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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 356 - 364 (9page)
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Study Design: Retrospective study. Purpose: In 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 Literature: There 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. Methods: Forty patients who underwent 1-level spinal fusion, either by XLIF indirect decompression (X group, 20 patients) or by miniopen 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. Results: There 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) Conclusions: Postoperative 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.
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참고문헌 (21)
참고문헌 신청
Oliveira L / 2010 / A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements / Spine (Phila Pa 1976) 35(26 Suppl):S331~S337
Elowitz EH / 2011 / Evaluation of indirect decompression of the lumbar spinal canal following minimally invasive lateral transpsoas interbody fusion: radiographic and outcome analysis / Minim Invasive Neurosurg 54:201~206
Wiltse LL / 1988 / New uses and refinements of the paraspinal approach to the lumbar spine / Spine (Phila Pa 1976) 13:696~706
Lee DY / 2008 / Single-level instrumented mini-open transforaminal lumbar interbody fusion in elderly patients / J Neurosurg Spine 9:137~144
Taneichi H / 2006 / Unilateral transforaminal lumbar interbody fusion and bilateral anterior-column fixation with two Brantigan I/F cages per level: clinical outcomes during a minimum 2-year follow-up period / J Neurosurg Spine 4:198~205
Elowitz EH / 2011 / Evaluation of indirect decompression of the lumbar spinal canal following minimally invasive lateral transpsoas interbody fusion: radiographic and outcome analysis / Minim Invasive Neurosurg 54:201~206
Wiltse LL / 1988 / New uses and refinements of the paraspinal approach to the lumbar spine / Spine (Phila Pa 1976) 13:696~706
Lee DY / 2008 / Single-level instrumented mini-open transforaminal lumbar interbody fusion in elderly patients / J Neurosurg Spine 9:137~144
Taneichi H / 2006 / Unilateral transforaminal lumbar interbody fusion and bilateral anterior-column fixation with two Brantigan I/F cages per level: clinical outcomes during a minimum 2-year follow-up period / J Neurosurg Spine 4:198~205
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