Comparison of Clinical Effects of Full Endoscopic and Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Treatment of Lumbar Degenerative Diseases
Comparison of Clinical Effects of Full Endoscopic and Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Treatment of Lumbar Degenerative Diseases
Objective:To compare the clinical efficacy and safety of full endoscopic transforaminal lumbar interbody fusion(FE-TLIF)and minimally invasive transforaminal lumbar interbody fusion(MI-TLIF)in the treatment of lumbar degenerative diseases(LDD).Method:A total of 60 patients who received TLIF for LDD in Baise People's Hospital from January 2020 to October 2022 were prospectively randomized into FE-TLIF group(received FE-TLIF treatment)and MI-TLIF group(received MI-TLIF treatment),with 30 patients in each group.Perioperative indexes,visual analogue scale(VAS)scores and Oswestry disability index(ODI)scores before and 3 months after surgery,interbody fusion 6 months and 1 year after surgery were compared between the two groups.Result:There was no significant difference in operation time between the two groups(P＞0.05).The number of intraoperative fluoroscopy in FE-TLIF group was higher than that in MI-TLIF group,the difference was statistically significant(P＜0.05).The intraoperative blood loss in FE-TLIF group was less than that in MI-TLIF group,and the postoperative bed time and hospital stay were shorter than those in MI-TLIF group,the differences were statistically significant(P＜0.05).Postoperative VAS scores and ODI scores of two groups were significantly lower than those before surgery,the differences were statistically significant(P＜0.05).There were no significant differences in interbody fusion between the two groups at 6 months and 1 year after surgery(P＞0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P＞0.05).Conclusion:FE-TLIF and MI-TLIF show similar results in postoperative pain relief,functional recovery,and fusion rate,but FE-TLIF has greater advantages in reducing intraoperative blood loss,shortening postoperative bed duration,and shortening hospital stay.
维普
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