Arthrodesis Clinical Trial
Official title:
Study of the Quality of the Release on Postoperative Scanners in Minimally Invasive Arthrodesis
For twenty years, as for other surgical disciplines, new minimally invasive techniques have
been developed with the main goal the reduction of muscle trauma associated with the
surrounding roads "classic" and reduce morbidity linked to this one.
More recently, minimally invasive methods dedicated to spinal surgery were established, for
the treatment of herniated discs initially, then for narrow lumbar canals.
The canal release on minimally invasive fusion, using a tubular system for muscle retraction
is a new technique that has proven effective: post operative pain reduction of hospital stay
and blood loss.
The objective of the study is to investigate the quality of ductal release in these minimally
invasive fusions.
Main objective of the study: Evaluation of the quality of the release of post scanners
operative minimally invasive arthrodesis
Secondary Objectives: Assessment rates/types of early complications of technical Minimally
invasive - early postoperative results (postoperative pain, analgesic consumption, length of
hospital stay, blood loss) - in clinical outcomes in the short and medium term decompression
after minimally invasive fusion.
I. Background / Rationale
For twenty years, as for other surgical disciplines, new minimally invasive techniques have
been developed with the main goal the reduction of muscle trauma associated with the
surrounding roads "classic" and reduce morbidity linked to this one.
More recently, minimally invasive methods dedicated to spinal surgery were established, for
the treatment of herniated discs initially, then for narrow lumbar canals.
The canal release on minimally invasive fusion, using a tubular system for muscle retraction
is a new technique that has proven effective: post operative pain reduction of hospital stay
and blood loss.
The objective of the study is to investigate the quality of ductal release in these minimally
invasive fusions.
II. objectives
at. primary objective
Evaluating the quality of discharge on postoperative scanners minimally invasive fusions.
b. secondary objectives
i. Evaluation of the rate and type of early complications in the minimally invasive technique
ii. Evaluation of early postoperative results (postoperative pain, analgesic consumption,
length of hospital stay, blood loss)
iii. Evaluation of clinical outcomes in the short and medium term decompression after
minimally invasive fusion.
III. Methodology and duration of the research
This is a retrospective single-center consecutive series multi-operator regarding the
evaluation of surgical practice cited in goal.
Clinical data were collected prospectively by KEOPS database (SAMIO). All patients included
in our study have spinal MRI scanners and pre-operative and post-operative scans.
N = (number of patients and over what period) / Time Study?
The series of patients will be classified into two groups:
- Foraminal stenosis
- Central stenosis
The evaluation of the primary objective criterion is comparing the height of the foramen
measured on CT pre- and post-operative between the lower edge of the overlying pedicle and
the top edge of the pedicle underlying the sagittal sections.
For central stenosis, Postoperative MRI will be performed and the volume of the dural sac
will be compared to preoperative MRI on axial images.
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