alexa Minimally Invasive Transforaminal Lumbar Interbody Fusion for Lumbar Disc Lesion with Modic Changes
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

Minimally Invasive Transforaminal Lumbar Interbody Fusion for Lumbar Disc Lesion with Modic Changes

Yasuhito Kaneko1, Ken Ishii2*, Masaya Nakamura2, Takahiro Koyanagi3 and Morio Matsumoto2
1Department of Orthopaedic Surgery, Saitama City Hospital, Saitama, Japan, Keio Spine Research Group (KSRG), The Society for Minimally Invasive spine Stabilization (MISt), Japan
2Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan, Keio Spine Research Group (KSRG), The Society for Minimally Invasive spine Stabilization (MISt), Japan
3Department of Orthopaedic Surgery, Kawasaki Municipal Kawasaki Hospital, Keio Spine Research Group (KSRG), Japan
*Corresponding Author : Ken Ishii
Department of Orthopaedic Surgery
Keio University School of Medicine
Shinanomachi 35, Shinjuku-ku, Tokyo
160-8582, Japan
Tel: 81-3-5363-3812
Fax: 81-3-3353-6597
E-mail: [email protected]
Received: February 08, 2016 Accepted: February 19, 2016 Published: February 21, 2016
Citation: Kaneko Y, Ishii K, Nakamura M, Koyanagi T, Matsumoto M (2016) Minimally Invasive Transforaminal Lumbar Interbody Fusion for Lumbar Disc Lesion with Modic Changes. J Spine 5:289. doi:10.4172/2165-7939.1000289
Copyright: © 2016 Kaneko Y, 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.

Abstract

Purpose: This study was conducted to assess short- to mid-range clinical outcomes of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for patients with severe low back pain caused by intervertebral disc degeneration showing Modic changes on MRI.
Methods: Thirty-five consecutive patients (mean age: 48.6 years) who underwent single-level MIS-TLIF to treat severe low back pain with Modic changes on MRI were included. Diagnoses were based on temporary pain relief after an intradiscal anesthetic injection, selective nerve blocking, or both. The mean follow-up period was 18 months. Japanese Orthopaedic Association (JOA) scores (29 possible points), JOA-score recovery rates (RR), Visual Analog Pain Scale (VAS) scores for low back pain, and the Oswestry Disability Index (ODI) were evaluated.
Results: The average JOA score improved significantly, from 14.8 ± 3.6 preoperatively to 26.9 ± 1.6 at the final follow-up (P < 0.01). The average JOA-score RR was 84.8 ± 11.7%. Significant improvements were obtained in the average VAS scores for low back pain (preoperative, 7.8 ± 1.9; final follow-up, 1.5 ± 0.7; P < 0.01) and ODI (preoperative, 57.9 ± 16.1; final follow-up, 13.0 ± 8.8; P < 0.01). Modic type 1 changes were observed in 12 patients, and type 2 changes in 23 patients. The JOA-score RR did not differ significantly between patients with Modic type 1 and type 2 (85.7% and 84.1%, respectively).
Conclusions: MIS-TLIF, which is less damaging to the paraspinal muscles than conventional approaches, is a reasonable surgical option for lumbar disc lesion with Modic type 1 and 2 changes.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
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

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

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

[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- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords