Clinical Comparative Study of MIS-TLIF and Traditional Open Surgery in the Treatment of Single-Segment Lumbar Degenerative Disease

HAN Wenlin; MA Zhongying

doi:10.14033/j.cnki.cfmr.2025.03.020

Abstract：Objective:To compare the effect of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)and traditional open surgery in the treatment of patients with single-segment lumbar degenerative disease.Method:68 patients with single-segment lumbar degenerative disease admitted tp the Fifth People's Hospital of Qinghai Province from January 2021 to November 2023 were selected as the study objects.According to different surgical methods,36 patients who received MIS-TLIF were included in group A,while 32 patients who performed traditional posterior open transforaminal lumbar interbody fusion(TLIF)were enrolled as group B.The surgical status,rehabilitation process,postoperative lumbar function,pain degree and postoperative complications in the two groups were observed.Result:Operation time,intraoperative blood loss,postoperative blood loss,first postoperative time to the ground and total hospital stay in group A were significantly lower than those in group B,with statistical significance(P＜0.05).The scores of visual analogue scale(VAS),Oswestry Disability Index(ODI)and Modified Japanese Orthopaedic Association(M-JOA)of the two groups 1 month and 3 months after surgery were significantly lower than those before surgery,and the scores of group A were significantly lower than those of group B,with statistical significance(P＜0.05).The total complication rate of group A was significantly lower than that of group B within 3 months after operation,and the difference was statistically significant(P＜0.05).Conclusion:Compared with traditional open surgery,MIS-TLIF for single-segment lumbar degenerative disease can effectively shorten the surgical time,reduce the blood loss,accelerate the rehabilitation process,relieve the pain,and promote the recovery of lumbar function,and it has fewer postoperative complications.