Patient-Reported Outcomes of Minimally Invasive versus Open Transforaminal Lumbar Interbody Fusion for Degenerative Lumbar Disc Disease: A Prospective Comparative Cohort Study
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Título: | Patient-Reported Outcomes of Minimally Invasive versus Open Transforaminal Lumbar Interbody Fusion for Degenerative Lumbar Disc Disease: A Prospective Comparative Cohort Study |
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Autor/es: | Jover Mendiola, Antonio Damián | López Prats, Fernando | Lizaur-Utrilla, Alejandro | Vizcaya-Moreno, M. Flores |
Grupo/s de investigación o GITE: | Enfermería Clínica (EC) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Enfermería |
Palabras clave: | Lumbar vertebrae | Percutaneous pedicle screws | Transforaminal lumbar interbody fusion | Minimally invasive surgical procedures | Adverse effects |
Fecha de publicación: | 30-ene-2023 |
Editor: | Korean Orthopaedic Association |
Cita bibliográfica: | Clinics in Orthopedic Surgery. 2023, 15:e8. https://doi.org/10.4055/cios22250 |
Resumen: | Background: Comparative outcomes of minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) and traditional open TLIF (O-TLIF) for degenerative lumbar disc disease have been poorly studied. The purpose of this study was to prospectively compare the outcomes between MI-TLIF and O-TLIF for patients with a degenerative disc disease, focusing on the functional capacity of patients in daily life. Methods: A prospective cohort study was performed, comparing 54 patients who underwent O-TLIF and 55 patients who underwent MI-TLIF with a follow-up of 4 years. Clinical evaluation was performed using the Oswestry Disability Index (ODI), 36-item short form survey (SF-36), and a visual analog scale for pain (VAS pain). Radiological evaluation was also performed. Results: At the final follow-up, compared with O-TLIF, MI-TLIF was associated with significantly better intraoperative results, including similar operative time (p = 0.246), lower estimated blood loss (p = 0.001), and shorter hospital stay (p = 0.001). The final ODI score was significantly better in the MI-TLIF group (p = 0.031). The SF-36-physical (p = 0.023) and VAS pain (p = 0.024) scores were significantly better in the MI-TLIF group. There was no significant difference in the fusion rate (p = 0.747). Conclusions: The MI-TLIF technique is an effective and safe procedure for degenerative lumbar disc disease. Compared to traditional O-TLIF, MI-TLIF was associated with less disability and higher quality of life, with a low rate of intraoperative and postoperative complications. |
URI: | http://hdl.handle.net/10045/131983 |
ISSN: | 2005-291X (Print) | 2005-4408 (Online) |
DOI: | 10.4055/cios22250 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2023 by The Korean Orthopaedic Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.4055/cios22250 |
Aparece en las colecciones: | INV - Enfermería Clínica - Artículos de Revistas |
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