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Erschienen in: HSS Journal ® 1/2020

27.03.2019 | Original Article

Static Versus Expandable Devices Provide Similar Clinical Outcomes Following Minimally Invasive Transforaminal Lumbar Interbody Fusion

verfasst von: Benjamin Khechen, BA, Brittany E. Haws, MD, Dil V. Patel, BS, Joon S. Yoo, BA, Jordan A. Guntin, BS, Kaitlyn L. Cardinal, BS, Sravisht Iyer, MD, Kern Singh, MD

Erschienen in: HSS Journal ® | Ausgabe 1/2020

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Abstract

Background

Few studies have analyzed differences in radiographic parameters and patient-reported outcomes (PROs) between expandable and static interbody devices in patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).

Questions/Purposes

To evaluate differences in radiographic parameters and PROs following MIS TLIF between static and expandable interbody devices.

Methods

Patients undergoing primary, single-level MIS TLIF between 2014 and 2017 were retrospectively identified. Radiographic measurements including lumbar lordosis (LL), segmental lordosis (SL), disc height (DH), and foraminal height (FH) were performed on lateral radiographs before and after MIS TLIF with a static or expandable articulating interbody device. Radiographic outcomes and PROs were compared using paired and unpaired Student’s t test.

Results

Thirty patients received expandable interbody devices and 30 patients received static interbody devices. The expandable device cohort exhibited significantly greater improvement in DH and FH at final follow-up compared with those receiving a static device. Both device cohorts experienced significant improvements in PROs at 6 months post-operatively.

Conclusion

MIS TLIF with an expandable interbody device led to a greater increase of DH and FH than with a static interbody device. Patients undergoing MIS TLIF can expect similar improvements in PROs whether receiving a static or an expandable interbody device. Further studies are required to better understand improvements in clinical outcomes afforded by expandable interbody devices.
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Metadaten
Titel
Static Versus Expandable Devices Provide Similar Clinical Outcomes Following Minimally Invasive Transforaminal Lumbar Interbody Fusion
verfasst von
Benjamin Khechen, BA
Brittany E. Haws, MD
Dil V. Patel, BS
Joon S. Yoo, BA
Jordan A. Guntin, BS
Kaitlyn L. Cardinal, BS
Sravisht Iyer, MD
Kern Singh, MD
Publikationsdatum
27.03.2019
Verlag
Springer US
Erschienen in
HSS Journal ® / Ausgabe 1/2020
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-019-09677-z

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