwent single-level MIS TLIF or ALIF at L5/S1 were included in the study. Demographic/perioperative variables, presenting patient pathology, and 1-year arthrodesis statistics were collected. PROM scores for Visual Analog Scale (VAS) back/leg, Oswestry Disability Index, 12-item Short Form Physical Composite Scale, and Patient-Reported Outcome Measurement Information System Physical Function (PROMIS-PF) were collected from preoperative and postoperative (6 weeks, 12 weeks, 6 months, 1 year, 2 years) PROMIS-PF. The obese patients were classified based on the procedure they underwent (MIS TLIF vs. ALIF).Results: The criteria were met by 210 patients in total. After coarsened exact matching for Charlson comorbidity index score, degenerative spondylolisthesis, isthmic spondylolisthesis, degenerative scoliosis, foraminal stenosis, insurance, male, and ethnicity, 94 obese patients were included in the total cohort, with 59 receiving MIS TLIF and 35 receiving ALIF. ALIF recipients had higher PROMIS-PF scores at 6 weeks (p=0.014) and 12 weeks (p=0.030), as well as a higher VAS leg at 2 years (p=0.017). Following multiple regression accounting for differences in baseline BMI, only the 6-week PROMIS-PF significantly differed (p=0.028), with no other intergroup differences in mean PROMs between fusion types. Aside from a significantly higher 6-week MCID achievement rate for PROMIS-PF among ALIF recipients (p=0.006), no differences in attainment were observed.Conclusions: There were no statistically significant differences in perioperative characteristics, fusion rates, PROMs, or MCID achievement between obese patients receiving MIS TLIF vs. ALIF. As a result, our findings indicate that MIS TLIF and ALIF at L5/S1 are equally effective in an obese patient population.

#Obesity #Spine #Lumbar vertebrae/surgery #Patient-reported outcome measures #Minimal clinically important difference

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!