Psychological and Functional Comparison between Minimally Invasive and Open Transforaminal Lumbar Interbody Fusion for Single‐Level Lumbar Spinal Stenosis

• DOI: 10.1111/os.12986
• Publication Date: 2021-05-04T10:15:36Z
• Authors: Bin Yu; Jin Zhang; Jie Pan; Yizhou Wang; YingGao Chen; Weidong Zhao; Desheng Wu
• Keywords: Oswestry Disability Index

Objective The aim of this study was to investigate whether treatment with minimally invasive transforaminal lumbar interbody fusion (Mis‐TLIF) causes patients suffering from spinal stenosis (LSS) experience less anxiety and better clinical efficacy than open (TLIF). Methods In retrospective cohort study, we analyzed 86 patients, including 46 male 41 female who suffered single‐segmental in our department between January 2016 2018. They were divided into two groups: a control group (n = 46), for underwent TLIF surgery, an experimental 40), Mis‐TLIF surgery. All evaluated based on operation time, intraoperative blood loss, hospital stay, visual analogue scale (VAS), Oswestry disability index (ODI), depression (HADS), rate, complications (screw misplacement loosening, cerebrospinal fluid leakage, infection, delayed wound healing). Patient characteristics compared within groups. Results average incision length 3.64 ± 0.476 cm the group, which smaller that (8.11 2.406 cm) ( P < 0.05). time little longer group. loss stay those mean preoperative low back pain VAS score 7.525 1.432 7.087 1.799 > scores postoperative day 3 at 3, 6, 12 months postoperatively 5.000 0.987, 4.075 0.997, 2.150 0.834, 1.450 0.639 respectively; these lower (6.870 1.572, 0.05; 4.630 1.103, 2.630 2.326 1.034, 0.05, respectively). There no obvious difference leg groups all follow‐up points. ODI 58.700% 19.703% 61.696% 17.583% 25.225% 5.554%, 20.150% 7.698%, 16.125% 9.565% group; (49.130% 14.805%, 34.044% 15.148%, 29.282% 132.567%, HADS 14.475 3.113 13.391 2.824 However, 8.500 2.000, decreasing obviously 12.734 1.949, had not decreased significantly correlation analysis, correlated r 0.527, positively same 0.388, 3were 3‐month 0.460, 0.05), 6‐month 0.429, 12‐month follow up 0.349, Fusion rates different screw or healing either leakage rate higher Conclusion Patients undergoing have outcomes undergo TLIF. level experienced by is scores.