دورية أكاديمية
أعرض في EDS

Patient-Centered Outcomes Following Prone Lateral Single-Position Approach to Same-Day Circumferential Spine Surgery.

التفاصيل البيبلوغرافية
العنوان: Patient-Centered Outcomes Following Prone Lateral Single-Position Approach to Same-Day Circumferential Spine Surgery.
المؤلفون: Passias PG; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Williamson TK; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Krol O; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Joujon-Roche R; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Imbo B; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Tretiakov P; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Ahmad S; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Bennett-Caso C; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Lebovic J; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Owusu-Sarpong S; Departments of Orthopaedic and Neurologic Surgery, NYU Langone Orthopedic Hospital, New York, NY.; New York Spine Institute, New York, NY., Park P; Department of Neurosurgery, University of Michigan, Ann Arbor, MI., Chou D; Department of Neurosurgery, Columbia University, New York, NY., Vira S; Departments of Orthopaedic and Neurosurgery, UT Southwestern Medical Center, Dallas, TX., Diebo BG; Department of Orthopaedic Surgery, SUNY Downstate Medical Center, New York, NY., Schoenfeld AJ; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
المصدر: Spine [Spine (Phila Pa 1976)] 2024 Feb 01; Vol. 49 (3), pp. 174-180. Date of Electronic Publication: 2023 Mar 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7610646 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-1159 (Electronic) Linking ISSN: 03622436 NLM ISO Abbreviation: Spine (Phila Pa 1976) Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Hagerstown, Md., Medical Dept., Harper & Row.
مواضيع طبية MeSH: Postoperative Complications*/epidemiology , Spinal Fusion*/methods, Humans ; Retrospective Studies ; Treatment Outcome ; Spine/surgery ; Patient-Centered Care
مستخلص: Study Design: Retrospective study.
Objective: Evaluate surgical characteristics and postoperative 2-year results of the PL approach to spinal fusion.
Summary of Background Data: Prone-lateral(PL) single positioning has recently gained popularity in spine surgery due to lower blood loss and operative time but has yet to be examined for other notable outcomes, including realignment and patient-reported measures.
Materials and Methods: We included circumferential spine fusion patients with a minimum one-year follow-up. Patients were stratified into groups based on undergoing PL approach versus same-day staged (Staged). Mean comparison tests identified differences in baseline parameters. Multivariable logistic regression, controlling for age, levels fused, and Charlson Comorbidity Index were used to determine the influence of the approach on complication rates, radiographic and patient-reported outcomes up to two years.
Results: One hundred twenty-two patients were included of which 72(59%) were same-day staged and 50(41%) were PL. PL patients were older with lower body mass index (both P <0.05). Patients undergoing PL procedures had lower estimated blood loss and operative time (both P <0.001), along with fewer osteotomies (63% vs. 91%, P <0.001). This translated to a shorter length of stay (3.8 d vs. 4.9, P =0.041). PL procedures demonstrated better correction in both PT (4.0 vs. -0.2, P =0.033 and pelvic incidence and lumbar lordosis (-3.7 vs. 3.1, P =0.012). PL procedures were more likely to improve in GAP relative pelvic version (OR: 2.3, [1.5-8.8]; P =0.003]. PL patients suffered lesser complications during the perioperative period and greater improvement in NRS-Back (-6.0 vs. -3.3, P =0.031), with less reoperations (0.0% vs. 4.8%, P =0.040) by two years.
Conclusions: Patients undergoing PL single-position procedures received less invasive procedures with better correction of pelvic compensation, as well as earlier discharge. The prone lateral cohort also demonstrated greater clinical improvement and a lower rate of reoperations by two years following spinal corrective surgery.
Level of Evidence: Level-III.
