Comparability of minimally invasive and open transforaminal lumbar interbody fusion within the therapy of single segmental lumbar spondylolisthesis: minimal two-year comply with up.
Ann Transl Med. 2018 Mar;6(6):105
Authors: Wu AM, Hu ZC, Li XB, Feng ZH, Chen D, Xu H, Huang QS, Lin Y, Wang XY, Zhang Okay, Zhao J, Ni WF
Background: Examine the efficacy and security of minimally invasive and open transforaminal lumbar interbody fusion (TLIF) within the therapy of single segmental lumbar spondylolisthesis.
Strategies: From 2010-01 to 2015-10, in complete, 167 sufferers with single segmental spondylolisthesis handled by TLIF have been included, 79 circumstances in minimally invasive TLIF (MI-TLIF) group and 88 circumstances in open TLIF group. The peri-operative parameters of operative time, estimated blood loss and size of postoperative hospital keep was recorded, in addition to problems. Visible Analogue Scale (VAS) of low again ache and leg ache, and Oswestry Incapacity Index (ODI) have been used to evaluate the ache and useful outcomes at pre-operatively, three months/1 12 months/2 years/5 years after operation. The radiographic parameters of posterior top of the intervertebral area and segmental lordosis have been measured too.
Outcomes: No considerably distinction was discovered at baseline attribute knowledge of age, gender ratio, the proportion of degenerative and isthmic spondylolisthesis, the proportion of slip, and segmental distribution between MI-TLIF and open TLIF teams. MI-TLIF group had much less estimated intra-operative blood loss (163.7±49.6 mL) than open TLIF group (243.three±70.2 mL, P<zero.001) and had shorter post-operative hospital keep (5.eight±1.four days) than open TLIF group (7.three±2.9 days, P<zero.001). Each MI-TLIF and open TLIF can considerably cut back the VAS of low again ache, VAS of leg ache, ODI, and enhance the posterior top of the intervertebral area and segmental lordosis, however no considerably distinction was discovered of them between two teams.
Conclusions: Our examine means that MI-TLIF is a secure and efficient selection within the therapy of decrease grade lumbar spondylolisthesis (grade II or much less), and it has benefits of much less blood loss, postoperative hospital keep when in comparison with open TLIF.
PMID: 29707554 [PubMed]