Microendoscope-Assisted Versus Open Posterior Lumbar Interbody Fusion for Lumbar Degenerative Disease: A Multicenter Retrospective Cohort Study

被引:2
|
作者
Fukushima, Masayoshi [1 ,2 ]
Ohtomo, Nozomu [2 ,3 ,4 ]
Noma, Michita [1 ,2 ]
Kumanomido, Yudai [1 ,2 ]
Nakarai, Hiroyuki [2 ,3 ,5 ]
Tozawa, Keiichiro [2 ,3 ]
Yoshida, Yuichi [2 ,4 ]
Sakamoto, Ryuji [2 ,3 ]
Miyahara, Junya [2 ,3 ,4 ]
Anno, Masato [1 ,2 ]
Kawamura, Naohiro [2 ,4 ]
Higashikawa, Akiro [2 ,5 ]
Takeshita, Yujiro [2 ,6 ]
Inanami, Hirohiko [2 ,7 ]
Tanaka, Sakae [3 ]
Oshima, Yasushi [2 ,3 ]
机构
[1] Toranomon Gen Hosp, Spine Ctr, Tokyo 1058470, Japan
[2] Univ Tokyo Spine Grp UTSG, Tokyo 1138655, Japan
[3] Univ Tokyo, Dept Orthopaed Surg, Fac Med, Tokyo 1138655, Japan
[4] Japanese Red Cross Med Ctr, Dept Spine & Orthoped Surg, Tokyo 1508935, Japan
[5] Kanto Rosai Hosp, Dept Orthopaed Surg, Japan Org Occupat Hlth & Safety, Kawasaki, Kanagawa 2118510, Japan
[6] Yokohama Rosai Hosp, Dept Orthopaed Surg, Japan Org Occupat Hlth & Safety, Yokohama, Kanagawa 2220036, Japan
[7] Inanami Spine & Joint Hosp, Tokyo 1400002, Japan
来源
MEDICINA-LITHUANIA | 2021年 / 57卷 / 02期
关键词
microendoscope; posterior lumbar interbody fusion; multicenter study;
D O I
10.3390/medicina57020150
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and objectives: Minimally invasive surgery has become popular for posterior lumbar interbody fusion (PLIF). Microendoscope-assisted PLIF (ME-PLIF) utilizes a microendoscope within a tubular retractor for PLIF procedures; however, there are no published reports that compare Microendoscope-assisted to open PLIF. Here we compare the surgical and clinical outcomes of ME-PLIF with those of open PLIF. Materials and Methods: A total of 155 consecutive patients who underwent single-level PLIF were registered prospectively. Of the 149 patients with a complete set of preoperative data, 72 patients underwent ME-PLIF (ME-group), and 77 underwent open PLIF (open-group). Clinical and radiographic findings collected one year after surgery were compared. Results: Of the 149 patients, 57 patients in ME-group and 58 patients in the open-group were available. The ME-PLIF procedure required a significantly shorter operating time and involved less intraoperative blood loss. Three patients in both groups reported dural tears as intraoperative complications. Three patients in ME-group experienced postoperative complications, compared to two patients in the open-group. The fusion rate in ME-group at one year was lower than that in the open group (p = 0.06). The proportion of patients who were satisfied was significantly higher in the ME-group (p = 0.02). Conclusions: ME-PLIF was associated with equivalent post-surgical outcomes and significantly higher rates of patient satisfaction than the traditional open PLIF procedure. However, the fusion rate after ME-PLIF tended to be lower than that after the traditional open method.
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页码:1 / 8
页数:8
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