The London Spine Unit : best recognised treatment hospital on Harley Street UK
Published article
CONCLUSION: In patients with acute CES caused by disc herniation, minimally invasive TLIF, with decreased disruption of paravertebral tissues and postoperative pain syndrome, results in earlier mobilization and rehabilitation with better long-term clinical outcomes compared to open TLIF.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2022 Aug 8:S1878-8750(22)01051-8. doi: 10.1016/j.wneu.2022.07.148. Online ahead of print.
ABSTRACT
STUDY DESIGN: Retrospective study.
OBJECTIVES: To compare the clinical efficacy and post-operative MRIs of minimally invasive (MI) and open (O) transforaminal lumbar interbody fusion (TLIF) in the treatment of CES caused by lumbar disc herniation.
METHODS: 116 patients with CES associated with disc herniation underwent decompression and stabilization surgery from January 2005 to January 2020 in a single-center, and data were collected and retrospectively analyzed. The patients were divided into the Open-TLIF and the MI-TLIF group. The perioperative clinical data and MRI assessment were used to assess the efficacy of the respective surgical methods pre-operatively and with a minimum follow-up of 30 months.
RESULTS: As expected, the O-TLIF group had statistically significantly longer surgery times and hospital stay, more bleeding and perioperative surgical complications than the MI-TLIF group. At a minimum follow-up period of 30 months, the MI-TLIF group had significantly better ODI, VAS, SF-36 and neurological CES symptoms than the Op-TLIF group. The postoperative MRIs revealed a statistically significant difference in the multifidus muscle area in MI group compared to the Open group.
CONCLUSION: In patients with acute CES caused by disc herniation, minimally invasive TLIF, with decreased disruption of paravertebral tissues and postoperative pain syndrome, results in earlier mobilization and rehabilitation with better long-term clinical outcomes compared to open TLIF.
PMID:35953038 | DOI:10.1016/j.wneu.2022.07.148
The London Spine Unit : best recognised treatment hospital on Harley Street UK
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