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Research ArticleMinimally Invasive Surgery

Multilevel Minimally Invasive Lumbar Decompression: Clinical Efficacy and Durability to 2 Years

Ryan Khanna, Hani Malone, Kavantissa M. Keppetipola, Harel Deutsch, Richard G. Fessler, Ricardo B. Fontes and John E. O'Toole
International Journal of Spine Surgery August 2021, 15 (4) 795-802; DOI: https://doi.org/10.14444/8102
Ryan Khanna
1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois
MD, MBA, MSCI
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Hani Malone
2Department of Neurosurgery, Scripps Clinic, La Jolla, California
MD
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Kavantissa M. Keppetipola
1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois
MD
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Harel Deutsch
1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois
MD
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Richard G. Fessler
1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois
MD, PhD
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Ricardo B. Fontes
1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois
MD, PhD
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John E. O'Toole
1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois
MD, MS
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    Figure 1

    Comparison of change of PROM from preoperative baseline at 3 months, 6 months, 1 year, and 2 years postoperatively from index decompression: (a) NRS-B, (b) NRS-L, (c) ODI, (d) SF12-M, (e) SF12-P, (f) SRS-30). Abbreviations: M, Mental Component Score; NRS-B, Numeric Rating Scale–Back; NRS-L, Numeric Rating Scale–Leg; ODI, Oswestry Disability Index; P, Physical Component Score; SF-12, 12-item Short Form Health Survey; SRS-30, Scoliosis Research Society survey.

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    Figure 2

    Example of patient who ultimately required lumbar fusion after original decompression. (a) Preoperative sagittal and axial MRI at L4-5 prior to L3-5 MIS laminectomy. (b) Postoperative sagittal and axial MRI at L4-L5 after L3-L5 MIS laminectomy. (c) Upright XR demonstrating postoperative grade I spondylolisthesis at L4-L5. (d) Postoperative upright XR after L4-L5 TLIF. TLIF, transforaminal lumbar interbody fusion; XR, x-ray.

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International Journal of Spine Surgery
Vol. 15, Issue 4
1 Aug 2021
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Multilevel Minimally Invasive Lumbar Decompression: Clinical Efficacy and Durability to 2 Years
Ryan Khanna, Hani Malone, Kavantissa M. Keppetipola, Harel Deutsch, Richard G. Fessler, Ricardo B. Fontes, John E. O'Toole
International Journal of Spine Surgery Aug 2021, 15 (4) 795-802; DOI: 10.14444/8102

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Multilevel Minimally Invasive Lumbar Decompression: Clinical Efficacy and Durability to 2 Years
Ryan Khanna, Hani Malone, Kavantissa M. Keppetipola, Harel Deutsch, Richard G. Fessler, Ricardo B. Fontes, John E. O'Toole
International Journal of Spine Surgery Aug 2021, 15 (4) 795-802; DOI: 10.14444/8102
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More in this TOC Section

  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
Show more Minimally Invasive Surgery

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Keywords

  • MIS
  • minimally invasive
  • decompression
  • discectomy
  • multilevel
  • laminectomy
  • PROM

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