5 引文 (Scopus)

摘要

Results The average age of patients was 62.48 years. The mean follow-up period was 12.78 months. The foramen areas on bilateral sides and the cross-sectional area of the dura mater increased significantly postoperatively (P <0.05). Structural preservation of the multifidus muscle was observed in 20 of 54 levels (37%) on ipsilateral sides and in 48 of 54 levels (89%) on contralateral sides. No major complications were observed, and the incidences of minor complications and incidental durotomy were 28% and 4%, respectively. Improvements in average visual analog scale pain and 36-item short form health survey 6 (preoperative to 1 year postoperatively) scores were from 5.9 to 1.8 (P <0.05) and from 51.3 to 71.3 (P <0.01), respectively. The radiologic criteria of bony fusion were met by 40 patients (83%).
原文英語
頁(從 - 到)891-896
頁數6
期刊World Neurosurgery
82
發行號5
DOIs
出版狀態已發佈 - 十一月 1 2014

指紋

Decompression
Paraspinal Muscles
Dura Mater
Pain Measurement
Health Surveys
Pathologic Constriction
Muscles
Therapeutics
Safety
Incidence

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Medicine(all)

引用此文

@article{78a5ce050e9c422d868d4fa47ac93533,
title = "Unilateral approach for bilateral foramen decompression in minimally invasive transforaminal interbody fusion",
abstract = "Results The average age of patients was 62.48 years. The mean follow-up period was 12.78 months. The foramen areas on bilateral sides and the cross-sectional area of the dura mater increased significantly postoperatively (P <0.05). Structural preservation of the multifidus muscle was observed in 20 of 54 levels (37{\%}) on ipsilateral sides and in 48 of 54 levels (89{\%}) on contralateral sides. No major complications were observed, and the incidences of minor complications and incidental durotomy were 28{\%} and 4{\%}, respectively. Improvements in average visual analog scale pain and 36-item short form health survey 6 (preoperative to 1 year postoperatively) scores were from 5.9 to 1.8 (P <0.05) and from 51.3 to 71.3 (P <0.01), respectively. The radiologic criteria of bony fusion were met by 40 patients (83{\%}).Conclusions A unilateral approach for bilateral foramen decompression in miTLIF provides a safe and efficient method for the treatment of bilateral foramen stenosis in patients with degenerative spinal disorders.Objective To evaluate the efficiency and safety of a unilateral approach for bilateral foramen decompression in minimally invasive transforaminal lumbar interbody fusion (miTLIF) for the treatment of bilateral foraminal stenosisMethods Treatment of 52 levels of bilateral foraminal stenosis in 48 patients was performed using a unilateral approach for bilateral foramen decompression in miTLIF. The foramen areas on bilateral sides, the cross-sectional areas of the dura mater, and the structural preservation of the multifidus muscle on bilateral sides were compared preoperatively and 1 year postoperatively. Visual analog scale scores of pain, 36-item short form health survey results, and complications were recorded after reviewing patient charts. Fusion rates were evaluated 1 year postoperatively.",
keywords = "Foramen stenosis, Minimally invasive, Transforaminal interbody fusion, Unilateral approach",
author = "Lin, {Jiann Her} and Chiang, {Yung Hsiao}",
year = "2014",
month = "11",
day = "1",
doi = "10.1016/j.wneu.2014.06.009",
language = "English",
volume = "82",
pages = "891--896",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Unilateral approach for bilateral foramen decompression in minimally invasive transforaminal interbody fusion

AU - Lin, Jiann Her

AU - Chiang, Yung Hsiao

PY - 2014/11/1

Y1 - 2014/11/1

N2 - Results The average age of patients was 62.48 years. The mean follow-up period was 12.78 months. The foramen areas on bilateral sides and the cross-sectional area of the dura mater increased significantly postoperatively (P <0.05). Structural preservation of the multifidus muscle was observed in 20 of 54 levels (37%) on ipsilateral sides and in 48 of 54 levels (89%) on contralateral sides. No major complications were observed, and the incidences of minor complications and incidental durotomy were 28% and 4%, respectively. Improvements in average visual analog scale pain and 36-item short form health survey 6 (preoperative to 1 year postoperatively) scores were from 5.9 to 1.8 (P <0.05) and from 51.3 to 71.3 (P <0.01), respectively. The radiologic criteria of bony fusion were met by 40 patients (83%).Conclusions A unilateral approach for bilateral foramen decompression in miTLIF provides a safe and efficient method for the treatment of bilateral foramen stenosis in patients with degenerative spinal disorders.Objective To evaluate the efficiency and safety of a unilateral approach for bilateral foramen decompression in minimally invasive transforaminal lumbar interbody fusion (miTLIF) for the treatment of bilateral foraminal stenosisMethods Treatment of 52 levels of bilateral foraminal stenosis in 48 patients was performed using a unilateral approach for bilateral foramen decompression in miTLIF. The foramen areas on bilateral sides, the cross-sectional areas of the dura mater, and the structural preservation of the multifidus muscle on bilateral sides were compared preoperatively and 1 year postoperatively. Visual analog scale scores of pain, 36-item short form health survey results, and complications were recorded after reviewing patient charts. Fusion rates were evaluated 1 year postoperatively.

AB - Results The average age of patients was 62.48 years. The mean follow-up period was 12.78 months. The foramen areas on bilateral sides and the cross-sectional area of the dura mater increased significantly postoperatively (P <0.05). Structural preservation of the multifidus muscle was observed in 20 of 54 levels (37%) on ipsilateral sides and in 48 of 54 levels (89%) on contralateral sides. No major complications were observed, and the incidences of minor complications and incidental durotomy were 28% and 4%, respectively. Improvements in average visual analog scale pain and 36-item short form health survey 6 (preoperative to 1 year postoperatively) scores were from 5.9 to 1.8 (P <0.05) and from 51.3 to 71.3 (P <0.01), respectively. The radiologic criteria of bony fusion were met by 40 patients (83%).Conclusions A unilateral approach for bilateral foramen decompression in miTLIF provides a safe and efficient method for the treatment of bilateral foramen stenosis in patients with degenerative spinal disorders.Objective To evaluate the efficiency and safety of a unilateral approach for bilateral foramen decompression in minimally invasive transforaminal lumbar interbody fusion (miTLIF) for the treatment of bilateral foraminal stenosisMethods Treatment of 52 levels of bilateral foraminal stenosis in 48 patients was performed using a unilateral approach for bilateral foramen decompression in miTLIF. The foramen areas on bilateral sides, the cross-sectional areas of the dura mater, and the structural preservation of the multifidus muscle on bilateral sides were compared preoperatively and 1 year postoperatively. Visual analog scale scores of pain, 36-item short form health survey results, and complications were recorded after reviewing patient charts. Fusion rates were evaluated 1 year postoperatively.

KW - Foramen stenosis

KW - Minimally invasive

KW - Transforaminal interbody fusion

KW - Unilateral approach

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U2 - 10.1016/j.wneu.2014.06.009

DO - 10.1016/j.wneu.2014.06.009

M3 - Review article

VL - 82

SP - 891

EP - 896

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

IS - 5

ER -