Minimally invasive transforaminal lumbar interbody fusion combined with percutaneous pedicle screw fixation for the treatment of lumbar degenerative diseases
REN Zhongming1, WU Peng1, ZHANG Yi1, ZHANG Yinghua1, WANG Qingxin1, ZHANG Yuan1, YAN Huaining2
1.Department of Spinal Surgery, Zhejiang Provincial Corps Hospital,Chinese People’s Armed Police Force, Jiaxing 314000, China; 2.Jiangsu Provincial Corps Hospital,Chinese People’s Armed Police Force,Yangzhou 225003,China
Abstract：Objective To explore the clinical effect of minimally invasive transforaminal lumbar interbody fusion combined with percutaneous pedicle screw fixation for the treatment of lumbar degenerative disease, and compare this approach with a conventional one. Methods Between March 2013 and December 2016, 64 patients with lumbar degenerative disease were treated,23 with minimally invasive transforaminal lumbar interbody fusion through expandable channel and percutaneous pedicle screw fixation(MI-TLIF),and the rest with the conventional approach(TLIF). The duration of surgery, intraoperative blood loss ,postoperative draining loss and hospital stay were recorded.The clinical effects were evaluated according to the visual analog scale(VAS) and Oswestry Disability Index(ODI)scores. Results In the MI-TLIF group, the duration of surgery was (132.03±21.73)min,intraoperative bleeding (186.39±51.32)ml,surgical draining loss(64.17±31.71)ml,and hospital stay was (7.30±1.06)d, compared with (115.26±30.14)min,(279.13±42.65)ml,(145.14±58.12)ml,and (11.52±2.38)d in the TLIF group. The MI-TLIF group had less blood loss and shorter hospital stay, so there was significant difference between the two groups(P<0.05).The postoperative VAS and ODI scores improved significantly(P<0.05),especially at early stage. Conclusions Lumbar degenerative diseases can be effectively treated with minimally invasive transforaminal lumbar interbody fusion combined with percutaneous pedicle screw fixation. This approach causes less blood loss ,less soft tissue injury, low postoperative pain and fewer complications,which is worthy of application.
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2019, Vol. 30 
