Comparison of minimally invasive versus open transforaminal lumbar interbody fusion in two-level degenerative lumbar disease

Perioperative outcomes in minimally invasive lumbar spine surgery: A systematic review

“…Although decompressive lumbar laminectomy is a relatively straightforward spinal operation, there exists a steep learning curve associated with microscopeassisted tubular spinal surgery [68] , which could be one important factor accounting for the differences in operative times between the two techniques. With the growing popu larity of minimally invasive approaches and the growing number of younger surgeons performing minimally 1001 WJO|www.wjgnet.com [43] 2011 TLIF LSS, herniation, spondylolisthesis 41 38 Shunwu et al [44] 2010 TLIF Degenerative lumbar disease 32 30 Wang et al [45] 2011 TLIF Failed discectomy and decompression 25 27 Cohort studies Wong et al [46] 2014 TLIF FBSS, DDD, spondylolisthesis 144 54 Zhang et al [47] 2013 TLIF DDD 82 76 Villavicencio et al [48] 2010 TLIF LSS, DDD ± herniation, spondylolisthesis 76 63 Lee et al [49] 2012 TLIF LSS, DDD, herniation, spondylolisthesis 72 72 Terman et al [50] 2014 TLIF DDD, LSS, spondylolisthesis, herniation 53 21 Cheng et al [51] 2013 TLIF Spondylosis/listhesis, foraminal stenosis 50 25 Liang et al [52] 2011 TLIF Degenerative lumbar instability 45 42 Yang et al [53] 2013 TLIF Lumbar degenerative diseases 43 104 Gu et al [54] 2014 TLIF Degenerative conditions 43 38 Wang et al [55] 2010 TLIF Spondylolisthesis 42 43 Zairi et al [56] 2013…”

“…Although EBL differences across randomized studies did not reach clinically meaningful levels of ≥ 750 mL, one of the randomized studies did find a significantly 1002 WJO|www.wjgnet.com [43] 168. [44] 159.2 ± 21.7 142.8 ± 22.5 399.8 ± 125.8 517.0 ± 147.8 0% 0% 9.3 ± 2.6 12.5 ± 1.8 Wang et al [45] 139.0 ± 27.0 143.0 ± 35.0 291.0 ± 86.0 652.0 ± 150.0 12% 19% --Cohort studies Wong et al [46] 173 309 115 485 12% 13% 2.8 4.4 Zhang et al [47] 120 ± 35 115 ± 28 250 ± 75 650 ± 150 0% 3% --Villavicencio et al [48] 223 ± 68 215 ± 60 163 ± 131 367 ± 298 11% 13% 3.0 ± 2.3 4.2 ± 3.5 Lee et al [49] 166 ± 52 182 ± 45 161 ± 51 447 ± 519 1% 0% 3.2 ± 2.9 6.8 ± 3.4 Terman et al [50] --100 450 --2.0 3.0 Cheng et al [51] 245 ± 73 279 ± 15 393 ± 284 536 ± 324 0% 12% 4.8 ± 1.8 6.1 ± 1.8 Liang et al [52] 127 ± 60 96 ± 46 194 ± 86 357 ± 116 ----Yang et al [53] 175 ± 35 177 ± 30 362 ± 177 720 ± 171 7% 2% 4.0 ± 1.3 7.1 ± 1.0 Gu et al [54] 196 ± 28 187 ± 23 248 ± 94 576 ± 176 5% 3% 9.3 ± 3.7 12.1 ± 3.6 Wang et al [55] 145 ± 27 156 ± 32 264 ± 89 673 ± 145 10% 7% 10.6 ± 2.5 14.6 ± 3.8 Zairi et al [56] 170 186 148 486 3% 3% 4.5 5.5 Seng et al [57] 185 ± 9 166 ± 7 127 ± 46 405 ± 80 ----Pelton et al [58] 112 ± 33 185 ± 34 125 ± 76 275 ± 99 --2.0 ± 0.7 3.0 ± 1.1 Singh et al [59] 116 ± 28 186 ± 31 124 ± 92 380 ± 191 --2.3 ± 1.2 2.9 ± 1.1 Brodano et al [60] 144 102 230 620 3% 9% 4.1 7.4 Zou et al [61] 150 ± 41 175 ± 37 131 ± 74 318 ± 177 0% 0% 7.5 ± 2.7 9.3 ± 4.2 Peng et al [62] 216 171 150 681 --4.0 6.7 Archavlis et al [63] 220 ± 48 190 ± 65 185 ± 140 255 ± 468 13% 4% 7.0 11.0 Dhall et al [64] 199 237 194 505 0% 5% 3.0 5.5 Schizas et al [65] --456 961 17% 6% 6.1 8.2 Adogwa et al [66] 300 210 200 295 0% 0% 3.0 5.0 Niesche et al [67] 140 130 150 380 0% 11% 5.0 10.0 Lau et al [68] reduced transfusion need between MIS and open TLIF [44] . LOS was found to be significantly reduced in MIS TLIF by almost three days, however all of the studies originated from Chinese hospitals.…”

Ligament, nerve, and blood vessel anatomy of the lateral zone of the lumbar intervertebral foramina

“…1), transforaminal injection or nerve root block [3][4][5], and transforaminal endoscopy [6][7][8][9]. Although usually care is taken with nerves, the blood vessels and ligaments in the LIF have often been ignored by surgeons, and the dangers or complications of these procedures have also been neglected.…”

Radiation Exposure to Surgeon in Minimally Invasive Transforaminal Lumbar Interbody Fusion With Novel Spinal Locators

“…1 For the past 3 decades, open transforaminal lumbar interbody fusion (TLIF) has been used for a variety of degenerative lumbar disorders. 3 For the past decades, spine surgery has witnessed a trend toward increasing numbers of minimally invasive procedures. 3 For the past decades, spine surgery has witnessed a trend toward increasing numbers of minimally invasive procedures.…”

“…6,7 However, minimally invasive surgery requires imaging equipment to position the operation section under intraoperative fluoroscopy, which inevitably leads to high risk of radiation damage, such as the local tissue injury, cataracts, leukemia, skin soft-tissue tumor, etc. [1][2][3] However, the radiation exposure to the operation personnel was not fully investigated. [1][2][3] However, the radiation exposure to the operation personnel was not fully investigated.…”