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Prospective Randomized Comparison of Minimally Invasive Tlif versus Open Tlif: Clinical Effectiveness and Restoration of Working Capacity in Railway Workers – Lumbar Spinal Stenosis

The article presents the findings of a randomized clinical trial comparing the clinical efficacy and restoration of working capacity after minimally invasive (MI)-TLIF and open (O)-TLIF in railway workers with lumbar degenerative disease. The study included 83 patients who underwent two-level lumbar decompression and fusion, with one group undergoing MI-TLIF and the other O-TLIF. Results showed that the MI-TLIF group had significantly better functional status and imaging outcomes at the 1-year follow-up compared to the O-TLIF group. Patients who underwent MI-TLIF also had a quicker return to work and higher return to work rate compared to those who had O-TLIF. The study concluded that MI-TLIF in railway workers improved long-term clinical results and reduced the risk of surgical complications and muscle atrophy compared to O-TLIF

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced spine centre in the world

Published article

CONCLUSIONS: The use of two-level MI-TLIF in railway workers has made it possible to significantly improve long-term clinical results, reduce the risk of surgical complications, muscle atrophy and time to return to work compared to O-TLIF.

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Global Spine J. 2024 Mar 25:21925682241242039. doi: 10.1177/21925682241242039. Online ahead of print.ABSTRACTSTUDY DESIGN: Randomized Clinical Trial.OBJECTIVE: To compare the clinical efficacy and restoration of working capacity after MI (minimally invasive)-TLIF and O (open)-TLIF in railway workers with lumbar degenerative disease.METHODS: 83 patients, who were indicated for two-level lumbar decompression and fusion were randomly assigned to,

Global Spine J. 2024 Mar 25:21925682241242039. doi: 10.1177/21925682241242039. Online ahead of print.

ABSTRACT

STUDY DESIGN: Randomized Clinical Trial.

OBJECTIVE: To compare the clinical efficacy and restoration of working capacity after MI (minimally invasive)-TLIF and O (open)-TLIF in railway workers with lumbar degenerative disease.

METHODS: 83 patients, who were indicated for two-level lumbar decompression and fusion were randomly assigned to one of two groups: group 1 (n = 44) had MI-TLIF procedure and group 2 (n = 39) had O-TLIF procedure. The functional status was assessed using SF-36, ODI and VAS for back and leg pain, preoperatively, at discharge, and at 3, 6, and 12 months postoperatively. MRI and CT were obtained 1-year follow-up. The percentage of patients who returned to work at 1-year, work intensity and the time to return to work post-operatively were analyzed.

RESULTS: At 1-year follow-up, the MI-TLIF group had significantly better ODI, VAS and SF-36 scores compared to the O-TLIF group. The postoperative MRIs revealed a statistically significantly less multifidus muscle atrophy in the MI group compared to the Open group. At 1-year follow-up, a comparable fusion ratio between MI group and Open group was recorded. After MI-TLIF procedure, depending on the workload, patients had a statistically significantly earlier return to work (P < .05) and statistically significantly higher return to work rate compared with the O-TLIF group (P < .05).

CONCLUSIONS: The use of two-level MI-TLIF in railway workers has made it possible to significantly improve long-term clinical results, reduce the risk of surgical complications, muscle atrophy and time to return to work compared to O-TLIF.

PMID:38525927 | DOI:10.1177/21925682241242039

The London Spine Unit : most advanced spine centre in the world

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Prospective Randomized Comparison of Minimally Invasive Tlif versus Open Tlif: Clinical Effectiveness and Restoration of Working Capacity in Railway Workers

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Global Spine J. 2024 Mar 25:21925682241242039. doi: 10.1177/21925682241242039. Online ahead of print.ABSTRACTSTUDY DESIGN: Randomized Clinical Trial.OBJECTIVE: To compare the clinical efficacy and restoration of working capacity after MI (minimally invasive)-TLIF and O (open)-TLIF in railway workers with lumbar degenerative disease.METHODS: 83 patients, who were indicated for two-level lumbar decompression and fusion were randomly assigned to
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