Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar Spondylolisthesis
Study DesignRetrospective study.PurposeIn this study, we compared the postoperative outcomes of extreme lateral interbody fusion (XLIF) indirect decompression with that of mini-open transforaminal lumbar interbody fusion (TLIF) in patients with lumbar degenerative spondylolisthesis.Overview of Liter...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Spine Society
2018-04-01
|
| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-12-356.pdf |
| _version_ | 1819012348429467648 |
|---|---|
| author | Yutaka Kono Hogaku Gen Yoshio Sakuma Yasuhide Koshika |
| author_facet | Yutaka Kono Hogaku Gen Yoshio Sakuma Yasuhide Koshika |
| author_sort | Yutaka Kono |
| collection | DOAJ |
| description | Study DesignRetrospective study.PurposeIn this study, we compared the postoperative outcomes of extreme lateral interbody fusion (XLIF) indirect decompression with that of mini-open transforaminal lumbar interbody fusion (TLIF) in patients with lumbar degenerative spondylolisthesis.Overview of LiteratureThere are very few reports examining postoperative results of XLIF and minimally invasive TLIF for degenerative lumbar spondylolisthesis, and no reports comparing XLIF and mini-open TLIF.MethodsForty patients who underwent 1-level spinal fusion, either by XLIF indirect decompression (X group, 20 patients) or by mini-open TLIF (T group, 20 patients), for treatment of lumbar degenerative spondylolisthesis were included in this study. Invasiveness of surgery was evaluated on the basis of surgery time, blood loss, hospitalization period, and perioperative complications. The Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ), disc angle (DA), disc height (DH), and slipping length (SL) were evaluated before surgery, immediately after surgery, and at 12 months after surgery. Cross-sectional spinal canal area (CSA) was also measured before surgery and at 1 month after surgery.ResultsThere was no significant difference between the groups in terms of surgery time or hospitalization period; however, X group showed a significant decrease in blood loss (p<0.001). Serious complications were not observed in either group. In clinical assessment, no significant differences were observed between the groups with regard to the JOABPEQ results. The change in DH at 12 months after surgery increased significantly in the X group (p<0.05), and the changes in DA and SL were not significantly different between the two groups. The change in CSA was significantly greater in the T group (p<0.001).ConclusionsPostoperative clinical results were equally favorable for both procedures; however, in comparison with mini-open TLIF, less blood loss and greater correction of DH were observed in XLIF. |
| first_indexed | 2024-12-21T01:42:37Z |
| format | Article |
| id | doaj.art-c53997f102f04707b44e12c926100ca5 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-21T01:42:37Z |
| publishDate | 2018-04-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-c53997f102f04707b44e12c926100ca52022-12-21T19:20:07ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-04-0112235636410.4184/asj.2018.12.2.356356Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar SpondylolisthesisYutaka Kono0Hogaku Gen1Yoshio Sakuma2Yasuhide Koshika3Department of Orthopaedic Surgery, Chiba Central Medical Center, Chiba, Japan.Department of Orthopaedic Surgery, Chiba Central Medical Center, Chiba, Japan.Department of Orthopaedic Surgery, Chiba Central Medical Center, Chiba, Japan.Department of Orthopaedic Surgery, Chiba Central Medical Center, Chiba, Japan.Study DesignRetrospective study.PurposeIn this study, we compared the postoperative outcomes of extreme lateral interbody fusion (XLIF) indirect decompression with that of mini-open transforaminal lumbar interbody fusion (TLIF) in patients with lumbar degenerative spondylolisthesis.Overview of LiteratureThere are very few reports examining postoperative results of XLIF and minimally invasive TLIF for degenerative lumbar spondylolisthesis, and no reports comparing XLIF and mini-open TLIF.MethodsForty patients who underwent 1-level spinal fusion, either by XLIF indirect decompression (X group, 20 patients) or by mini-open TLIF (T group, 20 patients), for treatment of lumbar degenerative spondylolisthesis were included in this study. Invasiveness of surgery was evaluated on the basis of surgery time, blood loss, hospitalization period, and perioperative complications. The Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ), disc angle (DA), disc height (DH), and slipping length (SL) were evaluated before surgery, immediately after surgery, and at 12 months after surgery. Cross-sectional spinal canal area (CSA) was also measured before surgery and at 1 month after surgery.ResultsThere was no significant difference between the groups in terms of surgery time or hospitalization period; however, X group showed a significant decrease in blood loss (p<0.001). Serious complications were not observed in either group. In clinical assessment, no significant differences were observed between the groups with regard to the JOABPEQ results. The change in DH at 12 months after surgery increased significantly in the X group (p<0.05), and the changes in DA and SL were not significantly different between the two groups. The change in CSA was significantly greater in the T group (p<0.001).ConclusionsPostoperative clinical results were equally favorable for both procedures; however, in comparison with mini-open TLIF, less blood loss and greater correction of DH were observed in XLIF.http://www.asianspinejournal.org/upload/pdf/asj-12-356.pdfLumbar osteoarthritisSpinal stenosisSpinal fusionMinimally invasive surgeryComparative effectiveness |
| spellingShingle | Yutaka Kono Hogaku Gen Yoshio Sakuma Yasuhide Koshika Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar Spondylolisthesis Asian Spine Journal Lumbar osteoarthritis Spinal stenosis Spinal fusion Minimally invasive surgery Comparative effectiveness |
| title | Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar Spondylolisthesis |
| title_full | Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar Spondylolisthesis |
| title_fullStr | Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar Spondylolisthesis |
| title_full_unstemmed | Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar Spondylolisthesis |
| title_short | Comparison of Clinical and Radiologic Results of Mini-Open Transforaminal Lumbar Interbody Fusion and Extreme Lateral Interbody Fusion Indirect Decompression for Degenerative Lumbar Spondylolisthesis |
| title_sort | comparison of clinical and radiologic results of mini open transforaminal lumbar interbody fusion and extreme lateral interbody fusion indirect decompression for degenerative lumbar spondylolisthesis |
| topic | Lumbar osteoarthritis Spinal stenosis Spinal fusion Minimally invasive surgery Comparative effectiveness |
| url | http://www.asianspinejournal.org/upload/pdf/asj-12-356.pdf |
| work_keys_str_mv | AT yutakakono comparisonofclinicalandradiologicresultsofminiopentransforaminallumbarinterbodyfusionandextremelateralinterbodyfusionindirectdecompressionfordegenerativelumbarspondylolisthesis AT hogakugen comparisonofclinicalandradiologicresultsofminiopentransforaminallumbarinterbodyfusionandextremelateralinterbodyfusionindirectdecompressionfordegenerativelumbarspondylolisthesis AT yoshiosakuma comparisonofclinicalandradiologicresultsofminiopentransforaminallumbarinterbodyfusionandextremelateralinterbodyfusionindirectdecompressionfordegenerativelumbarspondylolisthesis AT yasuhidekoshika comparisonofclinicalandradiologicresultsofminiopentransforaminallumbarinterbodyfusionandextremelateralinterbodyfusionindirectdecompressionfordegenerativelumbarspondylolisthesis |