Clinical and Radiologic Outcomes of Minimally Invasive Surgery Transforaminal Lumbar Interbody Fusion with Computer Navigation
- Author:
Agustin Miguel G. Morales
1
,
2
;
Jose Joefrey Jr. F. Arbatin
1
,
2
;
Eric Astelo O. Belarmino
1
,
2
;
Oliver Y. Ong
1
,
2
;
Hester Renel L. Palma
1
Author Information
- Publication Type:Journal Article
- Keywords: Computer Navigated Minimally Invasive Surgery; Transforaminal Lumbar Interbody Fusion; Computer Navigated Spine Surgery
- MeSH: Spinal Fusion; Minimally Invasive Surgical Procedures; Computers
- From: Acta Medica Philippina 2021;55(3):333-340
- CountryPhilippines
- Language:English
- Abstract: OBJECTIVE: The main objective of this study was to evaluate clinical and radiographic outcomes of computer minimally invasive transforaminal lumbar interbody fusion (CNMIS TLIF). METHODS: Blood loss, operating time, complications, and hospital stay were identified through chart review. Numeric rating scale (NRS) scores for pain were taken during recent follow-ups, and these were compared to the pre-operative scores. Three different examiners assessed the pre-operative lumbosacral spine radiographs. At a 2-years follow-up, the patients were evaluated with NRS and the radiographs reassessed by three other examiners. RESULTS: Seventy-four patients with a mean age of 54 years underwent CNMIS TLIF. Average blood loss was 300 mL, operative time was 4.5 hours, and the average length of hospital stay was 8.5 days. A total of four complications were noted in our study. There was an improvement of mean local lordosis and regional lordosis. The paired-sample t-test showed that the anterior, middle, and posterior disc heights at the cage level were significantly increased compared to the pre-operative values. CONCLUSION: CNMIS TLIF is a safe and efficient method to achieve spinal fusion. There was a significant improvement in clinical outcomes in terms of pain relief. Radiologic parameters such as local lordosis, regional lordosis, and anterior, middle, and posterior disc heights showed significant improvements at 2-years follow-up.
- Full text:2440-Article Text-31198-1-10-20210625.pdf
