For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
34
views
31
references
 Top references
cited by
40
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      2,421
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Comparison of Minimal Invasive Versus Biportal Endoscopic Transforaminal Lumbar Interbody Fusion for Single-level Lumbar Disease

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Study Design:

          Retrospective study.

          Objective:

          The authors aimed to compare the clinical outcomes of biportal endoscopic transforaminal lumbar interbody fusion (BE-TLIF) with those of minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) using a microscope.

          Summary of Background Data:

          Lumbar spinal fusion has been widely performed for various lumbar spinal pathologies. Minimally invasive transforaminal interbody fusion using a tubular retractor under a microscope is a method of achieving fusion while reducing soft tissue injury. Recently, several studies have reported minimally invasive techniques for lumbar discectomy, decompression, and interbody fusion using biportal endoscopic spinal surgery.

          Materials and Methods:

          This retrospective study included 87 patients who underwent single-level TLIF for degenerative or isthmic spondylolisthesis between 2015 and 2018. Thirty-two and 55 patients underwent BE-TLIF (group A) and MI-TLIF (group B), respectively. Visual Analogue Scale scores of the back and leg and Oswestry Disability Index were collected perioperatively.

          Further, data regarding perioperative complications, including length of hospital stay, time to ambulation, and fusion rate, were collected.

          Results:

          The Visual Analogue Scale score at 2 weeks and 2 months postoperatively was significantly lower in group A ( P=0.001). All other clinical scores showed improvement with no significant difference between the 2 groups ( P>0.05). The difference in the fusion rates between group A (93.7%) and group B (92.7%) were not significant ( P=0.43).

          Conclusions:

          Because BE-TLIF yieldeds lesser early postoperative back pain than did MI-TLIF, it may allow early ambulation and a shorter hospitalization period. BE-TLIF may be a viable alternative to MI-TLIF in patients with degenerative or isthmic spondylolisthesis with superior clinical results in the early postoperative period.

          Related collections

          Most cited references31

          • Record: found
          • Abstract: found
          • Article: not found

          Clinical and radiological outcomes of minimally invasive versus open transforaminal lumbar interbody fusion.

          Gavin Tan, Wai Mun Yue, Patrina Poh … (2009)
          Prospective study. Comparison of clinical and radiologic outcomes of minimally invasive (MIS) versus Open transforaminal lumbar interbody fusion (TLIF). Open TLIF has been performed for many years with good results. MIS TLIF techniques have recently been introduced with the aim of smaller wounds and faster recovery. From 2004-2006, 29 MIS TLIF were matched paired with 29 Open TLIF. Patient demographics and operative data were collected. Clinical assessment in terms of North American Spine Society, Oswestry Disability Index, Short Form-36, and Visual Analogue scores were performed before surgery, 6 months and 2 years after surgery. Fusion rates based on Bridwell grading were assessed at 2 years. The mean age for MIS and Open procedures were 54.1 and 52.5 years, respectively. There were 24 females and 5 males in both groups. Fluoroscopic time (MIS: 105.5 seconds, Open: 35.2 seconds, P 0.05). MIS TLIF has similar good long-term clinical outcomes and high fusion rates of Open TLIF with the additional benefits of less initial postoperative pain, early rehabilitation, shorter hospitalization, and fewer complications.
          Article 0 comments Cited 122 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome.

            T Sihvonen, A Herno, L Paljärvi … (1993)
            Impairment and disability after back surgery is a common diagnostic and therapeutic problem. For the most part the reasons are unclear. Of 178 patients who had undergone laminectomies 2-5 years earlier, 14 patients with good recovery and 21 patients with poor recovery but no evidence of restenosis on computed tomography were selected by the Oswestry index. According to radiologic, neurophysiologic, and muscle biopsy evidence most patients (13 of 15 studied) suffering from the severe postoperative failed back syndrome had dorsal ramus lesions in one or more segments covered by the scar and local paraspinal muscle atrophy at the corresponding segments. Disturbed back muscle innervation and loss of muscular support leads to the disability and increased biomechanical strain and might be one important cause to the failed back syndrome. It may be possible to develop operating techniques that save back muscle innervation better than the usual ones.
            Article 0 comments Cited 112 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results

              Dong Heo, Sang Kyu Son, Jin Hwa Eum … (2017)
              Minimally invasive spine surgery can minimize damage to normal anatomical structures. Recently, fully endoscopic spine surgeries have been attempted for lumbar fusion surgery. In this study, the authors performed a percutaneous unilateral biportal endoscopic (UBE) technique as a minimally invasive surgery for lumbar fusion. The purpose of this study is to present the UBE technique of fully endoscopic lumbar interbody fusion (LIF) and to analyze the clinical results. Patients who were to undergo single-level fusion surgery from L3–4 to L5–S1 were enrolled. Two channels (endoscopic portal and working portal) were used for endoscopic lumbar fusion surgery. All patients underwent follow-up for more than 12 months. Demographic characteristics, diagnosis, operative time, and estimated blood loss were evaluated. MRI was performed on postoperative Day 2. Clinical evaluations (visual analog scale [VAS] for the leg and Oswestry Disability Index [ODI] scores) were performed preoperatively and during the follow-up period. A total of 69 patients (24 men and 45 women) were enrolled in this study. The mean follow-up period was 13.5 months. Postoperative MRI revealed optimal direct neural decompression after fully endoscopic fusion surgery. VAS and ODI scores significantly improved after the surgery. There was no postoperative neurological deterioration. Fully endoscopic LIF using the UBE technique may represent an alternative minimally invasive LIF surgery for the treatment of degenerative lumbar disease. Long-term follow-up and larger clinical studies are needed to validate the clinical and radiological results of this surgery.
              Article 0 comments Cited 108 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Spine Surg
                Journal ID (iso-abbrev): Clin Spine Surg
                Journal ID (publisher-id): BSD
                Title: Clinical Spine Surgery
                Publisher: Lippincott Williams & Wilkins
                ISSN (Print): 2380-0186
                ISSN (Electronic): 2380-0194
                Publication date (Print): March 2021
                Publication date (Electronic): 01 June 2020
                Volume: 34
                Issue: 2
                Pages: E64-E71
                Affiliations
                [* ]Department of Orthopedic Surgery, Himnaera Hospital, Pusan
                [† ]Department of Orthopedic Surgery, Fatima Hospital
                [‡ ]Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, South Korea
                Author notes
                Reprints: Hyun-Seung Yoo, MD, Department of Orthopedic Surgery, Fatima Hospital, ASI KR KS002 Daegu, South Korea (e-mail: brianyoo82@ 123456naver.com ).
                Article
                Accession ID: 00008
                DOI: 10.1097/BSD.0000000000001024
                PMC ID: 8035997
                PubMed ID: 33633061
                SO-VID: 9d914e47-1045-4593-ba2a-3d6ee8c3b84d
                Copyright © Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/

                History
                Date received : 8 October 2019
                Date accepted : 29 April 2020
                Categories
                Subject: Primary Research
                Custom metadata
                OPEN-ACCESS TRUE
                STATUS ONLINE-ONLY

                Keywords: transforaminal interbody fusion,endoscopy,spinal stenosis,degenerative spinal disease
                Data availability:
                Keywords: transforaminal interbody fusion, endoscopy, spinal stenosis, degenerative spinal disease

                Comments

                Comment on this article

                scite_

                Similar content2,421

                See all similar

                Cited by40

                See all cited by

                Most referenced authors249

                See all reference authors