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BioMed Research International - Volume 2015 2015, Article ID 168384, 5 pages -

Clinical Study

Department of Neurosurgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan

Keelung Hospital, Ministry of Health and Welfare, Keelung, Taiwan

Taipei Medical University, Taipei, Taiwan

University of Fukui Faculty of Medical Sciences, Fukui, Japan

Received 31 March 2014; Revised 16 May 2014; Accepted 12 June 2014

Academic Editor: Kuo-Sheng Hung

Copyright © 2015 Wei-Lun Lo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Degenerative diseases of the lumbar spine, which are common among elderly people, cause back pain and radicular symptoms and lead to a poor quality of life. Lumbar spinal fusion is a standardized and widely accepted surgical procedure used for treating degenerative lumbar diseases; however, the classical posterior approach used in this procedure is recognized to cause vascular and neurologic damage of the lumbar muscles. Various studies have suggested that using the minimally invasive transforaminal interbody fusion TLIF technique provides long-term clinical outcomes comparable to those of open TLIF approaches in selected patients. In this study, we compared the perioperative and short-term advantages of miniopen, MI, and open TLIF. Compared with open TLIF, MI-TLIF and miniopen TLIF were associated with less blood loss, shorter hospital stays, and longer operative times; however, following the use of these procedures, no difference in quality of life was measured at 6 months or 1 year. Whether miniopen TLIF or MI-TLIF can replace traditional TLIF as the surgery of choice for treating degenerative lumbar deformity remains unclear, and additional studies are required for validating the safety and efficiency of these procedures.





Autor: Wei-Lun Lo, Chien-Min Lin, Yi-Shian Yeh, Yu-kai Su, Yuan-Yun Tseng, Shun-Tai Yang, and Jai-Wei Lin

Fuente: https://www.hindawi.com/



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