Preliminary efficacy of inter-spinal distraction fusion which is a new technique for lumbar disc herniation

Wei, Hongyu; Tang, Hai; Zhang, Tidong; Chen, Hao; Dong, Chunke

doi:10.1007/s00264-018-4188-0

Cited by 9 publications

(10 citation statements)

References 42 publications

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“…The retraction effect of ISD or interlaminar device is similar to that of conservative traction therapy, which can maintain the sustained effect on the spine by the time the patients are standing. That is, ISD or interlaminar device converts conservative in vitro traction therapy into sustained in vivo traction 24 .…”

Section: Discussionmentioning

confidence: 99%

Combination of Intraspine Interlaminar Device With Lumbar Discectomy in Patients With L5/S1 Disc Herniation

Feng

Fan

et al. 2020

Preprint

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Background. It is commonly recognized that interspinous spacers were not generally suitable for the application in L5-S1 level due to the short S1 spinous process.In this retrospective study, the feasibility and validity of the IntraSpine interlaminar device in the treatment of lumbar disc herniation on the L5/S1 level were evaluated.Methods. During the January 2018 and December 2018, a total of 30 patients, who were hospitalized in our hospital due to lumbar disc herniation (LDH) on the L5/S1 level, were included in the current study. The clinical symptoms before surgery, post-operation (3 days after surgery), 6 months after surgery, 12 months after surgery, and final follow-up were assessed using the back and leg visual analog scale (VAS), Oswestry disability index (ODI). Sagittal diameter of the lumbar spinal canal (SD), posterior disc height (PDH), left and right foramina height (LFH and RFH), left and right foramina width (LFW and RFW) were measured by sagittal reconstructions of CT scans. The range of motion (ROM) of L5-S1 level was estimated by lumbar dynamic X-ray images.Results. The back VAS, leg VAS, ODI, were significantly improved after surgery(P<0.05). The SD, PHD, LFH, RFH, LFW, and RFW after the operation and in the follow-up period were statistically different from those before surgery (P<0.05). The ROM of L5/S1 level at final follow-up was not statistically different from that before surgery (P = 0.299). 93.3% of patients demonstrated successful outcomes.Conclusions. The combination of IntraSpine interlaminar device with lumbar discectomy is an effective minimally invasive procedure for the treatment of L5/S1 disc herniation, which can delay and prevent the reduction of the disc height after discectomy in L5/S1 segment.

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Section: Discussionmentioning

confidence: 99%

Combination of Intraspine Interlaminar Device With Lumbar Discectomy in Patients With L5/S1 Disc Herniation

Feng

Fan

et al. 2020

Preprint

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“…The perfect score was 29. The scores were classified as poor (0-9), moderate (10)(11)(12)(13)(14)(15), good (16)(17)(18)(19)(20)(21)(22)(23)(24) and excellent (25-29) [24]. We analyzed the operative time, blood loss, blood transfusion, length of hospital stay, and perioperative complications.…”

Section: Clinical Evaluationmentioning

confidence: 99%

“…ISDF provides advantages including less damage to the tissue structures, shorter operative time, and early ambulation, which are useful for lumbar disc herniation, LSS, and mild degenerative spondylolisthesis [17][18][19][20]. Wei et al treated lumbar disc herniation by ISDF surgery and demonstrated a 92.6% successful outcome in a retrospective study [17]. Sclafani et al managed lumbar degenerative diseases with a polyaxial ISDF device and reported satisfactory clinical efficacy [18].…”

Section: Introductionmentioning

confidence: 99%

A novel minimally invasive technique of inter-spinal distraction fusion surgery for single-level lumbar spinal stenosis in octogenarians: a retrospective cohort study

et al. 2022

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Objective Surgical treatment of lumbar spinal stenosis (LSS) in octogenarians (patients aged ≥ 80 years) has been a challenge. Inter-spinal distraction fusion (ISDF)—a minimally invasive procedure—was used for treating LSS in octogenarians. This retrospective cohort study aimed to investigate the clinical efficacy and safety of a minimally invasive ISDF technique for LSS in octogenarian patients. Methods From April 2015 to April 2019, octogenarian patients who underwent lumbar fusion surgery due to single-segment LSS were included. The patients were grouped into the ISDF group and posterior lumbar interbody fusion (PLIF) group based on the type of surgery. Clinical outcomes were evaluated using scores of the visual analog pain scale (VAS), Oswestry Disability Index (ODI), and Japanese Orthopedics Association (JOA) scale. Radiographs were assessed for the intervertebral angle (IA), lumbar lordosis (LL), and posterior disc height (PDH). After 2 years postoperatively, all patients underwent computed tomography (CT) to evaluate the fusion condition. Perioperative data and related complications were recorded. Results Sixty-two patients were included (mean age: 82.22 ± 1.95 years). The ISDF and the PLIF groups had 34 and 28 patients, respectively. The average follow-up time was 2.1 ± 0.25 years. There was no significant difference in VAS, ODI, JOA, and PDH scores between both groups preoperatively and at each postoperative time-point. The IA and LL showed significant differences between both groups after surgery (p < 0.05). The postoperative IA in the ISDF group were significantly lower than the preoperative values, while that in the PLIF group were markedly increased. The PLIF group had an increased LL compared with that preoperatively (p < 0.05), while the LL in the ISDF did not significantly change. The operative time, blood loss, hospital stay time, and the rate of perioperative complications of the ISDF group were significantly lower than those of the PLIF group (p < 0.05). There was no significant difference in the fusion rates between both groups. Conclusion ISDF surgery is a viable method for octogenarian patients with LSS that provides a similar clinical efficacy, shorter operative time, less blood loss, shorter hospital stay time, and fewer complications, compared to the PLIF surgery.

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“…Thus, they recommended on Bthe study of patients' sagittal alignment in the preoperative setting even when treating patients with short-segment lumbar interbody fusion^. Even though the interspinous devices are not very often used, Wei et al [19] investigated the short-and medium-term efficacy of Inter-Spinal Distraction Fusion (ISDF) new technique for lumbar disc herniation with a spinal internal fixation device without removing the disc. For the authors, CT images indicated that Bthe herniated disc area decreased by 3.1%, while the foramina areas increased by 5.7% at last follow-up with 92.6% of success^.…”

Section: Discectomy and Fusionmentioning

confidence: 99%

Disc herniation and disc disease: the present and the future of management

Benzakour

Benzakour²

2019

International Orthopaedics (SICOT)

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Preliminary efficacy of inter-spinal distraction fusion which is a new technique for lumbar disc herniation

Cited by 9 publications

References 42 publications

Combination of Intraspine Interlaminar Device With Lumbar Discectomy in Patients With L5/S1 Disc Herniation

Combination of Intraspine Interlaminar Device With Lumbar Discectomy in Patients With L5/S1 Disc Herniation

A novel minimally invasive technique of inter-spinal distraction fusion surgery for single-level lumbar spinal stenosis in octogenarians: a retrospective cohort study

Disc herniation and disc disease: the present and the future of management

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