• World Neurosurg · Feb 2019

    Comparative Study Observational Study

    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, and Filippo Maria Polli.
    • Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, USA; Istituto di Neurochirurgia, Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: ricciardi.lu@gmail.com.
    • World Neurosurg. 2019 Feb 1; 122: e1041-e1046.

    BackgroundDespite 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.MethodsThis 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.ResultsWe 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.ConclusionsPatients 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.Copyright © 2018 Elsevier Inc. All rights reserved.

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