title: Comparing miniopen and minimally invasive transforaminal interbody fusion in single-level lumbar degeneration.
abstract: Degenerative diseases of the lumbar spine, which are common among elderly people, cause back pain and radicular symptoms and lead to a poor quality of life. Lumbar spinal fusion is a standardized and widely accepted surgical procedure used for treating degenerative lumbar diseases; however, the classical posterior approach used in this procedure is recognized to cause vascular and neurologic damage of the lumbar muscles. Various studies have suggested that using the minimally invasive transforaminal interbody fusion (TLIF) technique provides long-term clinical outcomes comparable to those of open TLIF approaches in selected patients. In this study, we compared the perioperative and short-term advantages of miniopen, MI, and open TLIF. Compared with open TLIF, MI-TLIF and miniopen TLIF were associated with less blood loss, shorter hospital stays, and longer operative times; however, following the use of these procedures, no difference in quality of life was measured at 6 months or 1 year. Whether miniopen TLIF or MI-TLIF can replace traditional TLIF as the surgery of choice for treating degenerative lumbar deformity remains unclear, and additional studies are required for validating the safety and efficiency of these procedures.
authors: Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan ; Keelung Hospital, Ministry of Health and Welfare, Keelung, Taiwan ; Taipei Medical University, Taipei, Taiwan.
authors: Wei-Lun
authors: WL
authors: Lo
authors: Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan ; Taipei Medical University, Taipei, Taiwan ; University of Fukui Faculty of Medical Sciences, Fukui, Japan.
authors: Chien-Min
authors: CM
authors: Lin
authors: Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan ; Taipei Medical University, Taipei, Taiwan.
authors: Yi-Shian
authors: YS
authors: Yeh
authors: Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan ; Taipei Medical University, Taipei, Taiwan.
authors: Yu-Kai
authors: 0000-0001-9861-9327
authors: YK
authors: Su
authors: Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan ; Taipei Medical University, Taipei, Taiwan.
authors: Yuan-Yun
authors: YY
authors: Tseng
authors: Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan ; Taipei Medical University, Taipei, Taiwan.
authors: Shun-Tai
authors: ST
authors: Yang
authors: Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan ; Taipei Medical University, Taipei, Taiwan.
authors: Jai-Wei
authors: 0000-0002-3311-5379
authors: JW
authors: Lin
mesh_terms: D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods*
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