Comparability of the Minimally Invasive and Standard Open Surgical procedure Strategy within the Therapy of Lumbar Stenosis: A Systematic Overview and a Meta-Evaluation.
Ann Acad Med Singapore. 2017 Apr;46(four):124-137
Authors: Chang F, Zhang T, Gao G, Ding S, Su Y, Li L, Zuo G, Chen B, Wang X, Yu C
INTRODUCTION: Minimally invasive surgical procedure (MIS) is more and more used within the remedy of lumbar stenosis. Nevertheless, it’s nonetheless not clear if the employment of minimally invasive surgical methods can obtain superior medical outcomes in comparison with normal open laminectomy.
MATERIALS AND METHODS: An intensive literature evaluation concerning the medical end result, security, and effectivity of MIS and normal open surgical procedure (OS) within the remedy of lumbar stenosis was carried out on Medline, Cochrane, EMBASE, and Google Scholar databases as much as 19 August 2016.
RESULTS: Sixteen research that enrolled a complete of 1580 sufferers with surgically-indicated lumbar stenosis had been recognized; 793 sufferers underwent MIS and 787 sufferers underwent standard OS. No important distinction was discovered within the enchancment of Oswestry Incapacity Index (ODI) (P = zero.718) and operation time (P = zero.322) between sufferers from totally different remedy teams. MIS was related to higher visible analogue scale (VAS) for again ache (P = zero.01), shorter size of hospital keep (P <zero.001), and decrease blood loss (P <zero.001).
CONCLUSION: Our findings point out that each MIS and normal OS can successfully handle sufferers with lumbar stenosis and result in comparable medical outcomes. Additional research are obligatory to guage MIS with various kinds of standard surgical procedure for lumbar stenosis.
PMID: 28485460 [PubMed – indexed for MEDLINE]