ISSN 2394-5125
 

Research Article 


ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY

Mohamed Mohsen El Shimy, M.D.; Mostafa Mohamed Wageeh Kotb, M.D.; Magdy Khairy Ahmed Samra, M.D.; Ehab Ahmed Mohamed El Refaee, M.D.; Mohamed Hussein Mohamed Aly, M.D..

Abstract
Background and Objective: Minimally invasive lumbar spine fusion surgeries are becoming more popular, due to their more tolerable post-operative pain and faster recovery. The mini-open approach has the advantage of minimizing muscle injury by bluntly dissecting through the natural muscle plane between the back muscle groups. Thus preserving the integrity of all of the mid-line spine structures. This single blinded controlled study was designed to compare the acute postoperative back pain following mini-open and open lumbar spine fusion surgeries.
Patients and Methods: Our study included 75 patients operated upon by single level posterolateral lumbar fixation distributed into two main groups, the mini-open (30 patients) and classic approach (45 patients). Each group was further subdivided according to whether interbody fusion was added or not. Postoperative back and lower limb pain were assessed using the visual analogue scale (VAS) on the first, third, seventh and thirtieth post-operative days. Statistical differences were considered significant when the p value was less than 0.05.
Results: The mini-open approach was found to be associated with significantly less postoperative pain on the VAS, particularly on the third and seventh post-operative days (p=<0.001). The post-operative hospital stay was also significantly shorter in the mini-open group. It was also found to be equally safe and effective. The addition of interbody fusion to surgery was not found to statistically affect the immediate post-operative outcome.
Conclusions: The mini-open approach can provide faster recovery after lumbar spine fusion surgery, particularly in single level less complicated surgeries. Similarly, its benefit in multilevel more complicated surgeries could be anticipated, however, this necessitates further investigation.

Key words: Back pain; lumbar spine fusion; minimally invasive; mini-open; pain


 
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How to Cite this Article
Pubmed Style

M.D. MMES, M.D. MMWK, M.D. MKAS, , M.D. MHMA. ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY. JCR. 2020; 7(7): 3824-3830. doi:10.31838/jcr.07.07.334


Web Style

M.D. MMES, M.D. MMWK, M.D. MKAS, , M.D. MHMA. ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY. http://www.jcreview.com/?mno=136570 [Access: May 31, 2021]. doi:10.31838/jcr.07.07.334


AMA (American Medical Association) Style

M.D. MMES, M.D. MMWK, M.D. MKAS, , M.D. MHMA. ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY. JCR. 2020; 7(7): 3824-3830. doi:10.31838/jcr.07.07.334



Vancouver/ICMJE Style

M.D. MMES, M.D. MMWK, M.D. MKAS, , M.D. MHMA. ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY. JCR. (2020), [cited May 31, 2021]; 7(7): 3824-3830. doi:10.31838/jcr.07.07.334



Harvard Style

M.D., M. M. E. S., M.D., . M. M. W. K., M.D., . M. K. A. S., & M.D., . M. H. M. A. (2020) ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY. JCR, 7 (7), 3824-3830. doi:10.31838/jcr.07.07.334



Turabian Style

M.D., Mohamed Mohsen El Shimy,, Mostafa Mohamed Wageeh Kotb, M.D., Magdy Khairy Ahmed Samra, M.D., Ehab Ahmed Mohamed El Refaee, M.D., and Mohamed Hussein Mohamed Aly, M.D.. 2020. ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY. Journal of Critical Reviews, 7 (7), 3824-3830. doi:10.31838/jcr.07.07.334



Chicago Style

M.D., Mohamed Mohsen El Shimy,, Mostafa Mohamed Wageeh Kotb, M.D., Magdy Khairy Ahmed Samra, M.D., Ehab Ahmed Mohamed El Refaee, M.D., and Mohamed Hussein Mohamed Aly, M.D.. "ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY." Journal of Critical Reviews 7 (2020), 3824-3830. doi:10.31838/jcr.07.07.334



MLA (The Modern Language Association) Style

M.D., Mohamed Mohsen El Shimy,, Mostafa Mohamed Wageeh Kotb, M.D., Magdy Khairy Ahmed Samra, M.D., Ehab Ahmed Mohamed El Refaee, M.D., and Mohamed Hussein Mohamed Aly, M.D.. "ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY." Journal of Critical Reviews 7.7 (2020), 3824-3830. Print. doi:10.31838/jcr.07.07.334



APA (American Psychological Association) Style

M.D., M. M. E. S., M.D., . M. M. W. K., M.D., . M. K. A. S., & M.D., . M. H. M. A. (2020) ACUTE BACK PAIN AFTER LUMBAR FUSION SURGERY IN MINI-OPEN AND CLASSIC OPEN APPROACHES: A SINGLE BLINDED CONTROLLED STUDY. Journal of Critical Reviews, 7 (7), 3824-3830. doi:10.31838/jcr.07.07.334