Competing Interests: P.G. P. provides research support for Cervical Scoliosis Research Society; is a paid presenter or speaker for Globus Medical; paid consultant for Medtronic, Royal Biologics, SpineWave, and Terumo; is on the Editorial or governing board for Spine; and received other financial or material support from Cerapedics and Spinevision. P.P. is a Committee member of AANS Spine Section; provides research support for Cerapedics, ISSG, DePuy, SI-Bone, and A Johnson & Johnson Company; is a committee member of AANS Spine Section, North American Spine Society, and Scoliosis Research Society; is on the editorial or governing board of Journal of Neurosurgery: Spine , Neurosurgery, and Operative Neurosurgery; and is a paid consultant for Globus Medical: IP royalties and Nuvasive. D.C. is a paid consultant for Globus Medical: IP royalties and Orthofix, Inc. A.S. is a board or committee member of AAOS and North American Spine Society; is on the editorial or governing board of Journal of Bone and Joint Surgery—American and Spine; received publishing royalties and financial or material support from Wolters Kluwer Health—Lippincott Williams & Wilkins and Springer. The remaining authors report no conflicts of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
References: Passias PG, Ahmad W, Kummer N, et al. International Spine Study Group. Examination of the economic burden of frailty in patients with adult spinal deformity undergoing surgical intervention. Neurosurgery. 2022;90:148–153.
Lafage R, Smith JS, Elysee J, et al. International Spine Study Group (ISSG). Sagittal age-adjusted score (SAAS) for adult spinal deformity (ASD) more effectively predicts surgical outcomes and proximal junctional kyphosis than previous classifications. Spine Deform. 2022;10:121–131.
Passias PG, Passfall L, Williamson TK, et al. The clinical impact of failing to achieve ideal proportional realignment in adult spinal deformity patients. Spine (Phila Pa 1976). 2022;47:995–1002.
Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6:435–443.
Passias PG, Poorman CE, Yang S, et al. Surgical Treatment Strategies for High-Grade Spondylolisthesis: a systematic review. Int J Spine Surg. 2015;9:50.
Guiroy A, Carazzo C, Camino-Willhuber G, et al. Single-position surgery versus lateral-then-prone-position circumferential lumbar interbody fusion: a systematic literature review. World Neurosurg. 2021:151 e379–e386.
Godzik J, Ohiorhenuan IE, Xu DS, et al. Single-position prone lateral approach: cadaveric feasibility study and early clinical experience. Neurosurg Focus. 2020;49:E15.
Blizzard DJ, Thomas JA. MIS Single-position lateral and oblique lateral lumbar interbody fusion and bilateral pedicle screw fixation: feasibility and perioperative results. Spine (Phila Pa 1976). 2018;43:440–446.
Daniels AH, Reid DBC, Tran SN, et al. International Spine Study Group. Evolution in Surgical Approach, Complications, and Outcomes in an Adult Spinal Deformity Surgery Multicenter Study Group Patient Population. Spine Deform. 2019;7:481–488.
Obenchain TG. Laparoscopic lumbar discectomy: case report. J Laparoendosc Surg. 1991;1:145–149.
Chou D, Lafage V, Chan AY, et al. International Spine Study Group (ISSG). Patient outcomes after circumferential minimally invasive surgery compared with those of open correction for adult spinal deformity: initial analysis of prospectively collected data. J Neurosurg Spine. 2021;36:1–12.
Walker CT, Farber SH, Gandhi S, Godzik J, Turner JD, Uribe JS. Single-position prone lateral interbody fusion improves segmental lordosis in lumbar spondylolisthesis. World Neurosurg. 2021;151:e786–e792.
Ziino C, Konopka JA, Ajiboye RM, Ledesma JB, Koltsov JCB, Cheng I. Single position versus lateral-then-prone positioning for lateral interbody fusion and pedicle screw fixation. J Spine Surg. 2018;4:717–724.
Veronesi F, Borsari V, Martini L, et al. The impact of frailty on spine surgery: systematic review on 10 years clinical studies. Aging Dis. 2021;12:625–645.
Chan V, Witiw CD, Wilson JRF, Wilson JR, Coyte P, Fehlings MG. Frailty is an important predictor of 30-day morbidity in patients treated for lumbar spondylolisthesis using a posterior surgical approach. Spine J. 2022;22:286–295.
Arzeno AH, Koltsov J, Alamin TF, Cheng I, Wood KB, Hu SS. Short-term outcomes of staged versus same-day surgery for adult spinal deformity correction. Spine Deform. 2019;7:796–803.e1.
