Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study
Abstract Background Degenerative lumbar spondylolisthesis (DLS) with lumbar spinal stenosis (LSS) is a common condition resulting in substantial lower back pain and disability. Surgical intervention is recommended only when conservative treatment fails. This study compared UBE-TLIF and MIS-TLIF rega...
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BMC
2024-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-024-05315-5 |
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| author | Abdul Waheed Bahir Wang Daxing Xiao Jiayu Liu Bailian Gu Shao |
| author_facet | Abdul Waheed Bahir Wang Daxing Xiao Jiayu Liu Bailian Gu Shao |
| author_sort | Abdul Waheed Bahir |
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| description | Abstract Background Degenerative lumbar spondylolisthesis (DLS) with lumbar spinal stenosis (LSS) is a common condition resulting in substantial lower back pain and disability. Surgical intervention is recommended only when conservative treatment fails. This study compared UBE-TLIF and MIS-TLIF regarding clinical outcomes and fusion rates in patients with single-segment DLS with LSS. Methods A total of 85 patients who underwent either UBE-TLIF (n = 40) or MIS-TLIF (n = 45) were examined retrospectively. Clinical results were evaluated by the Visual Analog Scale (VAS) for pain and the Oswestry Disability Index (ODI) for functional outcomes. Radiographs and CT were utilized to assess radiological outcomes such as disc height (DH), lumbar lordosis (LL), and interbody fusion rates. The two groups were also compared in terms of perioperative data (operation time, blood loss, hospital stay, and fluoroscopy exposure). Results Both surgical techniques showed similar statistically significant improvements in VAS and ODI scores. Fusion rates at 2 years postoperatively were identical, including 95% for the UBE-TLIF group and 97.7% for the MIS-TLIF group. However, compared with MIS-TLIF, the operative time and fluoroscopy exposure were longer for UBE-TLIF, but intraoperative blood loss and length of hospital stay were reduced. Conclusions UBE-TLIF and MIS-TLIF can successfully treat single-segment DLS in the presence of LSS, achieving similar clinical and radiological outcomes with low complication rates. Although UBE-TLIF has certain advantages regarding perioperative outcomes (less blood loss and shorter hospital stay), MIS-TLIF is associated with shorter operative times and lower fluoroscopy exposure. |
| format | Article |
| id | doaj-art-7d448daf67ae4b2daa2e341bfd827c26 |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-7d448daf67ae4b2daa2e341bfd827c262024-12-22T12:37:14ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-12-011911910.1186/s13018-024-05315-5Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective studyAbdul Waheed Bahir0Wang Daxing1Xiao Jiayu2Liu Bailian3Gu Shao4Department of Orthopedic Spine Surgery, Yan’an Hospital Affiliated to Kunming Medical UniversityDepartment of Orthopedic Spine Surgery, Yan’an Hospital Affiliated to Kunming Medical UniversityDepartment of Orthopedic Spine Surgery, Yan’an Hospital Affiliated to Kunming Medical UniversityDepartment of Orthopedic Spine Surgery, Yan’an Hospital Affiliated to Kunming Medical UniversityDepartment of Orthopedic Spine Surgery, Yan’an Hospital Affiliated to Kunming Medical UniversityAbstract Background Degenerative lumbar spondylolisthesis (DLS) with lumbar spinal stenosis (LSS) is a common condition resulting in substantial lower back pain and disability. Surgical intervention is recommended only when conservative treatment fails. This study compared UBE-TLIF and MIS-TLIF regarding clinical outcomes and fusion rates in patients with single-segment DLS with LSS. Methods A total of 85 patients who underwent either UBE-TLIF (n = 40) or MIS-TLIF (n = 45) were examined retrospectively. Clinical results were evaluated by the Visual Analog Scale (VAS) for pain and the Oswestry Disability Index (ODI) for functional outcomes. Radiographs and CT were utilized to assess radiological outcomes such as disc height (DH), lumbar lordosis (LL), and interbody fusion rates. The two groups were also compared in terms of perioperative data (operation time, blood loss, hospital stay, and fluoroscopy exposure). Results Both surgical techniques showed similar statistically significant improvements in VAS and ODI scores. Fusion rates at 2 years postoperatively were identical, including 95% for the UBE-TLIF group and 97.7% for the MIS-TLIF group. However, compared with MIS-TLIF, the operative time and fluoroscopy exposure were longer for UBE-TLIF, but intraoperative blood loss and length of hospital stay were reduced. Conclusions UBE-TLIF and MIS-TLIF can successfully treat single-segment DLS in the presence of LSS, achieving similar clinical and radiological outcomes with low complication rates. Although UBE-TLIF has certain advantages regarding perioperative outcomes (less blood loss and shorter hospital stay), MIS-TLIF is associated with shorter operative times and lower fluoroscopy exposure.https://doi.org/10.1186/s13018-024-05315-5Unilateral bi-portal endoscopy (UBE)Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF)Degenerative lumbar spondylolisthesisLumbar spinal stenosisLumbar interbody fusion outcomesFusion rate |
| spellingShingle | Abdul Waheed Bahir Wang Daxing Xiao Jiayu Liu Bailian Gu Shao Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study Journal of Orthopaedic Surgery and Research Unilateral bi-portal endoscopy (UBE) Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) Degenerative lumbar spondylolisthesis Lumbar spinal stenosis Lumbar interbody fusion outcomes Fusion rate |
| title | Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study |
| title_full | Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study |
| title_fullStr | Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study |
| title_full_unstemmed | Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study |
| title_short | Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study |
| title_sort | comparative efficacy and fusion outcomes of unilateral bi portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis a two year retrospective study |
| topic | Unilateral bi-portal endoscopy (UBE) Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) Degenerative lumbar spondylolisthesis Lumbar spinal stenosis Lumbar interbody fusion outcomes Fusion rate |
| url | https://doi.org/10.1186/s13018-024-05315-5 |
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