Document Detail


A prospective, cohort study comparing translaminar screw fixation with transforaminal lumbar interbody fusion and pedicle screw fixation for fusion of the degenerative lumbar spine.
MedLine Citation:
PMID:  19794171     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a prospective observational study we compared the two-year outcome of lumbar fusion by a simple technique using translaminar screws (n = 57) with a more extensive method using transforaminal lumbar interbody fusion and pedicular screw fixation (n = 63) in consecutive patients with degenerative disease of the lumbar spine. Outcome was assessed using the validated multidimensional Core Outcome Measures Index. Blood loss and operating time were significantly lower in the translaminar screw group (p < 0.01). The complication rates were similar in each group (2% to 4%). In all, 91% of the patients returned their questionnaire at two-years. The groups did not differ in Core Outcome Measures Index score reduction, 3.6 (sd 2.5) (translaminar screws) vs 4.0 (sd 2.8) (transforaminal lumbar interbody fusion) (p = 0.39); 'good' global outcomes, 78% (translaminar screws) vs 78% (transforaminal lumbar interbody fusion) (p = 0.99) or satisfaction with treatment, 82% (translaminar screws) vs 86% (transforaminal lumbar interbody fusion) (p = 0.52). The two fusion techniques differed markedly in their extent and the cost of the implants, but were associated with almost identical patient-orientated outcomes. Extensive three-point stabilisation is not always required to achieve satisfactory patient-orientated results at two years.
Authors:
D Grob; V Bartanusz; D Jeszenszky; F S Kleinstück; F Lattig; D O'Riordan; A F Mannion
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  91     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-01     Completed Date:  2009-12-01     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1347-53     Citation Subset:  AIM; IM    
Affiliation:
Spine Center Division, Schulthess Klinik, Zurich, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Bone Screws
Cohort Studies
Decompression, Surgical / methods*
Female
Humans
Lumbar Vertebrae / physiopathology,  surgery*
Male
Middle Aged
Pain Measurement
Prospective Studies
Questionnaires
Spinal Diseases / physiopathology,  surgery*
Spinal Fusion / methods*
Treatment Outcome
Comments/Corrections
Comment In:
Spine (Phila Pa 1976). 2010 Jul 1;35(15):E678-86   [PMID:  20535040 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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