PMID- 28538082
OWN - NLM
STAT- MEDLINE
DCOM- 20190531
LR  - 20190531
IS  - 2380-0194 (Electronic)
IS  - 2380-0186 (Linking)
VI  - 31
IP  - 1
DP  - 2018 Feb
TI  - Risk Factors Associated With Failure to Reach Minimal Clinically Important 
      Difference in Patient-reported Outcomes Following Minimally Invasive 
      Transforaminal Lumbar Interbody Fusion for Spondylolisthesis.
PG  - E92-E97
LID - 10.1097/BSD.0000000000000543 [doi]
AB  - STUDY DESIGN: Retrospective cohort. OBJECTIVE: To determine risk factors 
      associated with failure to reach the minimal clinically important difference 
      (MCID) in patient-reported outcomes (PROs) for patients undergoing minimally 
      invasive transforaminal lumbar interbody fusion (MIS TLIF) for spondylolisthesis. 
      SUMMARY OF BACKGROUND DATA: The MCID of PROs are often utilized to determine the 
      benefit of spinal procedures. However, negative predictive factors for reaching 
      MCID in patients surgically treated for lumbar spondylolisthesis have been 
      difficult to elucidate. MATERIALS AND METHODS: A prospectively maintained 
      surgical database of patients who were diagnosed with lumbar spondylolisthesis 
      and surgically treated with a single level MIS TLIF from 2010 to 2016 was 
      reviewed. Patients with incomplete PRO survey data or <6-month follow-up were 
      excluded from the analysis. MCID for visual analogue scale (VAS) back, VAS leg, 
      and Oswestry Disability Index (ODI) was obtained from established values in the 
      literature. All risk factors were then assessed for association with failure to 
      reach MCID using bivariate and multivariate regression adjusting for preoperative 
      characteristics. RESULTS: A total of 165, 76, and 73 patients treated with MIS 
      TLIF for spondylolisthesis had complete PRO data for VAS back, VAS leg, and ODI, 
      respectively, and were thus included in the analysis for the respective PRO. 
      Overall, 75.76%, 71.05%, and 61.64% of patients treated with a single level MIS 
      TLIF for spondylolisthesis reached MCID for VAS back, VAS leg, and ODI, 
      respectively. On multivariate analysis, patients were less likely to achieve MCID 
      for VAS back following surgical treatment if they received workers' compensation 
      (P<0.001). No other measured factors were noted to independently correlate with 
      MCID achievement. CONCLUSIONS: The results of this study suggest that a majority 
      of patients with spondylolisthesis achieve MCID for commonly measured PROs 
      following MIS TLIF for spondylolisthesis. However, worker's compensation 
      insurance status may serve as a negative predictive factor for reaching MCID.
FAU - Hijji, Fady Y
AU  - Hijji FY
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
FAU - Narain, Ankur S
AU  - Narain AS
FAU - Bohl, Daniel D
AU  - Bohl DD
FAU - Yom, Kelly H
AU  - Yom KH
FAU - Kudaravalli, Krishna T
AU  - Kudaravalli KT
FAU - Lopez, Gregory D
AU  - Lopez GD
FAU - Singh, Kern
AU  - Singh K
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Clin Spine Surg
JT  - Clinical spine surgery
JID - 101675083
SB  - IM
MH  - Adult
MH  - Aged
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Intervertebral Disc/*surgery
MH  - Lumbar Vertebrae/*surgery
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - *Patient Reported Outcome Measures
MH  - Risk Factors
MH  - *Spinal Fusion/adverse effects
MH  - Spondylolisthesis/*surgery
MH  - Treatment Outcome
MH  - Visual Analog Scale
EDAT- 2017/05/26 06:00
MHDA- 2019/06/01 06:00
CRDT- 2017/05/25 06:00
PHST- 2017/05/26 06:00 [pubmed]
PHST- 2019/06/01 06:00 [medline]
PHST- 2017/05/25 06:00 [entrez]
AID - 10.1097/BSD.0000000000000543 [doi]
PST - ppublish
SO  - Clin Spine Surg. 2018 Feb;31(1):E92-E97. doi: 10.1097/BSD.0000000000000543.