Comparison of Outcomes Between Endoscopic Transforaminal Lumbar Interbody Fusion and Minimally Invasive Transforaminal Lumbar Interbody Fusion in Patients With Single-Level Lumbar Degenerative Disease: A Retrospective Study

被引:4
作者
Xu, Hongyao [1 ]
Yu, Lei [2 ]
Xiao, Bing [3 ]
Zhao, Hong [2 ]
Gu, Xin [4 ]
Gao, Zengxin [1 ]
Wang, Weiheng [3 ]
机构
[1] Southeast Univ, Zhongda Hosp, Sch Med, Dept Orthoped, Nanjing, Peoples R China
[2] 906 Hosp Peoples Liberat Army, Dept Orthoped Surg & Neurosurg, Ningbo, Zhejiang, Peoples R China
[3] Hosp Naval Med Univ, Affiliated Hosp 2, Dept Orthopaed, Shanghai, Peoples R China
[4] Shanghai Jiao Tong Univ, Tongren Hosp, Dept Orthopaed, Shanghai, Peoples R China
基金
中国国家自然科学基金;
关键词
Endoscopic transforaminal lumbar interbody fusion; Lumbar degenerative diseases; Minimally invasive transforaminal lumbar interbody fusion; CLINICAL-OUTCOMES; INSTRUMENT DESIGN; CASE SERIES; MIS-TLIF; SPONDYLOLISTHESIS; FORAMINOPLASTY; SPINE;
D O I
10.1016/j.wneu.2023.11.092
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: The objective of this study was to compare the clinical and radiological outcomes of endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). METHODS: This retrospective study included 110 patients with single-level lumbar degenerative disease who - nderwent Endo-TLIF or MIS-TLIF between January 2019 and December 2021. Patients were divided into Endo-TLIF (n = 55) and MIS-TLIF groups (n = 55). Perioperative, clinical, and radiological outcomes were assessed. RESULTS: The Endo-TLIF group had significantly lower blood loss and shorter hospital stay. However, the operation time was significantly longer and there was more xray exposure than in the MIS-TLIF group. There were no significant differences in complications between the groups. The Endo-TLIF group showed significantly lower creatine kinase levels than the MIS-TLIF group at 3 days postoperatively ( P < 0.05), but not at 7 days postoperatively ( P > 0.05). Oswestry Disability Index and visual analog scale scores were significantly reduced in both groups at different time points postoperation compared to preoperation. The visual analog scale score in the Endo-TLIF group was lower than that in the MIS-TLIF group at 3 days postoperatively. Moreover, no significant differences were found in fusion rates, lumbar lordosis, and lumbar segmental lordosis between the 2 groups ( P > 0.05). CONCLUSIONS: Endo-TLIF might be considered as an effective and reliable treatment option for single-level lumbar degeneration. It results in less trauma and faster postoperative recovery, but a longer operative time and more x-ray exposure than MIS-TLIF. Endo-TLIF has effects on clinical and radiological outcomes that are comparable to those of MIS-TLIF.
引用
收藏
页码:E98 / E108
页数:11
相关论文
共 47 条
[41]   Does loss of spondylolisthesis reduction impact clinical and radiographic outcomes after minimally invasive transforaminal lumbar interbody fusion? [J].
Steinhaus, Michael E. ;
Vaishnav, Avani S. ;
Shah, Sachin P. ;
Clark, Nicholas J. ;
Chaudhary, Chirag B. ;
Othman, Yahya A. ;
Urakawa, Hikari ;
Samuel, Andre M. ;
Lovecchio, Francis C. ;
Sheha, Evan D. ;
McAnany, Steven J. ;
Qureshi, Sheeraz A. .
SPINE JOURNAL, 2022, 22 (01) :95-103
[42]   Prospective Cohort Study with a 2-Year Follow-up of Clinical Results, Fusion rate, and Muscle Bulk for Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion [J].
Wu, Pang Hung ;
Kim, Hyeun Sung ;
An, Jin Woo ;
Kim, Myeonghun ;
Lee, Inkyung ;
Park, Jong Seon ;
Lee, Jun Hyoung ;
Kang, Sangsoo ;
Lee, Jeongshik ;
Yi, Yeonjin ;
Lee, Jun Hyung ;
Park, Jun Hwan ;
Lim, Jae Hyeon ;
Jang, Il-Tae .
ASIAN SPINE JOURNAL, 2023, 17 (02) :373-381
[43]   Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note [J].
Wu, Pang Hung ;
Kim, Hyeun Sung ;
Lee, Yeon Jin ;
Kim, Dae Hwan ;
Lee, Jun Hyung ;
Jeon, Jun Bok ;
Raorane, Harshavardhan Dilip ;
Jang, Il-Tae .
BRAIN SCIENCES, 2020, 10 (06) :1-17
[44]   Analysis of clinical efficacy of endo-LIF in the treatment of single-segment lumbar degenerative diseases [J].
Wu, Wenjie ;
Yang, Sen ;
Diao, Wenbo ;
Wang, Donggui ;
Guo, Yang ;
Yan, Ming ;
Luo, Fei .
JOURNAL OF CLINICAL NEUROSCIENCE, 2020, 71 :51-57
[45]   Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion: Technique Note and Comparison of Early Outcomes with Minimally Invasive Transforaminal Lumbar Interbody Fusion for Lumbar Spondylolisthesis [J].
Zhang, Hao ;
Zhou, Chuanli ;
Wang, Chao ;
Zhu, Kai ;
Tu, Qihao ;
Kong, Meng ;
Zhao, Chong ;
Ma, Xuexiao .
INTERNATIONAL JOURNAL OF GENERAL MEDICINE, 2021, 14 :549-558
[46]   Early Clinical Evaluation of Percutaneous Full-endoscopic Transforaminal Lumbar Interbody Fusion with Pedicle Screw Insertion for Treating Degenerative Lumbar Spinal Stenosis [J].
Zhao, Xiao-bing ;
Ma, Hai-jun ;
Geng, Bin ;
Zhou, Hong-gang ;
Xia, Ya-yi .
ORTHOPAEDIC SURGERY, 2021, 13 (01) :328-337
[47]  
Zhu L, 2021, PAIN PHYSICIAN, V24, P441