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Comparison of the clinical outcomes of VBE-TLIF versus MIS-TLIF for single-level degenerative lumbar diseases – Lumbar Fusion

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This article compares the clinical outcomes of two surgical procedures, VBE-TLIF and MIS-TLIF, for the treatment of patients with single-level degenerative lumbar diseases. The study included 90 patients, and various factors such as blood loss, operation time, hospitalization duration, time to functional exercise, surgical drain amount, and inflammatory index were recorded. The results showed that the VBE-TLIF group had a longer operation time but shorter time for functional exercise, hospital stay, blood loss, and surgical drain amount compared to the MIS-TLIF group. Additionally, patients in the VBE-TLIF group had lower levels of inflammatory markers and back pain scores. However, there were no significant differences in clinical satisfaction rates or interbody fusion rates between the two procedures. In , both VBE-TLIF and MIS-TLIF are safe and effective, but VBE-TLIF may be preferred due to reduced surgical trauma and faster recovery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: Both VBE-TLIF and MIS-TLIF are safe and effective surgical procedures for patients with lumbar diseases, but VBE-TLIF technique is a preferred surgical procedure with merits of reduced surgical trauma and quicker recovery.

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Eur Spine J. 2024 Feb 13. doi: 10.1007/s00586-023-08096-3. Online ahead of print.ABSTRACTOBJECTIVE: This research aims to compare the clinical outcomes of VBE-TLIF and MIS-TLIF for the treatment of patients with single-level degenerative lumbar diseases.METHODS: Ninety patients were enrolled in this study. The estimated blood loss, operation time, postoperative hospitalization days, time to functional exercise, amount,

Eur Spine J. 2024 Feb 13. doi: 10.1007/s00586-023-08096-3. Online ahead of print.

ABSTRACT

OBJECTIVE: This research aims to compare the clinical outcomes of VBE-TLIF and MIS-TLIF for the treatment of patients with single-level degenerative lumbar diseases.

METHODS: Ninety patients were enrolled in this study. The estimated blood loss, operation time, postoperative hospitalization days, time to functional exercise, amount of surgical drain and inflammatory index were recorded. The visual analog scale, Oswestry dysfunction index and modified MacNab criteria were used to assessed the patient’s back and leg pain, functional status and clinical satisfaction rates.

RESULTS: The average operation time of the VBE-TLIF group was longer than that of the MIS-TLIF group. The time for functional exercise, length of hospital stay, estimated blood loss and amount of surgical drain in the VBE-TLIF group were relative shorter than those in the MIS-TLIF group. Additionally, the levels of CRP, neutrophil, IL-6 and CPK in the VBE-TLIF group were significantly lower than those in the MIS-TLIF group at postoperative days 1 and 3, respectively (P < 0.001). Patients undergoing VBE-TLIF had significantly lower back VAS scores than those in the MIS-TLIF group on postoperative days 1 and 3 (P < 0.001). No significant differences were found in the clinical satisfaction rates (95.83 vs. 95.24%, P = 0.458) or interbody fusion rate (97.92 vs. 95.24%, P = 0.730) between these two surgical procedures.

S: Both VBE-TLIF and MIS-TLIF are safe and effective surgical procedures for patients with lumbar diseases, but VBE-TLIF technique is a preferred surgical procedure with merits of reduced surgical trauma and quicker recovery.

PMID:38347273 | DOI:10.1007/s00586-023-08096-3

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Comparison of the clinical outcomes of VBE-TLIF versus MIS-TLIF for single-level degenerative lumbar diseases

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Eur Spine J. 2024 Feb 13. doi: 10.1007/s00586-023-08096-3. Online ahead of print.ABSTRACTOBJECTIVE: This research aims to compare the clinical outcomes of VBE-TLIF and MIS-TLIF for the treatment of patients with single-level degenerative lumbar diseases.METHODS: Ninety patients were enrolled in this study. The estimated blood loss, operation time, postoperative hospitalization days, time to functional exercise, amount

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