Abstract:
OBJECTIVE:We sought to evaluate 5-year outcomes between microendoscopy-assisted minimally invasive (MIS) and open transforaminal lumbar interbody fusion (TLIF). METHODS:Sixty single-level MIS and open surgeries were performed (30 patients in either group). Perioperative parameters including operative duration, intraoperative estimated blood loss, fluoroscopy time, postoperative analgesic usage, ambulatory time, and complications were recorded. Visual analog scale (back and leg), Japanese Orthopaedics Association score, and Oswestry Disability Index were obtained. Finally, self-evaluation of surgical outcomes (modified MacNab criteria), interbody fusion rate (Bridwell grade 1), and prevalence of adjacent segment degeneration were assessed. RESULTS:Intraoperative estimated blood loss and postoperative analgesia usage were reduced in the MIS group, and patients undergoing microendoscopy-assisted MIS-TLIF ambulated earlier than those receiving open TLIF postoperatively. Nevertheless, surgical duration and fluoroscopy time were prolonged in the MIS group. Complication incidences were similar in both groups. Visual analog scale (back and leg), Japanese Orthopaedics Association, and Oswestry Disability Index were improved at 1 month, 2 years, and 5 years postoperatively in both groups when compared with preoperative scores. Significant improvements in these scores were found in the MIS group at 1 month postoperatively, while at 2 years and 5 years postoperatively, both groups revealed comparable aforementioned scores. Excellent and perfect scale rating, interbody fusion rate, and adjacent segment degeneration prevalence between the groups were almost similar. CONCLUSIONS:Microendoscopy-assisted MIS-TLIF is comparable with open TLIF in terms of 5-year outcomes with additional benefits of reduced intraoperative iatrogenic injury, decreased initial pain, minimized activity restrictions, and accelerated ambulation recovery after surgery.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Yang Y,Liu ZY,Zhang LM,Pang M,Chhantyal K,Wu WB,Chen ZH,Luo CX,Rong LM,Liu Bdoi
10.1016/j.wneu.2018.05.049subject
Has Abstractpub_date
2018-08-01 00:00:00pages
e602-e610eissn
1878-8750issn
1878-8769pii
S1878-8750(18)31002-7journal_volume
116pub_type
杂志文章abstract:BACKGROUND:Sufficient visualization of the operating field is crucial for success in surgery and is important especially concerning minimally invasive and deep approaches in spine surgery. METHODS:The spinal microsurgical approach was imitated using an isolated box that was accessed with different devices. Different l...
journal_title:World neurosurgery
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journal_title:World neurosurgery
pub_type: 杂志文章,meta分析,评审
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更新日期:2014-07-01 00:00:00
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journal_title:World neurosurgery
pub_type:
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journal_title:World neurosurgery
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更新日期:2021-01-01 00:00:00
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更新日期:2020-12-01 00:00:00
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doi:10.1016/j.wneu.2016.10.086
更新日期:2017-02-01 00:00:00
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journal_title:World neurosurgery
pub_type:
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更新日期:2020-04-01 00:00:00
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更新日期:2016-10-01 00:00:00
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journal_title:World neurosurgery
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更新日期:2018-02-01 00:00:00
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更新日期:2017-02-01 00:00:00
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更新日期:2018-01-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2018-04-01 00:00:00
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journal_title:World neurosurgery
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更新日期:2019-06-01 00:00:00
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更新日期:2019-12-01 00:00:00
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journal_title:World neurosurgery
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更新日期:2017-02-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00