JOURNAL OF CLINICAL SURGERY ›› 2018, Vol. 26 ›› Issue (9): 702-704.doi: 10.3969/j.issn.10056483.2018.09.019

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Clinical effect of minimally invasive transforaminal interbody fusion in the treatment of single level degenerative lumbar disease

  

  1. Department of Orthopedic,People's Liberation Army Third Hospital,Baoji 721004,China
  • Received:2018-04-03 Online:2018-09-20 Published:2018-10-18

Abstract: [Abstract] Objective To investigate the therapeutic effect of minimally invasive transforaminal interbody fusion(MISTLIF)in the treatment of single segment lumbar degenerative disease.Methods  The data of 82 patients with single segment lumbar degeneration disease were divided into two groups:group A(n=40)were treated by minimally invasive transforaminal interbody fusion (MISTLIF),group B(n=42)were treated by open intervertebral foramen interbody fusion (OpenTLIF).Compared the efficacy of the two surgical methods.Results Operation time of group A was (141.3±10.8)minutes,intraoperative fluoroscopy was (12.0±1.5),while the data of group B were (118.5±10.3)minutes and (4.0±1.0),respectively(both P<0.05).In group A,intraoperative blood loss was (127.5±1.3)ml,postoperative drainage was (95.8±3.1)ml,postoperative bed time was (28.0±1.5)hours,postoperative hospital stay was (120.0±2.4)hours and the number of cases without serious complications.The data of group B were (320.5±1.2)ml,(72.0±3.2),(144.0±2.1)hours,,respectively.Severe complication was happened in 2 cases.There were statistical significance between the two groups(P<0.05).Waist pain VAS scores of 7 days and 3 months after surgery of group A were (2.0±0.5)and (3.1±0.4),respectively.While the data of group B were (3.5±0.5)and (2.0±0.5),respectively.There were statistical significance between the two groups(P<0.05).After 18 months of evaluation results in group A without translocation and sinking of fusion and internal fixation failure,Ⅰ level and Ⅱ level fusion were 29 cases(72.5%) and 11 cases(27.5%),respectively.group B fusion shift happeded in 2 cases,no sink fusion and internal fixation failure patients,Ⅰ level and Ⅱ level fusion were 26 cases (61.9%)and 16 cases(38.1%),respectively.Conclusion  The MISTLIF method in the treatment of lumbar vertebra degeneration disease,which patients have lesser trauma,shorter hospitalization,patients can quick recovery after operation.

Key words:  , spinal canal neurilemmoma, posterior laminectomy, clinical efficacy

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