title: Minimally invasive transaxial lumbosacral interbody fusion: a ten year single-centre experience.
abstract: Our aim was to evaluate mid- and long-term results in a cohort of patients who underwent minimally invasive transaxial lumbosacral fixation and to identify clinical and other parameters that can aid in proper patient selection.
  
  
  
  Over a period of ten years, we assessed 164 patients who had a complete follow-up of a minimum of one year (average 54 months). On follow-up, we recorded clinical status, fusion status, visual analogue scale (VAS), Oswestry Lower Back Pain Disability Index (ODI) scores and patient satisfaction.
  
  
  
  There were no intra- or peri-operative complications. Overall clinical success rate was 73.8 %. Only sex (female), working status (still working), body mass index (BMI) (lower) and presence of Modic II changes (absent) were correlated with a good result.
  
  
  
  Transaxial fixation is a safe, minimally invasive technique that can offer good results in patients with single-level degenerative disc disease (DDD) at the lumbosacral level, with minimal operative risk.
authors.affiliation: Bergman Clinics, Naarden, Netherlands. djzeilstra@gmail.com.
authors.forename: Dick J
authors.initials: DJ
authors.lastname: Zeilstra
authors.affiliation: Student of the Faculty of Medicine, University of Zurich, Zurich, Switzerland.
authors.forename: Victor E
authors.initials: VE
authors.lastname: Staartjes
authors.affiliation: Bergman Clinics, Naarden, Netherlands.
authors.forename: Marc L
authors.initials: ML
authors.lastname: Schröder
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000601:surgery*; D017116:Low Back Pain / Q000601:surgery*; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D017060:Patient Satisfaction; D012720:Severity of Illness Index; D013123:Spinal Fusion / Q000379:methods*; D013131:Spine / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D064232:Visual Analog Scale
keywords: Axialif; Back Pain; DDD; Discopathy; Fusion; Transaxial