Patient-Oriented Aesthetic Outcome After Lumbar Spine Surgery: A 1-Year Follow-Up Prospective Observational Study Comparing Minimally Invasive and Standard Open Procedures

Luca Ricciardi, Carmelo Lucio Sturiale, Resi Pucci, Gabriele Reale, Vito Stifano, Alessandro Izzo, Andrea Perna, Luca Proietti, Stefano Forcato, Krissia M. Rivera Perla, Stefano El Boustany, Alessandro Olivi, Filippo Maria Polli

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Despite recent treatment developments, back pain and related disabilities still represent a challenge for practitioners. Among the available surgical techniques, many different features and outcomes have been investigated; however, aesthetic result was missing among them. The present investigation was designed to prospectively compare patient-oriented aesthetic results after minimally invasive surgery (MIS) and standard open surgery (SOS) for the lumbar spine. Methods: This was a prospective observational study with 1-year follow-up. Patients who underwent SOS were assigned to group 1 and MIS to group 2. Patient-oriented aesthetic result evaluation was collected using a dedicated visual aesthetic analogue scale. The Vancouver Scar Scale was used to exclude objective underlying influencing factors. The Oswestry Disability Index and a 10-point itemized visual analogue scale for back pain were administered to assess the clinical and functional status. Follow-up data were collected before discharge at 1, 6, and 12 months. Statistical analysis was conducted, and P < 0.05 was considered as significant. Results: We enrolled 74 patients, 44 in group 1 and 30 in group 2. The 2 groups were homogeneous for demographic and clinical data. No clinical or functional differences were measured at the end of follow-up. Visual aesthetic analogue scale reported greater mean values in group 1 at every follow-up time. Conclusions: Patients seem to prefer the aesthetic result from a single midline incision after SOS compared with MIS. The use of specific techniques could be considered if there is scientific evidence reporting greater aesthetic outcome, having similar clinical and functional ones.

Original languageEnglish
JournalWorld Neurosurgery
DOIs
Publication statusAccepted/In press - Jan 1 2018

Fingerprint

Esthetics
Observational Studies
Spine
Prospective Studies
Minimally Invasive Surgical Procedures
Visual Analog Scale
Back Pain
Cicatrix
Demography

Keywords

  • Aesthetic
  • Lumbar spine
  • Minimally invasive
  • Patient oriented
  • Patient outcomes
  • Quality of life

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Patient-Oriented Aesthetic Outcome After Lumbar Spine Surgery : A 1-Year Follow-Up Prospective Observational Study Comparing Minimally Invasive and Standard Open Procedures. / Ricciardi, Luca; Sturiale, Carmelo Lucio; Pucci, Resi; Reale, Gabriele; Stifano, Vito; Izzo, Alessandro; Perna, Andrea; Proietti, Luca; Forcato, Stefano; Rivera Perla, Krissia M.; El Boustany, Stefano; Olivi, Alessandro; Polli, Filippo Maria.

In: World Neurosurgery, 01.01.2018.

Research output: Contribution to journalArticle

Ricciardi, L, Sturiale, CL, Pucci, R, Reale, G, Stifano, V, Izzo, A, Perna, A, Proietti, L, Forcato, S, Rivera Perla, KM, El Boustany, S, Olivi, A & Polli, FM 2018, 'Patient-Oriented Aesthetic Outcome After Lumbar Spine Surgery: A 1-Year Follow-Up Prospective Observational Study Comparing Minimally Invasive and Standard Open Procedures', World Neurosurgery. https://doi.org/10.1016/j.wneu.2018.10.208
Ricciardi, Luca ; Sturiale, Carmelo Lucio ; Pucci, Resi ; Reale, Gabriele ; Stifano, Vito ; Izzo, Alessandro ; Perna, Andrea ; Proietti, Luca ; Forcato, Stefano ; Rivera Perla, Krissia M. ; El Boustany, Stefano ; Olivi, Alessandro ; Polli, Filippo Maria. / Patient-Oriented Aesthetic Outcome After Lumbar Spine Surgery : A 1-Year Follow-Up Prospective Observational Study Comparing Minimally Invasive and Standard Open Procedures. In: World Neurosurgery. 2018.
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AU - Sturiale, Carmelo Lucio

AU - Pucci, Resi

AU - Reale, Gabriele

AU - Stifano, Vito

AU - Izzo, Alessandro

AU - Perna, Andrea

AU - Proietti, Luca

AU - Forcato, Stefano

AU - Rivera Perla, Krissia M.

AU - El Boustany, Stefano

AU - Olivi, Alessandro

AU - Polli, Filippo Maria

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N2 - Background: Despite recent treatment developments, back pain and related disabilities still represent a challenge for practitioners. Among the available surgical techniques, many different features and outcomes have been investigated; however, aesthetic result was missing among them. The present investigation was designed to prospectively compare patient-oriented aesthetic results after minimally invasive surgery (MIS) and standard open surgery (SOS) for the lumbar spine. Methods: This was a prospective observational study with 1-year follow-up. Patients who underwent SOS were assigned to group 1 and MIS to group 2. Patient-oriented aesthetic result evaluation was collected using a dedicated visual aesthetic analogue scale. The Vancouver Scar Scale was used to exclude objective underlying influencing factors. The Oswestry Disability Index and a 10-point itemized visual analogue scale for back pain were administered to assess the clinical and functional status. Follow-up data were collected before discharge at 1, 6, and 12 months. Statistical analysis was conducted, and P < 0.05 was considered as significant. Results: We enrolled 74 patients, 44 in group 1 and 30 in group 2. The 2 groups were homogeneous for demographic and clinical data. No clinical or functional differences were measured at the end of follow-up. Visual aesthetic analogue scale reported greater mean values in group 1 at every follow-up time. Conclusions: Patients seem to prefer the aesthetic result from a single midline incision after SOS compared with MIS. The use of specific techniques could be considered if there is scientific evidence reporting greater aesthetic outcome, having similar clinical and functional ones.

AB - Background: Despite recent treatment developments, back pain and related disabilities still represent a challenge for practitioners. Among the available surgical techniques, many different features and outcomes have been investigated; however, aesthetic result was missing among them. The present investigation was designed to prospectively compare patient-oriented aesthetic results after minimally invasive surgery (MIS) and standard open surgery (SOS) for the lumbar spine. Methods: This was a prospective observational study with 1-year follow-up. Patients who underwent SOS were assigned to group 1 and MIS to group 2. Patient-oriented aesthetic result evaluation was collected using a dedicated visual aesthetic analogue scale. The Vancouver Scar Scale was used to exclude objective underlying influencing factors. The Oswestry Disability Index and a 10-point itemized visual analogue scale for back pain were administered to assess the clinical and functional status. Follow-up data were collected before discharge at 1, 6, and 12 months. Statistical analysis was conducted, and P < 0.05 was considered as significant. Results: We enrolled 74 patients, 44 in group 1 and 30 in group 2. The 2 groups were homogeneous for demographic and clinical data. No clinical or functional differences were measured at the end of follow-up. Visual aesthetic analogue scale reported greater mean values in group 1 at every follow-up time. Conclusions: Patients seem to prefer the aesthetic result from a single midline incision after SOS compared with MIS. The use of specific techniques could be considered if there is scientific evidence reporting greater aesthetic outcome, having similar clinical and functional ones.

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