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Your search keyword '"Czybulka, Dierk-Marko"' showing total 7 results
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7 results on '"Czybulka, Dierk-Marko"'

1. Bedeutung der zusätzlichen kontralateralen Arthrektomie für das segmentale sagittale Alignment beim monosegmentalen MIS TLIF

Author

Telentschak, Sergej, Früchtl, Eva, Perrech, Moritz, von Spreckelsen, Niklas, Lenschow, Moritz, Pieczewski, Julia, Czybulka, Dierk-Marko, Goldbrunner, Roland, and Neuschmelting, Volker

Subjects
ddc: 610, Medicine and health
Abstract

Objective: The benefit of investing the additional surgical effort in contralateral arthrectomy during minimally invasive TLIF surgery is unclear. We aimed to analyze the impact of bilateral arthrectomy (BA) on restoring segmental sagittal alignment and lordosis compared to unilateral arthrectomy (UA) [for full text, please go to the a.m. URL]

Published
2022

2. Inzidenz und Risikofaktoren von Liquorfisteln nach intraduralen spinalen Eingriffen

Author

Lenschow, Moritz, Perrech, Moritz, Telentschak, Sergej, von Spreckelsen, Niklas, Pieczewski, Julia, Czybulka, Dierk-Marko, Goldbrunner, Roland, and Neuschmelting, Volker

Subjects
ddc: 610, Medicine and health
Abstract

Objective: While several studies have investigated the incidence and perioperative management in accidental spinal durotomies, the impact of postoperative bed rest or epidural drainage on the incidence of cerebrospinal fluid leakage (CSFL) in planned durotomies is unclear. This study aimed to assess [for full text, please go to the a.m. URL]

Published
2022

3. Kombinierter xALIF plus XLIF in Rechtsseitenlage zur mehrsegmentalen interkorporellen Fusion bei lumbosakralen degenerativen Erkrankungen

Author

Telentschak, Sergej, Früchtl, Eva, Perrech, Moritz, von Spreckelsen, Niklas, Lenschow, Moritz, Pieczewski, Julia, Czybulka, Dierk-Marko, Goldbrunner, Roland, and Neuschmelting, Volker

Subjects
ddc: 610, Medicine and health
Abstract

Objective: Anterior and lateral lumbar Interbody fusion techniques (ALIF and XLIF/LLIF) may enable a favorable degree of lordosis and indirect decompression than conventional techniques (PLIF and TLIF), in the lumbosacral transition in particular. Recently, the ALIF in lateral decubitus position [for full text, please go to the a.m. URL]

Published
2022

5. Impact of Obesity on Complication Rates, Clinical Outcomes, and Quality of Life after Minimally Invasive Transforaminal Lumbar Interbody Fusion.

Author

Goertz, Lukas, Stavrinou, Pantelis, Hamisch, Christina, Perrech, Moritz, Czybulka, Dierk-Marko, Mehdiani, Kaveh, Timmer, Marco, Goldbrunner, Roland, and Krischek, Boris

Subjects
TREATMENT effectiveness, OBESITY complications, FUNCTIONAL status, BODY mass index, LEG pain
Abstract

Background Percutaneous pedicle screw fixation in obese patients remains a surgical challenge. We aimed to compare patient-reported outcomes and complication rates between obese and nonobese patients who were treated by minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). Methods The authors retrospectively reviewed patients who underwent MIS-TLIF at a single institution between 2011 and 2014. Patients were classified as obese (body mass index [BMI] ≥30 kg/m2) or nonobese (BMI < 30 kg/m2), according to their BMI. Outcomes assessed were complications, numerical rating scale (NRS) scores for back and leg pain, Oswestry Disability Index (ODI), and 36-Item Short-Form Survey (SF-36) scores. Results The final study group consisted of 71 patients, 24 obese (33.8%, 34.8 ± 3.8 kg/m2) and 47 nonobese (66.2%, 25.4 ± 2.9 kg/m2). Instrumentation failures (13.6 vs. 17.0%), dural tears (17.2 vs. 4.0%), and revision rates (16.7 vs. 19.1%) were similar between both groups (p > 0.05). Perioperative improvements in back pain (4.3 vs. 5.4, p = 0.07), leg pain (3.8 vs. 4.2, p = 0.6), and ODI (13.3 vs. 22.5, p = 0.5) were comparable among the groups and persisted at long-term follow-up. Obese patients had worse postoperative physical component SF-36 scores than nonobese patients (36.4 vs. 42.7, p = 0.03), while the mental component scores were not statistically different (p = 0.09). Conclusion Obese patients can achieve similar improvement of the pain intensity and functional status even at long-term follow-up. In patients with appropriate surgical indications, obesity should not be considered a contraindication for MIS-TLIF surgery. [ABSTRACT FROM AUTHOR]

