ArticleInternational orthopaedics2014
Failed less invasive lumbar spine surgery as a predictor of subsequent fusion outcomes.
Article in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic literature review of time to return to work and narcotic use after lumbar spinal fusion using minimal invasive and open surgery techniques.BMC health services research · 2017Pooled it
- Comparative Study of Lumbar Disc Prolapse Surgery With or Without Coagulation: A Report of 2,180 Cases.Cureus · 2025Article
- Current techniques of endoscopic decompression in spine surgery.Annals of translational medicine · 2019Review
- Failure of lumbar disc surgery: management by fusion or arthroplasty?International orthopaedics · 2019Review
- The evidence-based approach for surgical complications in the treatment of lumbar disc herniation.International orthopaedics · 2019Review
- Endoscopic spine discectomy: indications and outcomes.International orthopaedics · 2019Review
- Treatment of discogenic back pain with autologous bone marrow concentrate injection with minimum two year follow-up.International orthopaedics · 2016Article
- Role of a collagen membrane in adhesion prevention strategy for complex spinal surgeries.International orthopaedics · 2015Observational
- A minimally invasive posterior lumbar interbody fusion using percutaneous long arm pedicle screw system for degenerative lumbar disease.International journal of clinical and experimental medicine · 2014Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIt is not uncommon for patients to undergo less invasive spine surgery (LISS) prior to succumbing to lumbar fusion; however, the effect of failed LISS on subsequent fusion outcomes is relatively unknown. The aim of this study was to test the hypothesis that patients who suffered failed LISS would afford inferior subsequent fusion outcomes when compared to patients who did not have prior LISS.
methodsAfter IRB approval, registry from a spine surgeon was queried for consecutive patients who underwent fusion for intractable low back pain. The 47 qualifying patients were enrolled and split into two groups based upon a history for prior LISS: a prior surgery group (PSG) and a non-prior surgery group (nPSG).
resultsTypical postoperative outcome questionnaires, which were available in 80.9% of the patients (38/47) at an average time point of 40.4 months (range, 13.5-66.1 months), were comparatively analysed and failed to demonstrate significant difference between the groups, e.g. PSG v. nPSG: ODI--14.6 ± 10.9 vs. 17.2 ± 19.4 (P = 0.60); SF12-PCS--10.9 ± 11.0 vs. 8.7 ± 12.4 (p = 0.59); bNRS--3.0 (range -2-7) vs. 2.0 (range -3-8) (p = 0.91). Patient satisfaction, return to work rates, peri-operative complications, success of fusion and rate of revision surgery were also not different.
conclusionsAlthough limited by size and retrospective design, the results of this rare investigation suggest that patients who experience a failed LISS prior to undergoing fusion will not suffer inferior fusion outcomes when compared to patients who did not undergo prior LISS.
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