Comparison of complications between posterior minimally invasive transforaminal lumbar interbody fusion and traditional open posterior lumbar intervertebral fusion
Abstract:Objective To analyse the postoperation complications of minimally invasive transforaminal lum-bar interbody fusion(MIS-TLIF) and traditional open posterior lumbar intervertebral fusion (OPEN-PLIF) retrospec-tively, and to investigate its characteristics and prevention .Methods An analysis was performed on 265 patients who underwent MIS-TLIF(Group MIS-TLIF,125 cases) or PLIF(Group PLIF,140 cases).Postoperative outcomes and complications were recorded and statistically analyzed .Results In the length of the incision , intraoperative bloodloss, postoperative flow and postoperative hospital stay , etc, the MIS-TLIF group was superior to the OPEN-PLIF group(P<0.05).In group MIS-TLIF, postoperation complications included nerve root irritation in 1 cases, wound infection in 1 case, cerebrospinal fluid leakage in 1 case, urinary system diseases in 1 case, digestive system disease in 1 case, cardiopulmonary system diseases in 2 cases, Internal fixation complication in 1 case;In group PLIF,postopera-tion complications included nerve root irritation in 8 cases, wound infection in 2 cases, cerebrospinal fluid leakage in 3 cases, urinary system diseases in 2 cases, digestive system disease in 2 cases, hematological disease in 3 cases, car-diopulmonary system diseases in 2 cases, Internal fixation complication in 2 case.There was significant difference in to-tal complication rate between 2 groups(P<0.05).Conclusion In the treatment of lumbar degenerative disease , MIS-TLIF is safe and effective , and it has the advantages such as less damage , lower complication rates and faster recovery .
Keywords:Lumbar degenerative diseaseMinimally invasionSurgical complicationsSpinal fusion
Publication Date:2014-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:5( 696-700 )
