Comparison of Curative Effects of MIS-TLIF and PLIF in the Treatment of Single-Segment Lumbar Degenerative Diseases

Abstract

Abstract:

〔Abstract〕 Objective： To retrospectively analyze and compare the efficacy of minimally invasive transforaminal lumbar interbody fusion （MIS-TLIF） and posterior lumbar interbody fusion（PLIF） in the treatment of single-segment lumbar degenerative diseases.Methods： A total of 60 patients with single-segment lumbar degenerative diseases who were treated in The First People's Hospital of Dali City from March 2018 to March 2020 were selected. The patients who underwent MIS-TLIF surgery were included in the experimental group while the patients who underwent PLIF surgery were classified as the control group， thus 30 cases in each group. And the operation time， intraoperative blood loss， intraoperative fluoroscopy time， postoperative drainage volume， time to get out of bed， and hospitalization time were recorded. All patients were followed up regularly， and the surgical efficacy was evaluated according to the visual analogue scale （VAS） and Oswestry disability index （ODI）. Results： There were no significant differences in gender， age， clinical diagnosis， lesion location， and preoperative VAS and ODI scores between the two groups（P>0.05）. Comparing the two groups， there was no significant difference in operation time and intraoperative fluoroscopy time between the two groups（P>0.05）.The amount of intraoperative blood loss， postoperative drainage， time to get out of bed， and hospitalization time in the experimental group were significantly less than those in the control group， and the differences were statistically significant （P<0.05）. The VAS and ODI scores of the experimental group before discharge and 3 months after the operation were better than those of the control group， which difference was statistically significant（P<0.05）. Conclusion： Compared with PLIF， MIS-TLIF has the advantages of less intraoperative blood loss， less trauma， and faster postoperative recovery.

Key words:

"> ">〔Key words">〕 minimally invasive transforaminal lumbar interbody fusion">, posterior lumbar interbody fusion">, single-segment lumbar degenerative diseases

CLC Number:

Xu Sanxiong, Zhang Jiyuan, Ma Xueying, Wei Guosong, Li Lin.

Comparison of Curative Effects of MIS-TLIF and PLIF in the Treatment of Single-Segment Lumbar Degenerative Diseases [J]. Journal of Dali University, 2022, 7(4): 47-51.

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