Axial lumbar interbody fusion: a 6-year single-center experience

Dick J Zeilstra,1 Larry E Miller,2,3 Jon E Block3 1Bergman Clinics, Naarden and NedSpine, Ede, The Netherlands; 2Miller Scientific Consulting, Inc, Arden, NC, USA; 3The Jon Block Group, San Francisco, CA, USA Introduction: The aim of this study is to report our 6-year single-center experience with...

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Autores principales:	Zeilstra DJ, Miller LE, Block JE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	AxiaLIF interbody fusion lumbosacral minimally invasive presacral Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2922c401c49f40ca8780f98e115798b6
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spelling	oai:doaj.org-article:2922c401c49f40ca8780f98e115798b62021-12-02T05:35:25ZAxial lumbar interbody fusion: a 6-year single-center experience1178-1998https://doaj.org/article/2922c401c49f40ca8780f98e115798b62013-08-01T00:00:00Zhttps://www.dovepress.com/axial-lumbar-interbody-fusion-a-6-year-single-center-experience-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Dick J Zeilstra,1 Larry E Miller,2,3 Jon E Block3 1Bergman Clinics, Naarden and NedSpine, Ede, The Netherlands; 2Miller Scientific Consulting, Inc, Arden, NC, USA; 3The Jon Block Group, San Francisco, CA, USA Introduction: The aim of this study is to report our 6-year single-center experience with L5–S1 axial lumbar interbody fusion (AxiaLIF). Methods: A total of 131 patients with symptomatic degenerative disc disease refractory to nonsurgical treatment were treated with AxiaLIF at L5–S1, and were followed for a minimum of 1 year (mean: 21 months). Main outcomes included back and leg pain severity, Oswestry Disability Index score, working status, analgesic medication use, patient satisfaction, and complications. Computed tomography was used to determine postoperative fusion status. Results: No intraoperative complications, including vascular, neural, urologic, or bowel injuries, were reported. Back and leg pain severity decreased by 51% and 42%, respectively, during the follow-up period (both P < 0.001). Back function scores improved 50% compared to baseline. Clinical success, defined as improvement ≥30%, was 67% for back pain severity, 65% for leg pain severity, and 71% for back function. The employment rate increased from 47% before surgery to 64% at final follow-up (P < 0.001). Less than one in four patients regularly used analgesic medications postsurgery. Patient satisfaction with the AxiaLIF procedure was 83%. The fusion rate was 87.8% at final follow-up. During follow-up, 17 (13.0%) patients underwent 18 reoperations on the lumbar spine, including pedicle screw fixation (n = 10), total disc replacement of an uninvolved level (n = 3), facet screw fixation (n = 3), facet screw removal (n = 1), and interbody fusion at L4–L5 (n = 1). Eight (6.1%) reoperations were at the index level. Conclusion: Single-level AxiaLIF is a safe and effective means to achieve lumbosacral fusion in patients with symptomatic degenerative disc disease. Keywords: AxiaLIF, interbody, fusion, lumbosacral, minimally invasive, presacralZeilstra DJMiller LEBlock JEDove Medical PressarticleAxiaLIFinterbodyfusionlumbosacralminimally invasivepresacralGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1063-1069 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	AxiaLIF interbody fusion lumbosacral minimally invasive presacral Geriatrics RC952-954.6
spellingShingle	AxiaLIF interbody fusion lumbosacral minimally invasive presacral Geriatrics RC952-954.6 Zeilstra DJ Miller LE Block JE Axial lumbar interbody fusion: a 6-year single-center experience
description	Dick J Zeilstra,1 Larry E Miller,2,3 Jon E Block3 1Bergman Clinics, Naarden and NedSpine, Ede, The Netherlands; 2Miller Scientific Consulting, Inc, Arden, NC, USA; 3The Jon Block Group, San Francisco, CA, USA Introduction: The aim of this study is to report our 6-year single-center experience with L5–S1 axial lumbar interbody fusion (AxiaLIF). Methods: A total of 131 patients with symptomatic degenerative disc disease refractory to nonsurgical treatment were treated with AxiaLIF at L5–S1, and were followed for a minimum of 1 year (mean: 21 months). Main outcomes included back and leg pain severity, Oswestry Disability Index score, working status, analgesic medication use, patient satisfaction, and complications. Computed tomography was used to determine postoperative fusion status. Results: No intraoperative complications, including vascular, neural, urologic, or bowel injuries, were reported. Back and leg pain severity decreased by 51% and 42%, respectively, during the follow-up period (both P < 0.001). Back function scores improved 50% compared to baseline. Clinical success, defined as improvement ≥30%, was 67% for back pain severity, 65% for leg pain severity, and 71% for back function. The employment rate increased from 47% before surgery to 64% at final follow-up (P < 0.001). Less than one in four patients regularly used analgesic medications postsurgery. Patient satisfaction with the AxiaLIF procedure was 83%. The fusion rate was 87.8% at final follow-up. During follow-up, 17 (13.0%) patients underwent 18 reoperations on the lumbar spine, including pedicle screw fixation (n = 10), total disc replacement of an uninvolved level (n = 3), facet screw fixation (n = 3), facet screw removal (n = 1), and interbody fusion at L4–L5 (n = 1). Eight (6.1%) reoperations were at the index level. Conclusion: Single-level AxiaLIF is a safe and effective means to achieve lumbosacral fusion in patients with symptomatic degenerative disc disease. Keywords: AxiaLIF, interbody, fusion, lumbosacral, minimally invasive, presacral
format	article
author	Zeilstra DJ Miller LE Block JE
author_facet	Zeilstra DJ Miller LE Block JE
author_sort	Zeilstra DJ
title	Axial lumbar interbody fusion: a 6-year single-center experience
title_short	Axial lumbar interbody fusion: a 6-year single-center experience
title_full	Axial lumbar interbody fusion: a 6-year single-center experience
title_fullStr	Axial lumbar interbody fusion: a 6-year single-center experience
title_full_unstemmed	Axial lumbar interbody fusion: a 6-year single-center experience
title_sort	axial lumbar interbody fusion: a 6-year single-center experience
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/2922c401c49f40ca8780f98e115798b6
work_keys_str_mv	AT zeilstradj axiallumbarinterbodyfusiona6yearsinglecenterexperience AT millerle axiallumbarinterbodyfusiona6yearsinglecenterexperience AT blockje axiallumbarinterbodyfusiona6yearsinglecenterexperience
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Axial lumbar interbody fusion: a 6-year single-center experience

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