Published
2021
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6. Impact of Obesity on Complication Rates, Clinical Outcomes, and Quality of Life after Minimally Invasive Transforaminal Lumbar Interbody Fusion

Author

Goertz, Lukas, Stavrinou, Pantelis, Hamisch, Christina, Perrech, Moritz, Czybulka, Dierk-Marko, Mehdiani, Kaveh, Timmer, Marco, Goldbrunner, Roland, Krischek, Boris, Goertz, Lukas, Stavrinou, Pantelis, Hamisch, Christina, Perrech, Moritz, Czybulka, Dierk-Marko, Mehdiani, Kaveh, Timmer, Marco, Goldbrunner, Roland, and Krischek, Boris

Abstract

Background Percutaneous pedicle screw fixation in obese patients remains a surgical challenge. We aimed to compare patient-reported outcomes and complication rates between obese and nonobese patients who were treated by minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). Methods The authors retrospectively reviewed patients who underwent MIS-TLIF at a single institution between 2011 and 2014. Patients were classified as obese (body mass index [BMI] >= 30kg/m (2) ) or nonobese (BMI<30kg/m (2) ), according to their BMI. Outcomes assessed were complications, numerical rating scale (NRS) scores for back and leg pain, Oswestry Disability Index (ODI), and 36-Item Short-Form Survey (SF-36) scores. Results The final study group consisted of 71 patients, 24 obese (33.8%, 34.83.8kg/m (2) ) and 47 nonobese (66.2%, 25.42.9kg/m (2) ). Instrumentation failures (13.6 vs. 17.0%), dural tears (17.2 vs. 4.0%), and revision rates (16.7 vs. 19.1%) were similar between both groups ( p >0.05). Perioperative improvements in back pain (4.3 vs. 5.4, p =0.07), leg pain (3.8 vs. 4.2, p =0.6), and ODI (13.3 vs. 22.5, p =0.5) were comparable among the groups and persisted at long-term follow-up. Obese patients had worse postoperative physical component SF-36 scores than nonobese patients (36.4 vs. 42.7, p =0.03), while the mental component scores were not statistically different ( p =0.09). Conclusion Obese patients can achieve similar improvement of the pain intensity and functional status even at long-term follow-up. In patients with appropriate surgical indications, obesity should not be considered a contraindication for MIS-TLIF surgery.

7. Impact of Obesity on Complication Rates, Clinical Outcomes, and Quality of Life after Minimally Invasive Transforaminal Lumbar Interbody Fusion

Author

Goertz, Lukas, Stavrinou, Pantelis, Hamisch, Christina, Perrech, Moritz, Czybulka, Dierk-Marko, Mehdiani, Kaveh, Timmer, Marco, Goldbrunner, Roland, Krischek, Boris, Goertz, Lukas, Stavrinou, Pantelis, Hamisch, Christina, Perrech, Moritz, Czybulka, Dierk-Marko, Mehdiani, Kaveh, Timmer, Marco, Goldbrunner, Roland, and Krischek, Boris

Abstract

Background Percutaneous pedicle screw fixation in obese patients remains a surgical challenge. We aimed to compare patient-reported outcomes and complication rates between obese and nonobese patients who were treated by minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). Methods The authors retrospectively reviewed patients who underwent MIS-TLIF at a single institution between 2011 and 2014. Patients were classified as obese (body mass index [BMI] >= 30kg/m (2) ) or nonobese (BMI<30kg/m (2) ), according to their BMI. Outcomes assessed were complications, numerical rating scale (NRS) scores for back and leg pain, Oswestry Disability Index (ODI), and 36-Item Short-Form Survey (SF-36) scores. Results The final study group consisted of 71 patients, 24 obese (33.8%, 34.83.8kg/m (2) ) and 47 nonobese (66.2%, 25.42.9kg/m (2) ). Instrumentation failures (13.6 vs. 17.0%), dural tears (17.2 vs. 4.0%), and revision rates (16.7 vs. 19.1%) were similar between both groups ( p >0.05). Perioperative improvements in back pain (4.3 vs. 5.4, p =0.07), leg pain (3.8 vs. 4.2, p =0.6), and ODI (13.3 vs. 22.5, p =0.5) were comparable among the groups and persisted at long-term follow-up. Obese patients had worse postoperative physical component SF-36 scores than nonobese patients (36.4 vs. 42.7, p =0.03), while the mental component scores were not statistically different ( p =0.09). Conclusion Obese patients can achieve similar improvement of the pain intensity and functional status even at long-term follow-up. In patients with appropriate surgical indications, obesity should not be considered a contraindication for MIS-TLIF surgery.

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