Minimally invasive versus open transforaminal lumbar interbody fusion: evaluating initial experience
Minimally invasive versus open transforaminal lumbar interbody fusion: evaluating initial experience
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DOI：
10.1007/s00264-008-0687-8
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发表时间：
2009-12-01
影响因子：
2.7
通讯作者：
Kosmopoulos, Victor
中科院分区：
文献类型：
--
作者：
Schizas, Constantin;Tzinieris, Nicolas;Kosmopoulos, Victor
本研究的目的是比较微创经孔腰椎间融合术(MITLIF)和开放式中线经孔腰椎间融合术(TLIF)的经验。对36例峡部裂型滑脱或退变性腰椎病患者分别采用MITLIF(n=18)和开放TLIF(n=18)进行手术治疗，平均随访22个月和24个月。临床结果用视觉模拟评分(VAS)和OSwestry残疾指数(ODI)进行评估。两组在手术时间上没有差异。MITLIF组的出血量显著减少，住院时间更短。两组在术后疼痛、初始镇痛量、VAS和ODI等方面差异无统计学意义。在MITLIF组中观察到三个假关节，尽管这在统计学上没有显着性意义。MITLIF组的学习效果更陡峭。
The aim of this study was to compare our experience with minimally invasive transforaminal lumbar interbody fusion (MITLIF) and open midline transforaminal lumbar interbody fusion (TLIF). A total of 36 patients suffering from isthmic spondylolisthesis or degenerative disc disease were operated with either a MITLIF (n = 18) or an open TLIF technique (n = 18) with an average follow-up of 22 and 24 months, respectively. Clinical outcome was assessed using the visual analogue scale (VAS) and the Oswestry disability index (ODI). There was no difference in length of surgery between the two groups. The MITLIF group resulted in a significant reduction of blood loss and had a shorter length of hospital stay. No difference was observed in postoperative pain, initial analgesia consumption, VAS or ODI between the groups. Three pseudarthroses were observed in the MITLIF group although this was not statistically significant. A steeper learning effect was observed for the MITLIF group.