Minimally invasive versus open transforaminal lumbar interbody fusion: evaluating initial experience.

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Serval ID
serval:BIB_A3FFBC1843A5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Minimally invasive versus open transforaminal lumbar interbody fusion: evaluating initial experience.
Journal
International Orthopaedics
Author(s)
Schizas C., Tzinieris N., Tsiridis E., Kosmopoulos V.
ISSN
1432-5195[electronic], 0341-2695[linking]
Publication state
Published
Issued date
2009
Volume
33
Number
6
Pages
1683-1688
Language
english
Abstract
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.
Keywords
Blood Loss, Surgical, Bone Screws, Disability Evaluation, Follow-Up Studies, Humans, Length of Stay, Lumbar Vertebrae/surgery, Middle Aged, Outcome Assessment (Health Care), Pain Measurement, Pain, Postoperative/epidemiology, Risk Factors, Spinal Diseases/surgery, Spinal Fusion/instrumentation, Spinal Fusion/methods, Spondylolisthesis/surgery, Surgical Procedures, Minimally Invasive/instrumentation, Surgical Procedures, Minimally Invasive/methods, Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
03/10/2009 12:54
Last modification date
01/10/2019 7:19
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