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Closing the Gap: The Incidence of Complications in Minimally Invasive Tubular, Endoscopic, and Robotic-Assisted Transforaminal Lumbar Interbody Fusion Procedures
Gerling, Michael; Baker, Melissa; Stanton, Eloise; Pyun, Joseph; Chaladoff, Evan; Passias, Peter; Buser, Zorica
BACKGROUND:The aim of the current study was to compare the incidence of postoperative complications among minimally invasive surgery (MIS) tubular, endoscopic, and robot-assisted transforaminal lumbar interbody fusion (TLIF) techniques. METHODS:We studied consecutive patients who underwent single-level or multilevel TLIF between 2020 and 2022. Preoperative and postoperative patient-reported outcomes (Visual Analog Scale leg score and Oswestry Disability Index), demographic, and intraoperative variables were recorded. One-way analysis of variance with Bartlett's equal-variance and Pearson chi-squared tests were used. RESULTS:The study included 170 TLIF patients: 107 (63%) tubular, 42 (25%) endoscopic, and 21 (12%) robot assisted. All 3 TLIF techniques had similar complication rates: tubular 6 (5.6%), endoscopic 2 (4.8%), and robot assisted 1 (4.8%) all occurring within the first 2 weeks. Tubular TLIF reported the lowest incidence of new-onset neurologic symptoms, primarily radiculitis or numbness/tingling, at 2 weeks postoperatively (P < 0.05) with 21 (20%) tubular, 17 (41%) endoscopic, and 9 (43%) robot-assisted patients. There were 2 revisions in the robot-assisted group, while tubular and endoscopic each had one within 1 year. There was no statistical difference in preoperative or postoperative patient-reported outcomes between the TLIF groups. CONCLUSIONS:The current study demonstrated that tubular, endoscopic, and robot-assisted TLIF procedures had similar complication rates. The tubular MIS TLIF reported fewer new neurologic symptoms compared with endoscopic and robot-assisted TLIF procedures at 2 weeks postoperative, with all groups declining in symptom persistency at later time intervals. Average Visual Analog Scale scores continuously improved up to 1 year postoperatively among all groups.
PMID: 38914133
ISSN: 1878-8769
CID: 5678322
Minimally Invasive Lateral Spine Surgery in Trauma
Chapter by: Pyun, Joseph; Weir, Tristan; Banagan, Kelley; Ludwig, Steven C
in: Lateral access minimally invasive spine surgery by Wang, Michael Y; Sama, Andrew A; Uribe, Juan S [Eds]
Cham, Switzerland : Springer, 2017
pp. 215-224
ISBN: 9783319283180
CID: 2650292
The Utility of In-Hospital Postoperative Radiographs following Surgical Treatment of Traumatic Thoracolumbar Injuries [Meeting Abstract]
Pyun, Joseph S; Weir, Tristan B; Banagan, Kelley E; Koh, Eugene Y; Gelb, Daniel E; Ludwig, Steven C
ORIGINAL:0012158
ISSN: 1529-9430
CID: 2650302
Triquetral autograft for restoration of the lunate fossa of the distal radius: a case report
Capo, John T; Husain, Qasim; Pyun, Joseph S; Preston, Jared S; Shamian, Ben; Kinchelow, Tosca
PMCID:3213271
PMID: 23204973
ISSN: 1558-9447
CID: 955352