alexa Effects of an Optimized Automated Disc Preparation on Clinical and Radiological Outcome of Minimally Invasive Transforaminal Interbody Fusion Procedure | Abstract
ISSN: 2165-7939

Journal of Spine
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Effects of an Optimized Automated Disc Preparation on Clinical and Radiological Outcome of Minimally Invasive Transforaminal Interbody Fusion Procedure

Alphonse Lubansu*, Jean-Claude Cajot, Laurence Abeloos, Landry Drogba, Olivier De Witte
Department of Neurosurgery, Erasme Hospital, UniversitéLibre de Bruxelles, ULB, Belgium
Corresponding Author : Alphonse Lubansu
Department of Neurosurgery, Erasme Hospital
Université Libre de Bruxelles (ULB), 808 route de Lennik
B-1070 Brussels, Belgium
Tel: +32-2- 5553768
Fax: +32-2-5553755
E-mail: [email protected]
Received September 30, 2013; Accepted October 15, 2013; Published October 18, 2013
Citation: Lubansu A, Cajot JC, Abeloos L, Drogba L, De Witte O (2013) Effects of an Optimized Automated Disc Preparation on Clinical and Radiological Outcome of Minimally Invasive Transforaminal Interbody Fusion Procedure. J Spine S5:005. doi:10.4172/2165-7939.S5-005
Copyright: © 2013 Lubansu a, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Objective: In minimally invasive techniques for transforaminal lumbar interbody fusion (MIS TLIF) access to the disc and by consequence, the extension of the discectomy can be reduced. Insufficient disc removal and endplate violation can lead to non-unions, subsidence and pseudoarthroses. In this study, we compare the quality of disc preparation, volume of bone graft and clinical results in a group of patients who underwent MIS TLIF with discectomy and endplate preparation aided by an automated discectomy device, the enSpireTM Flex MIS Surgical Discectomy System (study group) to a control group with classical, manual instrumentation for disc preparation.

Materials and methods: Twenty-seven consecutive patients were enrolled in the study group and 33 patients in the control group. All patients received similar mixture of autologous bone and cadaver allograft. Disc volume and the quantity of graft placed in the disc space was measured on the discharge CT scan and compared in a blinded, independent radiology review. Clinical outcomes assessed using the Visual Analog Scale (VAS) for leg and low back pain and the Oswestry Disability Index (ODI) were compared at 12 months postoperative.

Results: The mean volume of bone graft placed and the ratio bone graft/nucleus was higher in the study group (6.21 cm3 vs. 4.39 cm3 ; p<0001 and 76.8% vs. 57.8%; p<0.0001). The mean Patient Satisfaction Index (PSI) of the EnSpire group was statistically higher than the control group (4.6 ± 0.6 vs. 3.9 ± 0.7).

Conclusion: In the challenging MIS TLIF approach, we demonstrate that by using the enSpire™ Flex MIS Surgical Discectomy System, we can optimize the extension and quality of the discectomy, increase the volume of bone graft, and achieve better clinical outcomes.


Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A


[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


porn sex

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

Gaziantep Escort

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A


[email protected]

1-702-714-7001Extn: 9037


James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

mp3 indir

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals


Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T


[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version