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Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure

BACKGROUND: The current study presents a technique (navigated posterior lumbar fusion) which takes a 5-cm incision to accomplish a 2-level posterior lumbar fusion (PLF) and compared its efficacy and efficiency with those of conventional PLF. METHODS: Forty patients who were indicated for 2-level lum...

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Autores principales: Wang, Yu, Liu, Hong, Hu, Yongkai, Yi, Xiaodong, Li, Chunde
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4700632/
https://www.ncbi.nlm.nih.gov/pubmed/26728048
http://dx.doi.org/10.1186/s13018-015-0338-x
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author Wang, Yu
Liu, Hong
Hu, Yongkai
Yi, Xiaodong
Li, Chunde
author_facet Wang, Yu
Liu, Hong
Hu, Yongkai
Yi, Xiaodong
Li, Chunde
author_sort Wang, Yu
collection PubMed
description BACKGROUND: The current study presents a technique (navigated posterior lumbar fusion) which takes a 5-cm incision to accomplish a 2-level posterior lumbar fusion (PLF) and compared its efficacy and efficiency with those of conventional PLF. METHODS: Forty patients who were indicated for 2-level lumbar fusion were included and randomized to either navigated PLF group or conventional PLF group. Blood loss, operation time, incision length, complications, bed rest period, and length of hospitalization were recorded. Oswestry Disability Index (ODI) scoring was also performed for each patient before surgery, 3 months after surgery, and 2 years after surgery. RESULTS: The incision length was significantly shorter in the navigated PLF group than in the conventional PLF group (4.8 vs. 10.9 cm, p = 0.001). Accordingly, the blood loss was also significantly less in the navigated PLF group than in the conventional PLF group (209.0 vs. 334.0 ml, p = 0.047). There was no significant difference in total operation time between the two groups (160.7 vs. 144.4 min, p = 0.116). Compared to the conventional PLF group, the navigated PLF group showed significantly less postoperative blood loss, less time to mobilization, and shorter length of hospital stay. The ODI score improved significantly in the both groups immediately after surgery, and maintained well in the following 2 years. CONCLUSION: Compared to conventional PLF, navigated PLF proved to be superior with regard to incision length, blood loss, time to mobilization, and shorter length of hospital stay.
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spelling pubmed-47006322016-01-06 Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure Wang, Yu Liu, Hong Hu, Yongkai Yi, Xiaodong Li, Chunde J Orthop Surg Res Research BACKGROUND: The current study presents a technique (navigated posterior lumbar fusion) which takes a 5-cm incision to accomplish a 2-level posterior lumbar fusion (PLF) and compared its efficacy and efficiency with those of conventional PLF. METHODS: Forty patients who were indicated for 2-level lumbar fusion were included and randomized to either navigated PLF group or conventional PLF group. Blood loss, operation time, incision length, complications, bed rest period, and length of hospitalization were recorded. Oswestry Disability Index (ODI) scoring was also performed for each patient before surgery, 3 months after surgery, and 2 years after surgery. RESULTS: The incision length was significantly shorter in the navigated PLF group than in the conventional PLF group (4.8 vs. 10.9 cm, p = 0.001). Accordingly, the blood loss was also significantly less in the navigated PLF group than in the conventional PLF group (209.0 vs. 334.0 ml, p = 0.047). There was no significant difference in total operation time between the two groups (160.7 vs. 144.4 min, p = 0.116). Compared to the conventional PLF group, the navigated PLF group showed significantly less postoperative blood loss, less time to mobilization, and shorter length of hospital stay. The ODI score improved significantly in the both groups immediately after surgery, and maintained well in the following 2 years. CONCLUSION: Compared to conventional PLF, navigated PLF proved to be superior with regard to incision length, blood loss, time to mobilization, and shorter length of hospital stay. BioMed Central 2016-01-04 /pmc/articles/PMC4700632/ /pubmed/26728048 http://dx.doi.org/10.1186/s13018-015-0338-x Text en © Wang et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Wang, Yu
Liu, Hong
Hu, Yongkai
Yi, Xiaodong
Li, Chunde
Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure
title Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure
title_full Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure
title_fullStr Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure
title_full_unstemmed Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure
title_short Navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure
title_sort navigated 2-level posterior lumbar fusion: a 5-cm-incision procedure
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4700632/
https://www.ncbi.nlm.nih.gov/pubmed/26728048
http://dx.doi.org/10.1186/s13018-015-0338-x
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