Than KD, Park P, Fu KM, et al. International Spine Study Group. Clinical and radiographic parameters associated with best versus worst clinical outcomes in minimally invasive spinal deformity surgery. J Neurosurg Spine. 2016;25:21–25.
Bortz C, Pierce KE, Brown A, et al. Frequency and implications of concurrent complications following adult spinal deformity corrective surgery. Spine (Phila Pa 1976). 2021;46:E1155–E1160.
Buckland AJ, Ashayeri K, Leon C, et al. Single position circumferential fusion improves operative efficiency, reduces complications and length of stay compared with traditional circumferential fusion. Spine J. 2021;21:810–820.
Mills ES, Treloar J, Idowu O, Shelby T, Alluri RK, Hah RJ. Single position lumbar fusion: a systematic review and meta-analysis. Spine J. 2022;22:429–443.
Smith TG, Pollina J, Joseph SA Jr, Howell KM. Effects of Surgical Positioning on L4-L5 Accessibility and Lumbar Lordosis in Lateral Transpsoas Lumbar Interbody Fusion: A Comparison of Prone and Lateral Decubitus in Asymptomatic Adults. World Neurosurg. 2021;149:e705–e713.
von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61:344–349.
Champain S, Benchikh K, Nogier A, Mazel C, Guise J De, Skalli W. Validation of new clinical quantitative analysis software applicable in spine orthopaedic studies. Eur Spine J. 2006;15:982–991.
Rillardon L, Levassor N, Guigui P, et al. Validation of a tool to measure pelvic and spinal parameters of sagittal balance. Rev Chir Orthop Reparatrice Appar Mot. 2003;89:218–227.
O’Brien MF, Kuklo TRTR, Blanke KM, Lenke LG. Spinal Deformity Study Group Radiographic Measurement Manual . Medtronic Sofamor Danek. 2005:71–94. http://www.oref.org/docs/default-source/default-document-library/sdsg-radiographic-measuremnt-manual.pdf?sfvrsn=2.
Terran J, Schwab FJ, Shaffrey CI, et al. The SRS-Schwab Adult Spinal Deformity Classification: Assessment and Clinical Correlations Based on a Prospective Operative and Nonoperative Cohort. Neurosurgery. 2013;73:559–568.
Boulay C, Tardieu C, Hecquet J, et al. Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J. 2006;15:415–422.
Yilgor C, Sogunmez N, Boissiere L, et al. Global Alignment and Proportion (GAP) Score: Development and Validation of a New Method of Analyzing Spinopelvic Alignment to Predict Mechanical Complications After Adult Spinal Deformity Surgery. J Bone Joint Surg Am. 2017;99:1661–1672.
Mummaneni PV, Park P, Shaffrey CI, et al. International Spine Study Group (ISSG). The MISDEF2 algorithm: an updated algorithm for patient selection in minimally invasive deformity surgery. J Neurosurg Spine. 2019;32:221–228.
Soliman MAR, Aguirre AO, Ruggiero N, et al. Comparison of prone transpsoas lateral lumbar interbody fusion and transforaminal lumbar interbody fusion for degenerative lumbar spine disease: A retrospective radiographic propensity score-matched analysis. Clin Neurol Neurosurg. 2022;213:107105.
Soliman MAR, Khan A, Pollina J. Comparison of prone transpsoas and standard lateral lumbar interbody fusion surgery for degenerative lumbar spine disease: a retrospective radiographic propensity score-matched analysis. World Neurosurg. 2022;157:e11–e21.
Morgan CD, Katsevman GA, Godzik J, et al. Outpatient outcomes of patients with femoral nerve neurapraxia after prone lateral lumbar interbody fusion at L4-5. J Neurosurg Spine. 2022;37:1–4.
تواريخ الأحداث: Date Created: 20230327 Date Completed: 20240125 Latest Revision: 20240201
رمز التحديث: 20240201
DOI: 10.1097/BRS.0000000000004648
PMID: 36972128
قاعدة البيانات: MEDLINE
الوصف
تدمد:1528-1159
DOI:10.1097/BRS.0000000000004648