Abdelshafi, O., Abdelfattah, A., Noreldin, A., Thabit, K. (2022). Comparative study between "Traditional Open" versus "Less Invasive" Transforaminal lumbar Interbody Fusion in the treatment of Degenerative Lumbar Disc Disease. test, 33(4), -. doi: 10.21608/mjmr.2022.117041.1007
Osama Gomaa Abdelshafi; Ahmed Saleh Abdelfattah; Asem Mohammed Noreldin; Khaled Omran Thabit. "Comparative study between "Traditional Open" versus "Less Invasive" Transforaminal lumbar Interbody Fusion in the treatment of Degenerative Lumbar Disc Disease". test, 33, 4, 2022, -. doi: 10.21608/mjmr.2022.117041.1007
Abdelshafi, O., Abdelfattah, A., Noreldin, A., Thabit, K. (2022). 'Comparative study between "Traditional Open" versus "Less Invasive" Transforaminal lumbar Interbody Fusion in the treatment of Degenerative Lumbar Disc Disease', test, 33(4), pp. -. doi: 10.21608/mjmr.2022.117041.1007
Abdelshafi, O., Abdelfattah, A., Noreldin, A., Thabit, K. Comparative study between "Traditional Open" versus "Less Invasive" Transforaminal lumbar Interbody Fusion in the treatment of Degenerative Lumbar Disc Disease. test, 2022; 33(4): -. doi: 10.21608/mjmr.2022.117041.1007

Comparative study between "Traditional Open" versus "Less Invasive" Transforaminal lumbar Interbody Fusion in the treatment of Degenerative Lumbar Disc Disease

Minia Journal of Medical Research
Volume 33, Issue 4, October 2022
Document Type: Original Article
DOI: 10.21608/mjmr.2022.117041.1007
Authors
Osama Gomaa Abdelshafi* 1; Ahmed Saleh Abdelfattah2; Asem Mohammed Noreldin3; Khaled Omran Thabit3
1Orthopaedic dept., Minia University Hospital
2Professor of Orthopedic Surgery & Traumatology Faculty of Medicine -Minia University
3Assistant Professor of Orthopedic Surgery & Traumatology Faculty of Medicine -Minia University
Abstract
Purpose The object of this study was to compare minimally

invasive surgery (MIS) with open surgery in a

severely affected subgroup of degenerative spondylolisthetic

patients with severe stenosis (SDS) and high-grade

facet osteoarthritis (FJO).

Methods30

patients with severe SDS and high-grade FJO were treated

using either MIS or open TLIF. Intraoperative and diagnostic

data, including perioperative complications and

length of hospital stay (LOS), were collected, using retrospective

chart review. Surgical short- and long-term outcomes

were assessed according to the Oswestry disability

index (ODI) and visual analog scale (VAS) for back and

leg pain.

Results Comparing MIS and open surgery, the MIS group

had lesser blood loss, significantly lesser need for transfusion

(p = 0.02), more rapid improvement of postoperative

back pain in the first 6 weeks of follow-up and a

shorter LOS. On the other hand, we experienced in the MIS

group a longer operative time. The distribution on the

postoperative ODI (p = 0.841), VAS leg (p = 0.943) and

back pain (p = 0.735) scores after a mean follow-up of

2 years were similar. The overall proportion of complications

showed no significant difference between the groups

(29 % in the MIS group vs. 28 % in the open group,

p = 0.999).

Conclusion Minimally invasive surgery for severe SDS

leads to adequate and safe decompression of lumbar stenosis

and results in a faster recovery of symptoms and

disability in the early postoperative period.
Keywords
TLIF; Minimally ivasive; Spondylolithesis
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