Navigation Makes Transforaminal Lumbar Interbody Fusion Less Invasive.

نویسندگان

  • Yu Wang
  • Yongkai Hu
  • Hong Liu
  • Chunde Li
  • Hong Li
  • Xiaodong Yi
چکیده

The current study presents a navigated transforaminal lumbar interbody fusion (TLIF) technique that requires only a 4-cm incision to accomplish a single-level TLIF. The authors compared its efficacy and efficiency with those of conventional TLIF. Forty patients who were indicated for single-level lumbar fusion were included and randomized to either the navigated-TLIF group or the conventional-TLIF group. Intraoperative blood loss, operative time, incision length, complications, bed rest period, and length of hospital stay were recorded. Oswestry Disability Index (ODI) scoring was also performed for each patient preoperatively and 3 months and 2 years postoperatively. Incision length was significantly shorter in the navigated-TLIF group than in the conventional-TLIF group (4.2 vs 8.3 cm, respectively; P=.001). Accordingly, intraoperative blood loss was also significantly less in the navigated-TLIF group than in the conventional-TLIF group (122.5 vs 220.5 mL, respectively; P=.049). There was no significant difference in total operative time between the 2 groups (134.4 vs 124.5 minutes; P=.226). The navigated-TLIF group had a significantly shorter bed rest period and length of hospital stay compared to the conventional-TLIF group. Incision length decreased with time; at final follow-up, average incision length had decreased from 4.2 to 3.7 cm in the navigated-TLIF group and from 8.3 to 7.7 cm in the conventional-TLIF group. Average ODI score improved significantly in both groups immediately postoperatively and was maintained in the following 2 years. Navigation can make single-level TLIF less invasive. Compared with conventional TLIF, navigated TLIF proved to be superior with regard to incision length, intraoperative blood loss, bed rest period, and length of hospital stay. [Orthopedics.2016; 39(5):e857-e862.].

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Instrumented transforaminal lumbar interbody fusion in surgical treatment of recurrent disc herniation

  Background :The incidence of recurrence in patients undergoing primary discectomy due to lumbar disc herniation (LDH), is regularly reported as 5-15%. In this study we aimed to evaluate surgical outcome of instrumented transforaminal lumbar interbody fusion (TLIF) in the patients suffering from recurrent LDH.   Methods : We retrospectively studied 51 patients (30 female, 21 male) from August ...

متن کامل

MLIF - Minimally Invasive Lumbar Interbody Fusion MTLIF - Minimally Transforaminal Lumbar Interbody Fusion ODI - Oswestry Disability Index PLIF - Posterior Lumbar Interbody Fusion TLIF - Transforaminal Lumbar Interbody Fusion VAS - Visual Analog Scale

A prospective multicentral observational study of minimally invasive fusion to treat degenerative lumbar disorders, and to report outcomes of one or two level minimally invasive posterior lumbar interbody fusion (MLIF) for degenerative lumbar disorders in a multi-center 1-year prospective study. We prospectively studied a group of 32 patients, mostly female 24 (75% female), and 8 males (25%). T...

متن کامل

Minimally Invasive Transforaminal Lumbar Interbody Fusion – An Overview of its Benefits and Pitfalls

Minimally invasive spine surgery has been on the rise in the last decade, providing the auditorium of spine surgeons with state of the art solutions to common clinical situations. Avoiding extensive soft tissue injury in miniopen Transforaminal lumbar interbody fusion (TLIF) resulted in measurable clinical benefits like decrease of blood loss, less pain and faster rehabilitation postoperatively...

متن کامل

Minimally invasive transforaminal lumbar interbody fusion: indications, technique, and complications.

The authors provide an overview of the minimally invasive transforaminal lumbar interbody fusion (TLIF) procedure including indications, technique, and complications. This novel technique is a method of achieving circumferential lumbar fusion using a unilateral dorsal approach. Minimally invasive TLIF uses a tubular retractor that is inserted via a muscle-dilating exposure, thereby minimizing t...

متن کامل

Clinical Outcomes of Posterior Lumbar Interbody Fusion versus Minimally Invasive Transforaminal Lumbar Interbody Fusion in Three-Level Degenerative Lumbar Spinal Stenosis

The aim of this study was to directly compare the clinical outcomes of posterior lumbar interbody fusion (PLIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in three-level lumbar spinal stenosis. This retrospective study involved a total of 60 patients with three-level degenerative lumbar spinal stenosis who underwent MIS-TLIF or PLIF from January 2010 to February 20...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Orthopedics

دوره 39 5  شماره 

صفحات  -

تاریخ انتشار 2016