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Comparison of clinical outcomes and complications between endoscopic and minimally invasive transforaminal lumbar interbody fusion for lumbar degenerative diseases: a systematic review and meta-analysis – Lumbar Fusion

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This article compares the effectiveness and complications of endoscopic transforaminal lumbar fusion (Endo-TLIF) and minimally invasive transforaminal lumbar fusion (MIS-TLIF) in the treatment of lumbar degenerative diseases. The researchers conducted a meta-analysis of randomized controlled studies and non-randomized controlled studies on Endo-TLIF and MIS-TLIF. The analysis included 13 high-quality studies with a total of 1015 patients. The results showed that there were no significant differences in outcomes such as pain scores, complication rates, and fusion rates between the two groups. However, the MIS-TLIF group had a shorter operative time, while the Endo-TLIF group had less blood loss, a shorter hospital stay, and lower lumbar pain scores. The study suggests that while both methods have similar long-term outcomes, Endo-TLIF offers advantages such as reduced surgical trauma, faster recovery, and early alleviation of postoperative back pain

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spine facility on Harley Street UK

Published article

: Meta-analysis results indicated that Endo-TLIF is similar to MIS-TLIF in terms of long-term clinical outcomes, fusion rates, and complication rates. Although MIS-TLIF has a shorter operation time, Endo-TLIF can significantly reduce blood loss and hospital stay duration. Endo-TLIF offers the advantages of less surgical trauma, reduced blood loss, faster recovery, and early alleviation of postoperative back pain.

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J Orthop Surg Res. 2024 Jan 27;19(1):92. doi: 10.1186/s13018-024-04549-7.ABSTRACTOBJECTIVE: This study compares the efficacy and complications of endoscopic transforaminal lumbar fusion (Endo-TLIF) and minimally invasive transforaminal lumbar fusion (MIS-TLIF) in treating lumbar degenerative diseases. It aims to provide reference data for clinical decision-making.METHODS: We identified randomized controlled studies and non-randomized controlled studies on Endo-TLIF and,

J Orthop Surg Res. 2024 Jan 27;19(1):92. doi: 10.1186/s13018-024-04549-7.

ABSTRACT

OBJECTIVE: This study compares the efficacy and complications of endoscopic transforaminal lumbar fusion (Endo-TLIF) and minimally invasive transforaminal lumbar fusion (MIS-TLIF) in treating lumbar degenerative diseases. It aims to provide reference data for clinical decision-making.

METHODS: We identified randomized controlled studies and non-randomized controlled studies on Endo-TLIF and MIS-TLIF for treating lumbar degenerative diseases based on specific inclusion and exclusion criteria. Data were managed with Endnote X9 software and meta-analyzed using Revman 5.3 software. Extracted outcomes included lower back VAS score, lower extremity pain VAS score, low back pain ODI score, complication rate, fusion rate, time to surgery, blood loss, and length of hospital stay.

RESULTS: ① Thirteen high-quality studies were included in this meta-analysis, totaling 1015 patients-493 in the Endo-TLIF group and 522 in the MIS-TLIF group. ② Meta-analysis results revealed no significant differences in preoperative, postoperative 6-month, and final follow-up waist VAS scores, lower limb pain VAS score, ODI index, complications, and fusion rate between the two groups (P > 0.05). The MIS-TLIF group had a shorter operative time (MD = 29.13, 95% CI 10.86, 47.39, P = 0.002) than the Endo-TLIF group. However, the Endo-TLIF group had less blood loss (MD = – 76.75, 95% CI – 111.59, – 41.90, P < 0.0001), a shorter hospital stay (MD = - 2.15, 95% CI - 2.95, - 1.34, P < 0.00001), and lower lumbar VAS scores both immediately postoperative (≤ 2 week) (MD = - 1.12, 95% CI - 1.53, - 0.71, P < 0.00001) compared to the MIS-TLIF group.

: Meta-analysis results indicated that Endo-TLIF is similar to MIS-TLIF in terms of long-term clinical outcomes, fusion rates, and complication rates. Although MIS-TLIF has a shorter operation time, Endo-TLIF can significantly reduce blood loss and hospital stay duration. Endo-TLIF offers the advantages of less surgical trauma, reduced blood loss, faster recovery, and early alleviation of postoperative back pain.

PMID:38281015 | DOI:10.1186/s13018-024-04549-7

The London Spine Unit : best recognised spine facility on Harley Street UK

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Comparison of clinical outcomes and complications between endoscopic and minimally invasive transforaminal lumbar interbody fusion for lumbar degenerative diseases: a systematic review and meta-analysis

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J Orthop Surg Res. 2024 Jan 27;19(1):92. doi: 10.1186/s13018-024-04549-7.ABSTRACTOBJECTIVE: This study compares the efficacy and complications of endoscopic transforaminal lumbar fusion (Endo-TLIF) and minimally invasive transforaminal lumbar fusion (MIS-TLIF) in treating lumbar degenerative diseases. It aims to provide reference data for clinical decision-making.METHODS: We identified randomized controlled studies and non-randomized controlled studies on Endo-TLIF and

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