title: [Comparative outcomes of three kinds of transforaminal interbody fusion technique in the treatment of single segment lumbar degenerative disease].
abstract: Objective:To compare the clinical outcomes among three kinds of transforaminal interbody fusion technique in the treatment of single segment lumbar degenerative disease.Methods:From October 2012 to November 2014, a total of 67 cases of lumbar degenerative disease of single segment underwent surgical intervention were retrospectively analyzed, including 19 cases by mis- transforaminal lumbar interbody fusion(TLIF), 25 cases by mini-open TLIF and 23 cases by open TLIF.Blood loss, surgical time, fluoroscopy time and hospital costs were recorded.Pre- and postoperative back pain was assessed with visual analogue scale (VAS), and lumbar function was evaluated with Oswestry disability index (ODI).Results:mis-TLIF group need more surgical time, fluoroscopy time and more hospital costs when compared to mini-open TLIF group and open TLIF group (P<0.05), but no significant difference between mini-open TLIF group and open TLIF group (P>0.05). mis-TLIF group tended to lose less blood than mini-open TLIF group(P<0.05), and mini-open TLIF group lose less blood than open TLIF group (P<0.05). There is no significant difference of the change of ODI among three groups (P>0.05). mis-TLIF group and mini-open TLIF group was superior to open TLIF group in VAS of the second day postoperative [(3.2±1.6) scale, (3.4±1.5) scale vs(5.8±1.4)scale](P<0.05).Conclusion:mis-TLIF, mini-open TLIF and open TLIF can all get satisfactory clinical outcomes in the treatment of single segment lumbar degenerative disease.mis-TLIF and mini-open TLIF was superior to open TLIF in blood loss, early postoperative recovery.Compared with mis-TLIF, mini-open TLIF reduce the fluoroscopy time and hospital costs, and also has a shorter learning curve.
authors.affiliation: Department of Orthopaedics, Zhejiang Provincial People's Hospital, Hangzhou 310014, China.
authors.forename: D J
authors.initials: DJ
authors.lastname: Zhu
authors.forename: C
authors.initials: C
authors.lastname: Zou
authors.forename: D
authors.initials: D
authors.lastname: Yan
authors.forename: F B
authors.initials: FB
authors.lastname: Feng
authors.forename: X L
authors.initials: XL
authors.lastname: Li
mesh_terms: D005471:Fluoroscopy; D006801:Humans; D008159:Lumbar Vertebrae; D008161:Lumbosacral Region; D019060:Minimally Invasive Surgical Procedures; D010147:Pain Measurement; D010149:Postoperative Pain; D011184:Postoperative Period; D012189:Retrospective Studies; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion