The study is a prospective non-concurrent controlled observational evaluation of short-term operative results. As such, study sites will capture perioperative (through 6-week postoperative follow-up) case data associated with 10 standard open PLIF (posterior lumbar interbody fusion) procedures. After this open experience, these same sites will capture the corresponding data from 10 subsequent cases where the MAS (Maximum Access Surgery) PLIF variant was performed. The data from both series of cases will be compiled to identify similarities and differences between the techniques.
The objective of this evaluation is to collect and compare short-term factors related to the morbidity of approach using traditional posterior-approach interbody fusion techniques and a less invasive exposure for the same procedure. Perioperative measures and early outcomes will be documented to demonstrate differences in procedural requirements, safety, and early recovery. A total of 100 subjects will be consecutively enrolled in this prospective study from as many as 8 centers. Patients who, in the surgeon investigator's opinion, require instrumented lumbar interbody fusion and have consented to PLIF surgery for their conditions will be included. The following eligibility criteria are designed to identify existing clinic patients for whom study under this protocol is considered appropriate. All subjects must meet the inclusion/exclusion criteria in order to be considered for enrollment.
Study Type
OBSERVATIONAL
Enrollment
67
The PLIF procedure achieves access to the degenerated disc from the back of the spine.
The MAS PLIF technique is a minimally invasive variant of the traditional PLIF procedure. It is similarly performed through a single midline posterior incision but is conducted through a more medialized posterior approach.
Kuether Brain and Spine
Greensboro, North Carolina, United States
Nova Neurosurgical Brain and Spine
Greensboro, North Carolina, United States
WellSpan Orthopedics-York
York, Pennsylvania, United States
Scott and White Healthcare
Temple, Texas, United States
Complications
All complications will be compiled and their incidence and relationship to the product and/or surgical procedure will be tabulated for comparison.
Time frame: 6-weeks
Clinical Outcomes
Visual analog scale (for patient self assessment of back/leg pain)
Time frame: 6-weeks
Radiographic Outcomes
Radiographic assessment (AP/lateral x-rays)
Time frame: 6-weeks
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