Clinical application of self-made minimally invasive hood-assisted transforaminal lumbar interbody fusion via modified bilateral Wiltse approach in the treatment of lumbar degenerative diseases.
10.12200/j.issn.1003-0034.2021.04.002
- Author:
Yan-Chao GU
1
;
Ling ZHU
1
;
Sheng-Li HU
1
;
Wei XIE
1
;
Lu-Hong JI
1
;
Hao YAN
1
;
Wang CHEN
1
Author Information
1. Hubei 672 Integrated Chinese and Western Medicine Orthopaedics Hospital, Wuhan 430000, Hubei, China.
- Publication Type:Journal Article
- Keywords:
Intervertebral disc degeneration;
Operative procedures;
Spinal fusion
- MeSH:
Adult;
Female;
Humans;
Intervertebral Disc Degeneration/surgery*;
Lumbar Vertebrae/surgery*;
Male;
Middle Aged;
Minimally Invasive Surgical Procedures;
Retrospective Studies;
Spinal Fusion;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2021;34(4):297-303
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the advantages of self made minimally invasive hook assisted transforaminal lumbar interbody fusion (TLIF) via modified bilateral Wiltse approach in the treatment of lumbar degenerative diseases.
METHODS:The clinical data of 140 patients underwent lumbar spine fusion surgery from October 2016 to October 2017 were retrospectively analyzed. Among them, 72 cases were treated by self-made minimally invasive hook-assisted TLIF via modified bilateral Wiltse approach (group A), there were 37 males and 35 females, aged (48±16) years old;68 cases were treated by TLIF via traditional posterior median approach (group B ), there were 38 males and 30 females, aged (45±15) years old. The surgical incision size, operation time, intraoperative blood loss volume, postoperative drainage volume, postoperative wound healing, and intervertebral fusion rate at the final follow-up were recorded between two groups. Visual analogue scale (VAS) and Oswestry Disability Index (ODI) were used to assess the clinical efficacy.
RESULTS:All the patients were followed up for 3 to 13 (8±5) months. The wound in group A healed well after operation, and 1 case in group B occurred wound necrosis after operation, and healed after debridement and suture. There were no significant differences in operation time and postoperative fusion rate between two surgical methods (
CONCLUSION:The self made minimally invasive hook assistedTLIF via modified bilateral Wiltse approach has the characteristics of minimally invasive, less intraoperative blood loss, less postoperative drainage, fewer complications, and more stable fusion in the treatment of lumbar degenerative desease.
