PMID- 36637505
OWN - NLM
STAT- MEDLINE
DCOM- 20230214
LR  - 20230225
IS  - 0942-0940 (Electronic)
IS  - 0001-6268 (Linking)
VI  - 165
IP  - 2
DP  - 2023 Feb
TI  - Recovery ratios and minimum clinically important difference for clinical outcomes 
      in workers' compensation recipients undergoing MIS-TLIF versus ALIF.
PG  - 315-323
LID - 10.1007/s00701-022-05468-4 [doi]
AB  - BACKGROUND: There is a scarcity of literature that examines clinical outcomes 
      through patient-reported outcomes (PROs), minimum clinically important difference 
      (MCID), and recovery ratios (RR) for workers' compensation (WC) recipients 
      undergoing minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) 
      versus anterior lumbar interbody fusion (ALIF). METHODS: WC claimants undergoing 
      MIS-TLIF versus ALIF were propensity score matched to account for demographic 
      differences. Demographics, perioperative characteristics, and PROs were 
      collected. PROs of Patient-Reported Outcomes Measurement Information System 
      Physical Function (PROMIS-PF), 12-Item Short Form Physical Composite Score (SF-12 
      PCS), Visual Analog Scale (VAS) back, VAS leg, and Oswestry Disability Index 
      (ODI) were collected at preoperative and postoperative time points. MCID 
      achievement was determined through comparison to values in literature. RR was 
      calculated as the difference between postoperative and preoperative PROs over 
      potential improvement. Comparison between surgical techniques was through 
      non-parametric inferential statistics. RESULTS: Eighty-four WC claimants, with 50 
      patients undergoing MIS-TLIF, were identified after propensity score matching. 
      ALIF patients had higher estimated blood loss. MIS-TLIF patients had higher 
      postoperative day (POD) 0 VAS pain and POD 0 + 1 narcotic consumption. Patients 
      undergoing either MIS-TLIF or ALIF reported significant improvement in pain and 
      disability. ALIF patients reported significant improvement in physical function. 
      ALIF patients reported superior 1-year PROMIS-PF, 6-week SF-12 PCS, 6-month VAS 
      back, and 12-week VAS leg. No significant differences in MCID achievement rates 
      were noted between cohorts. ALIF patients had higher RR in 6-week and 1-year 
      PROMIS-PF and 6-week SF-12 PCS. CONCLUSION: Workers' compensation claimants 
      undergoing either MIS-TLIF or ALIF reported significant improvement in pain and 
      disability. ALIF patients reported superior postoperative physical function and 
      pain. ALIF patients had higher recovery ratios in physical function. Workers' 
      compensation claimants undergoing ALIF may experience greater physical function 
      recovery and superior clinical outcomes in physical function and pain.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, 
      part of Springer Nature.
FAU - Nie, James W
AU  - Nie JW
AUID- ORCID: 0000-0002-6680-009X
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Hartman, Timothy J
AU  - Hartman TJ
AUID- ORCID: 0000-0003-3937-3480
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
AUID- ORCID: 0000-0002-6098-7121
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AUID- ORCID: 0000-0003-4557-828X
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Zheng, Eileen
AU  - Zheng E
AUID- ORCID: 0000-0002-2444-6790
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Massel, Dustin H
AU  - Massel DH
AUID- ORCID: 0000-0002-8147-5555
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Singh, Kern
AU  - Singh K
AUID- ORCID: 0000-0002-6118-7273
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA. kern.singh@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20230113
PL  - Austria
TA  - Acta Neurochir (Wien)
JT  - Acta neurochirurgica
JID - 0151000
SB  - IM
MH  - Humans
MH  - *Workers' Compensation
MH  - Lumbar Vertebrae/surgery
MH  - Treatment Outcome
MH  - Minimally Invasive Surgical Procedures/methods
MH  - *Spinal Fusion/methods
MH  - Pain, Postoperative
MH  - Retrospective Studies
OTO - NOTNLM
OT  - ALIF
OT  - MCID
OT  - MIS-TLIF
OT  - Outcomes
OT  - Recovery ratio
OT  - Workers' comp
EDAT- 2023/01/14 06:00
MHDA- 2023/02/15 06:00
CRDT- 2023/01/13 11:14
PHST- 2022/10/10 00:00 [received]
PHST- 2022/12/18 00:00 [accepted]
PHST- 2023/01/14 06:00 [pubmed]
PHST- 2023/02/15 06:00 [medline]
PHST- 2023/01/13 11:14 [entrez]
AID - 10.1007/s00701-022-05468-4 [pii]
AID - 10.1007/s00701-022-05468-4 [doi]
PST - ppublish
SO  - Acta Neurochir (Wien). 2023 Feb;165(2):315-323. doi: 10.1007/s00701-022-05468-4. 
      Epub 2023 Jan 13.