PMID- 35863643
OWN - NLM
STAT- MEDLINE
DCOM- 20221005
LR  - 20221214
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 166
DP  - 2022 Oct
TI  - Does Preoperative Symptom Duration Impact Clinical Outcomes After Minimally 
      Invasive Transforaminal Lumbar Interbody Fusion in the Ambulatory Setting?
PG  - e599-e606
LID - S1878-8750(22)01004-X [pii]
LID - 10.1016/j.wneu.2022.07.055 [doi]
AB  - BACKGROUND: The effect of prolonged symptom duration in patients undergoing 
      ambulatory MIS-TLIF on postoperative clinical outcomes has not been well studied. 
      We aim to compare symptom duration of pain and/or weakness on postoperative 
      outcomes in patients undergoing outpatient MIS-TLIF. METHODS: Patients undergoing 
      outpatient MIS-TLIF were gathered in a single-surgeon database. Exclusion 
      criteria were patients missing onset of symptoms, date of surgery, or diagnosis 
      of malignancy, trauma, or infection. Patients were grouped by symptoms <1 year or 
      symptoms >/=1 year. Propensity score matching for demographics was utilized. 
      Minimal clinically important difference (MCID) achievement was calculated by 
      comparing change in patient-reported outcome measures (PROMs) to previously 
      established values. Inferential statistics for demographics, perioperative 
      characteristics, PROMs, and MCID were utilized to compare between groups and/or 
      postoperative improvement. RESULTS: After matching, there were a total of 56 
      patients, with 30 patients with symptoms <1-year. The <1-year cohort reported 
      significant improvement in all time points in VAS back/leg and 12-week/6-months 
      in ODI. The >/=1-year cohort demonstrated significant improvement in 6-month 
      Patient-Reported Outcomes Measurement-Information System Physical Function, 
      6-week to 1-year VAS back, 6-week VAS leg, and 6-month ODI. The <1-year cohort 
      had higher MCID attainment rates in 1-year VAS back/leg. CONCLUSIONS: Independent 
      of symptom duration, patients reported significant improvement in back pain at 
      all postoperative periods. Patients presenting with shorter symptom duration 
      consistently reported significant improvement in leg pain postoperatively. 
      Patients with shorter symptom duration demonstrated greater MCID achievement in 
      back and leg pain. Patients indicated for outpatient MIS-TLIF may benefit more 
      from earlier intervention following onset of symptoms.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Nie, James W
AU  - Nie JW
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Hartman, Timothy J
AU  - Hartman TJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Zheng, Eileen
AU  - Zheng E
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA. Electronic address: kern.singh@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20220719
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Back Pain/etiology/surgery
MH  - Humans
MH  - Lumbar Vertebrae/surgery
MH  - Minimally Invasive Surgical Procedures
MH  - *Spinal Fusion/adverse effects
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Ambulatory
OT  - Inpatient
OT  - MCID
OT  - MIS-TLIF
OT  - Outpatient
OT  - PROMs
OT  - Transforaminal Lumbar Interbody Fusion
EDAT- 2022/07/22 06:00
MHDA- 2022/10/06 06:00
CRDT- 2022/07/21 19:37
PHST- 2022/06/16 00:00 [received]
PHST- 2022/07/12 00:00 [revised]
PHST- 2022/07/13 00:00 [accepted]
PHST- 2022/07/22 06:00 [pubmed]
PHST- 2022/10/06 06:00 [medline]
PHST- 2022/07/21 19:37 [entrez]
AID - S1878-8750(22)01004-X [pii]
AID - 10.1016/j.wneu.2022.07.055 [doi]
PST - ppublish
SO  - World Neurosurg. 2022 Oct;166:e599-e606. doi: 10.1016/j.wneu.2022.07.055. Epub 
      2022 Jul 19.