The Long-term Clinical Effect of Minimal-Invasive TLIF Technique in 1-Segment Lumbar Disease

• DOI: 10.1097/bsd.0000000000000334
• Publication Date: 2015-11-04T12:12:23Z
• Authors: Yi-bing Li; Xiao-dong Wang; Hong-wei Yan; Ding-jun Hao; Zheng-hua Liu
• Keywords: Male; Intraoperative Care; Lumbar Vertebrae; Visual Analog Scale; Biopsy; Muscles; Middle Aged; 3. Good health; Disability Evaluation; 03 medical and health sciences; Postoperative Complications; Spinal Fusion; 0302 clinical medicine; Pedicle Screws; Humans; Minimally Invasive Surgical Procedures; Female

Study Design: A prospective cohort double-center study. Objective: To assess the clinical effect of minimally invasive transforaminal lumbar interbody fusion (miTLIF) using tunnel technique. Summary Background Data: series short-term studies have indicated that miTLIF could reduce blood loss and improve results. However, long-term study magnetic resonance imaging research are still scare. Methods: From January 2008 to 2009, 187 patients with 1-segment disease requiring intervertebral were enrolled in this Patients divided into 2 groups according operative methods. Postoperative low back pain (LBP), postoperative function, rate, lower extremity relief, variation lordosis, implant failure assessed. At 48 months postoperation, cross-sectional area paraspinal muscle was measured imaging. Results: The mean duration follow-up 54.4±5.9 months. intermuscular pressure generated by group than oTLIF group. reported a degree LBP at all timepoints. ODI scores similar VAS scores. No significant differences found or rate. difference between area. Conclusions: This confirmed advantages reducing LBP, improving quality life preventing atrophy compared oTLIF, while achieving therapeutic outcome. subsequent moderate presumed be possible reasons for its superiority.