Two-Year Outcomes of Midline lumbar Fusion Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Treatment of L4-L5 Degenerative Disease.
- Author:
Feng Liang WU
1
;
Lei DANG
1
;
Hua ZHOU
1
;
Miao YU
1
;
Feng WEI
1
;
Liang JIANG
1
;
Zhong Jun LIU
1
;
Xiao Guang LIU
1
Author Information
- Publication Type:Journal Article
- Keywords: Clinical outcomes; Cortical bone trajectory; Midline lumbar fusion; Minimally invasive techniques; Transforaminal lumbar interbody fusion
- MeSH: Aged; Female; Humans; Lumbar Vertebrae/surgery*; Male; Middle Aged; Retrospective Studies; Spinal Fusion/methods*; Treatment Outcome
- From: Biomedical and Environmental Sciences 2020;33(11):839-848
- CountryChina
- Language:English
-
Abstract:
Objective:We aimed to compare the clinical and radiological outcomes of midline lumbar fusion (MIDLF) versus minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) in patients with degenerative spondylolisthesis and/or stenosis in L4-L5 two years after surgery.
Methods:Consecutively treated patients with lumbar pathology who underwent MIDLF (
Results:The mean operative time and hematocrit (HCT, Day 1) were significantly shorter and lower in MIDLF cases (174 min
Conclusion:MIDLF is comparable to MI-TLIF at L4-5 in clinical outcomes and fusion rates, and the results verified the meaningful advantage of using MIDLF for the elderly with osteoporosis.