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Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study

Analysis of magnetic resonance image (MRI) quality after open (Op)-transforaminal interbody fusion (TLIF) and minimally invasive (MI)-TLIF with the implantation of structurally different systems has not previously been performed. The objective of this study was to conduct a comparative analysis of t...

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Autores principales: Byvaltsev, Vadim A., Kalinin, Andrei A., Giers, Morgan B., Shepelev, Valerii V., Pestryakov, Yurii Ya., Biryuchkov, Mikhail Yu.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161371/
https://www.ncbi.nlm.nih.gov/pubmed/34069625
http://dx.doi.org/10.3390/diagnostics11050906
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author Byvaltsev, Vadim A.
Kalinin, Andrei A.
Giers, Morgan B.
Shepelev, Valerii V.
Pestryakov, Yurii Ya.
Biryuchkov, Mikhail Yu.
author_facet Byvaltsev, Vadim A.
Kalinin, Andrei A.
Giers, Morgan B.
Shepelev, Valerii V.
Pestryakov, Yurii Ya.
Biryuchkov, Mikhail Yu.
author_sort Byvaltsev, Vadim A.
collection PubMed
description Analysis of magnetic resonance image (MRI) quality after open (Op)-transforaminal interbody fusion (TLIF) and minimally invasive (MI)-TLIF with the implantation of structurally different systems has not previously been performed. The objective of this study was to conduct a comparative analysis of the postoperative MRI following MI and Op one-segment TLIF. Material and Methods: The nonrandomized retrospective single-center study included 80 patients (46 men and 24 women) aged 48 + 14.2 years. In group I (n = 20) Op-TLIF with open transpedicular screw fixation (TSF) was performed, in II group (n = 60), the MI-TLIF technique was used: IIa (n = 20)—rigid interspinous stabilizer; IIb (n = 20)—unilateral TSF and contralateral facet fixation; IIc (n = 20)—bilateral TSF. Results: Comparison of the quality of postoperative imaging in IIa and IIb subgroups showed fewer MRI artifacts and a significantly greater MR deterioration after Op and MI TSF. Comparison of the multifidus muscle area showed less atrophy after MI-TLIF and significantly greater atrophy after Op-TLIF. Conclusion: MI-TLIF and Op-TLIF with TSF have comparable postoperative MR artifacts at the operative level, with a greater degree of muscle atrophy using the Op-TLIF. Rigid interspinous implant and unilateral TSF with contralateral facet fixation have less artifacts and changes in the multifidus muscle area.
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spelling pubmed-81613712021-05-29 Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study Byvaltsev, Vadim A. Kalinin, Andrei A. Giers, Morgan B. Shepelev, Valerii V. Pestryakov, Yurii Ya. Biryuchkov, Mikhail Yu. Diagnostics (Basel) Article Analysis of magnetic resonance image (MRI) quality after open (Op)-transforaminal interbody fusion (TLIF) and minimally invasive (MI)-TLIF with the implantation of structurally different systems has not previously been performed. The objective of this study was to conduct a comparative analysis of the postoperative MRI following MI and Op one-segment TLIF. Material and Methods: The nonrandomized retrospective single-center study included 80 patients (46 men and 24 women) aged 48 + 14.2 years. In group I (n = 20) Op-TLIF with open transpedicular screw fixation (TSF) was performed, in II group (n = 60), the MI-TLIF technique was used: IIa (n = 20)—rigid interspinous stabilizer; IIb (n = 20)—unilateral TSF and contralateral facet fixation; IIc (n = 20)—bilateral TSF. Results: Comparison of the quality of postoperative imaging in IIa and IIb subgroups showed fewer MRI artifacts and a significantly greater MR deterioration after Op and MI TSF. Comparison of the multifidus muscle area showed less atrophy after MI-TLIF and significantly greater atrophy after Op-TLIF. Conclusion: MI-TLIF and Op-TLIF with TSF have comparable postoperative MR artifacts at the operative level, with a greater degree of muscle atrophy using the Op-TLIF. Rigid interspinous implant and unilateral TSF with contralateral facet fixation have less artifacts and changes in the multifidus muscle area. MDPI 2021-05-19 /pmc/articles/PMC8161371/ /pubmed/34069625 http://dx.doi.org/10.3390/diagnostics11050906 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Byvaltsev, Vadim A.
Kalinin, Andrei A.
Giers, Morgan B.
Shepelev, Valerii V.
Pestryakov, Yurii Ya.
Biryuchkov, Mikhail Yu.
Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study
title Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study
title_full Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study
title_fullStr Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study
title_full_unstemmed Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study
title_short Comparison of MRI Visualization Following Minimally Invasive and Open TLIF: A Retrospective Single-Center Study
title_sort comparison of mri visualization following minimally invasive and open tlif: a retrospective single-center study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161371/
https://www.ncbi.nlm.nih.gov/pubmed/34069625
http://dx.doi.org/10.3390/diagnostics11050906
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