Treatment of degenerative lumbar spondylolisthesis with minimally invasive transforaminal lumbar interbody fusion by microscope-assisted Zista channel.
10.12200/j.issn.1003-0034.2021.01.004
- Author:
Jie WEN
1
;
Hui ZHANG
1
;
Zhong-Hua WANG
1
;
Yu-Xin SONG
1
;
Fu-Qiang ZHANG
1
;
Dong WANG
1
;
Lin LIU
1
Author Information
1. The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China.
- Publication Type:Journal Article
- Keywords:
Lumbar spondylolisthesis;
Microscope;
Spinal fusion;
Zista channel
- MeSH:
Female;
Humans;
Lumbar Vertebrae/surgery*;
Male;
Middle Aged;
Minimally Invasive Surgical Procedures;
Retrospective Studies;
Spinal Fusion;
Spondylolisthesis/surgery*;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2021;34(1):15-19
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical efficacy and advantage of minimally invasive transforaminal lumbar interbody fusion under microscope-assisted Zista channel in the treatment of degreeⅠandⅡdegenerative lumbar spondylolisthesis.
METHODS:The clinical data of 18 patients with degenerative lumbar spondylolisthesis treated by microscope-assisted Zista channel MIS-TLIF operation from January 2017 to March 2018 were analyzed retrospectively. There were 10 males and 8 females with an average age of 59 years (48 to 70). The course of spondylolisthesis ranged from 6 months to 5 years with an average of 33 months. The segment of spondylolisthesis was L
RESULTS:All the patients completed the operation successfully and were followed up more than 12 months after operation. Operation time was(160.45±34.98) min, intraoperative blood loss was (88.32±21.12) ml, postoperative drainage volume was (50.34 ±18.22)ml, and walking time after operation was (20.65±6.25) h. Preoperative and postoperative at 7 days, 3 months, 12 months, VAS score of low back pain was 7.81±2.16, 4.19±1.17, 2.25±0.62 and 1.53±0.58 respectively, VAS score of leg pain was 8.47± 2.21, 3.45±0.86, 2.31±0.73 and 1.43±0.47, JOA score was 12.01±2.33, 18.56±3.12, 23.54±3.31 and 26.34±2.65. There were significant differences in VAS and JOA scores between preoperative and postoperative (
CONCLUSION:MIS-TLIF under microscope-assisted Zista channel has obvious minimally invasive advantages in the treatment of degreeⅠandⅡdegenerative lumbar spondylolisthesis, and it is a safe and effective method.
