Comparative Study of Laparoscopic L5-S1 Fusion versus Open Mini-Anterior Lumbar Interbody Fusion
Journal of Korean Neurosurgical Society
;
: 154-159, 2003.
Article
in Korean
| WPRIM
| ID: wpr-207738
ABSTRACT
OBJECTIVE:
To investigate the effectiveness and safety of the laparoscopic L5-S1 fusion, its perioperative parameters and long-term outcome are compared with those of open anterior surgical approach.METHODS:
Data of 54 consecutive patients who underwent anterior approach for L5-S1 fusion either by laparoscopic or open mini-anterior lumbar interbody fusion(ALIF) from 1997 to 1999 were analyzed. Among them, 47 cases were available with more than 2-years follow-up data. In all cases, carbon cage and autologous bone graft were used.RESULTS:
Twenty five patients underwent a laparoscopic procedure and twenty two a open mini-ALIF. Three laparoscopic procedures were converted to open ones. For perioperative parameter, only the operative time was statistically different(p=0.001) while length of postoperative hospital stay and blood loss were not. The incidence of operative complication was three in laparoscopic group and two in open mini-ALIF group. After the follow-up of at least two years, the two groups showed no statistical difference in visual analog scale for pain, Oswestry disability index, and patient satisfaction index. The fusion rate was 91% in each group.CONCLUSION:
The findings of this study suggest that laparoscopic ALIF has similar effectiveness and safety with open mini-ALIF. However, the advantage of laparoscopic approach as a minimally invasive surgery should be reconsidered because no objective additional benefit was found.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Carbon
/
Incidence
/
Follow-Up Studies
/
Patient Satisfaction
/
Minimally Invasive Surgical Procedures
/
Transplants
/
Operative Time
/
Visual Analog Scale
/
Length of Stay
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neurosurgical Society
Year:
2003
Type:
Article
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