Minimally invasive interbody fusion feasible in obese

June 12, 2014
Minimally invasive interbody fusion feasible in obese

(HealthDay)—Minimally invasive transforaminal lumbar interbody fusion (MiTLIF) is safe and produces satisfactory outcomes for treatment of overweight or obese patients, according to a study published in the June issue of the Journal of Spinal Disorders & Techniques.

Jian Wang, M.D., from The Third Military Medical University in Chongqing, China, and colleagues prospectively evaluated 81 patients (25 male and 56 female; average age, 55.3 years; mean body mass index, 28.9 kg/m²) who underwent one-level MiTLIF (43 patients) or open TLIF (OTLIF; 39 patients). Participants underwent surgery for lumbar canal stenosis (43 patients), spondylolisthesis (29 patients), or postlaminectomy instability (nine patients).

The researchers found that the MiTLIF group had significantly less operating time, less blood loss, and less postoperative back pain compared with the OTLIF group. However, the MiTLIF group had significantly longer radiation time. The two groups had similar clinical outcomes (Oswestry Disability Index scores). In both the MiTLIF group (42/43 cases) and the OTLIF group (38/39 cases) radiologic evaluation showed satisfactory bony union at the fixed level. The OTLIF group had slightly higher overall complication rates, with 17.9 percent of overweight or obese having perioperative complications.

"Although this technique needs a longer X-ray exposure time, it may still be a good option for or ," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Surgeons can up outcomes for work-related lumbar surgery

February 21, 2014

(HealthDay)—In patients with chronic disabling occupational lumbar disorder (CDOLD) and workers' compensation claims, lumbar fusion outcomes can be improved if opioid dependence and excessive length of disability after ...

Chest complaints more costly in obese patients

March 8, 2014

(HealthDay)—Higher body mass index (BMI) is associated with increased cost of care and longer hospital stays for patients who present to the emergency department with chest pain and dyspnea, according to research published ...

More lumbar Sx complications at teaching hospitals

March 12, 2014

(HealthDay)—Patients undergoing lumbar spine surgery at teaching hospitals incur longer hospitalizations and have more postoperative complications compared to those treated at nonteaching hospitals, according to a study ...

HRS: Bariatric surgery may prevent A-fib onset in obese

May 8, 2014

(HealthDay)—Bariatric surgery may prevent the development of atrial fibrillation in morbidly obese patients, according to research presented at the annual meeting of the Heart Rhythm Society, held from May 7 to 10 in San ...

Recommended for you

Experimental MERS vaccine shows promise in animal studies

July 28, 2015

A two-step regimen of experimental vaccines against Middle East respiratory syndrome (MERS) prompted immune responses in mice and rhesus macaques, report National Institutes of Health scientists who designed the vaccines. ...

Can social isolation fuel epidemics?

July 21, 2015

Conventional wisdom has it that the more people stay within their own social groups and avoid others, the less likely it is small disease outbreaks turn into full-blown epidemics. But the conventional wisdom is wrong, according ...

Lack of knowledge on animal disease leaves humans at risk

July 20, 2015

Researchers from the University of Sydney have painted the most detailed picture to date of major infectious diseases shared between wildlife and livestock, and found a huge gap in knowledge about diseases which could spread ...

IBD genetically similar in Europeans and non-Europeans

July 20, 2015

The first genetic study of inflammatory bowel disease (IBD) to include individuals from diverse populations has shown that the regions of the genome underlying the disease are consistent around the world. This study, conducted ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.