Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case series
This retrospective case series evaluated the effectiveness of minimally invasive spine surgery-transforaminal lumbar interbody fusion (MIS-TLIF) using the “trial-in-situ” technique for reducing high-grade spondylolisthesis. The surgical management of grade ≥III spondylolisthesis has been controversi...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Spine Society
2024-10-01
|
| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://asianspinejournal.org/upload/pdf/asj-2024-0224.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846163862902013952 |
|---|---|
| author | Mukesh Kumar Vikramaditya Rai Amit Joshi Shrish Nalin Manoj Kumar Gandhi |
| author_facet | Mukesh Kumar Vikramaditya Rai Amit Joshi Shrish Nalin Manoj Kumar Gandhi |
| author_sort | Mukesh Kumar |
| collection | DOAJ |
| description | This retrospective case series evaluated the effectiveness of minimally invasive spine surgery-transforaminal lumbar interbody fusion (MIS-TLIF) using the “trial-in-situ” technique for reducing high-grade spondylolisthesis. The surgical management of grade ≥III spondylolisthesis has been controversial, with various methods documented in the literature, including in-situ fusion, in-situ trans-sacral delta fixation, distraction techniques, and external reduction techniques. Recently, MIS techniques have gained popularity. This study analyzed 18 cases of high-grade spondylolisthesis treated with MIS-TLIF using the “trial-in-situ” technique. The clinical outcomes were assessed using the Visual Analog Scale (VAS) and the modified Oswestry Disability Index (mODI) scores. The spinopelvic parameters and sagittal balance were also analyzed. Preoperatively, the spinopelvic parameters were deranged, with a mean pelvic tilt of 28.31°, which improved to 13.91° postoperatively. Similarly, the sacral slope improved from 45.65° to 38.01°. VAS and mODI scores improved postoperatively, indicating the effectiveness of the “trial-in-situ” technique in reducing high-grade spondylolisthesis and achieving a better sagittal profile and spinopelvic parameters. The findings indicate that MIS-TLIF using the “trial-in-situ” technique is a viable and effective method for treating high-grade spondylolisthesis. |
| format | Article |
| id | doaj-art-bf4197a1542d4b84a6276e81c20f4000 |
| institution | Kabale University |
| issn | 1976-1902 1976-7846 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj-art-bf4197a1542d4b84a6276e81c20f40002024-11-18T23:48:26ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462024-10-0118571271810.31616/asj.2024.02241673Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case seriesMukesh Kumar0Vikramaditya Rai1Amit Joshi2Shrish Nalin3Manoj Kumar Gandhi4 Department of Neurosurgery, Dr. Rajendra Prasad Govt Medical College, Tanda, India Department of Orthopaedics, Dr. Rajendra Prasad Govt Medical College, Tanda, India Department of Neurosurgery, Dr. Rajendra Prasad Govt Medical College, Tanda, India Department of Neurosurgery, Dr. Rajendra Prasad Govt Medical College, Tanda, India Department of Preventive and Social Medicine, Dr. Rajendra Prasad Govt Medical College, Tanda, IndiaThis retrospective case series evaluated the effectiveness of minimally invasive spine surgery-transforaminal lumbar interbody fusion (MIS-TLIF) using the “trial-in-situ” technique for reducing high-grade spondylolisthesis. The surgical management of grade ≥III spondylolisthesis has been controversial, with various methods documented in the literature, including in-situ fusion, in-situ trans-sacral delta fixation, distraction techniques, and external reduction techniques. Recently, MIS techniques have gained popularity. This study analyzed 18 cases of high-grade spondylolisthesis treated with MIS-TLIF using the “trial-in-situ” technique. The clinical outcomes were assessed using the Visual Analog Scale (VAS) and the modified Oswestry Disability Index (mODI) scores. The spinopelvic parameters and sagittal balance were also analyzed. Preoperatively, the spinopelvic parameters were deranged, with a mean pelvic tilt of 28.31°, which improved to 13.91° postoperatively. Similarly, the sacral slope improved from 45.65° to 38.01°. VAS and mODI scores improved postoperatively, indicating the effectiveness of the “trial-in-situ” technique in reducing high-grade spondylolisthesis and achieving a better sagittal profile and spinopelvic parameters. The findings indicate that MIS-TLIF using the “trial-in-situ” technique is a viable and effective method for treating high-grade spondylolisthesis.http://asianspinejournal.org/upload/pdf/asj-2024-0224.pdfspondylolisthesisspinal fusionintervertebral disc displacementtransforaminal lumbar interbody fusionradiculopathyminimally invasive surgical proceduresspinal stenosisspinopelvic alignment |
| spellingShingle | Mukesh Kumar Vikramaditya Rai Amit Joshi Shrish Nalin Manoj Kumar Gandhi Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case series Asian Spine Journal spondylolisthesis spinal fusion intervertebral disc displacement transforaminal lumbar interbody fusion radiculopathy minimally invasive surgical procedures spinal stenosis spinopelvic alignment |
| title | Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case series |
| title_full | Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case series |
| title_fullStr | Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case series |
| title_full_unstemmed | Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case series |
| title_short | Reduction of high-grade spondylolisthesis using minimally invasive spine surgery-transforaminal lumbar interbody fusion “trial-” technique: a technical note with case series |
| title_sort | reduction of high grade spondylolisthesis using minimally invasive spine surgery transforaminal lumbar interbody fusion trial technique a technical note with case series |
| topic | spondylolisthesis spinal fusion intervertebral disc displacement transforaminal lumbar interbody fusion radiculopathy minimally invasive surgical procedures spinal stenosis spinopelvic alignment |
| url | http://asianspinejournal.org/upload/pdf/asj-2024-0224.pdf |
| work_keys_str_mv | AT mukeshkumar reductionofhighgradespondylolisthesisusingminimallyinvasivespinesurgerytransforaminallumbarinterbodyfusiontrialtechniqueatechnicalnotewithcaseseries AT vikramadityarai reductionofhighgradespondylolisthesisusingminimallyinvasivespinesurgerytransforaminallumbarinterbodyfusiontrialtechniqueatechnicalnotewithcaseseries AT amitjoshi reductionofhighgradespondylolisthesisusingminimallyinvasivespinesurgerytransforaminallumbarinterbodyfusiontrialtechniqueatechnicalnotewithcaseseries AT shrishnalin reductionofhighgradespondylolisthesisusingminimallyinvasivespinesurgerytransforaminallumbarinterbodyfusiontrialtechniqueatechnicalnotewithcaseseries AT manojkumargandhi reductionofhighgradespondylolisthesisusingminimallyinvasivespinesurgerytransforaminallumbarinterbodyfusiontrialtechniqueatechnicalnotewithcaseseries |