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Short-term clinical efficacy and safety of unilateral biportal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in the treatment of lumbar degenerative diseases: a systematic review and meta-analysis – Lumbar Fusion

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The article summarizes a study that compared the short-term clinical efficacy and safety of two surgical procedures, unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF), for the treatment of lumbar degenerative diseases. The study analyzed 13 studies with a total of 949 patients, finding that UBE-TLIF had advantages over MIS-TLIF in terms of intraoperative blood flow, postoperative drainage flow, duration of hospital stay, Visual Analog Scale (VAS) score for low back pain, and Oswestry Disability Index (ODI) score. However, the operative time for UBE-TLIF was longer than that of MIS-TLIF. The two procedures had similar outcomes in terms of total complication rate, modified Macnab grading criteria, fusion rate, VAS score of leg pain, lumbar lordosis, and intervertebral disk height. The conclusion of the study was that both UBE-TLIF and MIS-TLIF are effective surgical options, but UBE-TLIF has the benefits of less intraoperative blood loss, shorter postoperative hospital stay, and faster recovery. The study was registered under INPLASY.COM (No. INPLASY202320087)

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal facility in UK

Published article

CONCLUSION: Both UBE-TLIF and MIS-TLIF are effective surgical modalities for the treatment of degenerative lumbar spine diseases. They have similar treatment outcomes, but UBE-TLIF has the advantages of less intraoperative blood loss, shorter postoperative hospital stay, and faster recovery.

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J Orthop Surg Res. 2023 Sep 4;18(1):656. doi: 10.1186/s13018-023-04138-0.ABSTRACTBACKGROUND: The aim of this study was to comprehensively evaluate the short-term clinical efficacy and safety of unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) versus minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the treatment of lumbar degenerative diseases by meta-analysis.METHODS: A computer-based search of PubMed,

J Orthop Surg Res. 2023 Sep 4;18(1):656. doi: 10.1186/s13018-023-04138-0.

ABSTRACT

BACKGROUND: The aim of this study was to comprehensively evaluate the short-term clinical efficacy and safety of unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) versus minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the treatment of lumbar degenerative diseases by meta-analysis.

METHODS: A computer-based search of PubMed, Embase, Web of Science, Cochrane Database, China National Knowledge Infrastructure (CNKI), Wanfang Database, and Chinese Science and Technology Journal Database (VIP) was conducted from the inception of the each database to April 2023. The searched literature was then screened according to strict inclusion and exclusion criteria. The critical data were extracted and analyzed using Review Manager software5.4.1. Pooled effects were calculated on the basis of data attributes by mean difference (MD) or odds ratio (OR) with 95% confidence interval (CI). The Newcastle-Ottawa Scale was used to assess the quality of the studies.

RESULTS: A total of 13 studies and 949 patients met the inclusion criteria for this meta-analysis, 445 in the UBE-LIF group and 504 in the MIS-TLIF group. UBE-TLIF was superior to MIS-TLIF in terms of intraoperative blood flow, postoperative drainage flow, duration of hospital stay, VAS score for low back pain and ODI score, but the operative time was longer than MIS-TLIF group. There were no significant differences between the two groups in terms of total complication rate, modified Macnab grading criteria, fusion rate, VAS score of leg pain, lumbar lordosis, intervertebral disk height.

CONCLUSION: Both UBE-TLIF and MIS-TLIF are effective surgical modalities for the treatment of degenerative lumbar spine diseases. They have similar treatment outcomes, but UBE-TLIF has the advantages of less intraoperative blood loss, shorter postoperative hospital stay, and faster recovery.

TRIAL REGISTRATION: This study has been registered at INPLASY.COM (No. INPLASY202320087).

PMID:37667363 | DOI:10.1186/s13018-023-04138-0

The London Spine Unit : most specialised spinal facility in UK

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Short-term clinical efficacy and safety of unilateral biportal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in the treatment of lumbar degenerative diseases: a systematic review and meta-analysis

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J Orthop Surg Res. 2023 Sep 4;18(1):656. doi: 10.1186/s13018-023-04138-0.ABSTRACTBACKGROUND: The aim of this study was to comprehensively evaluate the short-term clinical efficacy and safety of unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) versus minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the treatment of lumbar degenerative diseases by meta-analysis.METHODS: A computer-based search of PubMed

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