Standard versus Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Prospective Randomized Study
Open Access
- 15 June 2017
- journal article
- research article
- Published by Hindawi Limited in BioMed Research International
- Vol. 2017, 1-5
- https://doi.org/10.1155/2017/7236970
Abstract
Symptomatic spondylolisthesis patients may benefit from surgical decompression and stabilization. The standard (S) technique is a transforaminal lumbar interbody fusion (TLIF). Newer, minimally invasive (MI) techniques seem to provide similar results with less morbidity. We enrolled patients with at least 6 months of symptoms and image-confirmed low-grade spondylolisthesis, at a single academic institution, between 2011 and 2015. The patients were randomized to either S or MI TLIF. The primary outcome measure was the Oswestry Disability Index (ODI) improvement at 1 year. Secondary outcome measures included length of operation, estimated blood loss, length of hospitalization, and fusion rates at 1 year. Forty patients were enrolled in each group. The differences in mean operative time and estimated blood loss were not statistically significant between the two groups. The patients were discharged after surgery at 4.12 days for the S TLIF group and 1.92 days for the MI TLIF group. The ODI improvement was similar and statistically significant in both groups. The fusion was considered solid in 36 (90%) of patients at 1 year in both groups. In conclusion, the two techniques provided similar clinical and radiological outcomes at 1 year. The patients undergoing MI TLIF had a shorter hospital stay. This trial is registered with NCT03155789.Keywords
This publication has 11 references indexed in Scilit:
- Comparison of peri-operative and 12-month lifestyle outcomes in minimally invasive transforaminal lumbar interbody fusion versus conventional lumbar fusionBritish Journal of Neurosurgery, 2016
- Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic reviewJournal of Neurosurgery: Spine, 2016
- Surgical Outcomes for Minimally Invasive vs Open Transforaminal Lumbar Interbody Fusion: An Updated Systematic Review and Meta-analysisNeurosurgery, 2015
- Cost–utility of minimally invasive versus open transforaminal lumbar interbody fusion: systematic review and economic evaluationEuropean Spine Journal, 2015
- Minimally Invasive versus Open Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis: Comparative Effectiveness and Cost-Utility AnalysisWorld Neurosurgery, 2014
- Minimally invasive versus open transforaminal lumbar interbody fusion: comparison of clinical outcomes among obese patientsJournal of Neurosurgery: Spine, 2014
- Minimally Invasive Transforaminal Lumbar Interbody Fusion (MI-TLIF)Neurosurgery Clinics of North America, 2014
- Surgical versus Nonsurgical Treatment for Lumbar Degenerative SpondylolisthesisNew England Journal of Medicine, 2007
- CT-based classification of long spinal allograft fusionEuropean Spine Journal, 2007
- Minimally Invasive Lumbar FusionSpine, 2003