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Volume 03
Spine 2019
October 16-17, 2019
Journal of Neurology and Clinical Neuroscience
October 16-17, 2019 | Rome, Italy
SPINE AND SPINAL DISORDERS
5
th
World Congress on
J Neurol Clin Neurosci, Volume 03
Minimally Invasive Spinal Surgery with percutaneous stabilization for Lumbosacral
Spine Degenerative Diseases: A retrospective database of 40 consecutive treated cases
and literature review
Daniele Francesco Millimaggi
1
, Alessandro Ricci
1
and Valerio di Norcia
2
1
San Salvatore City Hospital, L’Aquila, Italy
2
Policlinico Umberto I, University of Rome “Sapienza”, Rome, Italy
Literature review
. To report our results about Minimally Invasive Transforaminal Lumbar Interbody Fusion (MI-TLIF) with bilateral
pedicle screw fixation, in patients with Degenerative Lumbosacral Spine Disease. To describe the indications, surgical technique and
results of a consecutive series of 40 patients undergone MI-TLIF. MI-TLIF with
bilateral pedicle screw fixation is an increasing approach to degenerative lumbosacral
spine disease. Despite the limited number of clinical studies, published data suggest
tremendous potential advantages of this technique. Forty patients with radiological
findings of Degenerative Lumbosacral Spine Disease were undergone MI-TLIF
between July 2012 and January 2015. Clinical outcomes were assessed employing the
Oswestry Disability Index (ODI) and Health Survey Scoring (SF36) before surgery,
at first-year follow-up. Furthermore, the following parameters were retrospectively
reviewed: age, sex, working activity, body mass index (BMI), type of degenerative
disease, number of levels of fusion, operative time, blood loss, length of hospital
stay. Average operative time was of 230 minutes, mean estimated blood loss 170
mL, average length of hospital stay 5 days. The ODI improved from a score of 59,
preoperatively, to post-operative score of 20 at first-year follow-up.Average SF36 score
increased from 36 to 54 (Physical Health) and from 29 to 50 (Mental Health) at first-
year outcome evaluation. MI-TLIF with bilateral pedicle screw fixation is an excellent
choice for selected patients suffering from symptomatic Degenerative Lumbosacral
Spine Disease, especially secondary to recurrent disk herniations.
e
:
df.millimaggi@gmail.comFigure 1 Representative post-operative 3D CT
performed on postoperative day 2