Minimally Invasive Posterior Lumbar Interbody Fusion: Comparison with Traditional Open Surgery / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
; : 288-296, 2006.
Article
in Ko
| WPRIM
| ID: wpr-655121
Responsible library:
WPRO
ABSTRACT
PURPOSE: To compare the the clinical and radiographic results of the two approaches for posterior lumbar fusion, one-level posterior lumbar interbody fusion (PLIF) performed with a minimally invasive approach or the traditional open approach. MATERIALS AND METHODS: This study examined a consecutive series of 46 patients who underwent one-level PLIF procedure (27 cases performed with minimally invasive approach and 19 cases with traditional open approach) by one surgeon at one hospital. The following data were compared with a minimum 1-year follow-up: the clinical and radiographic results, surgical time, estimated blood loss, transfusion requirements, postoperative back pain, time needed before ambulation, length of hospital stay, and complications. RESULTS: There was no statistical difference between the two groups in terms of the clinical and radiographic results at the last follow-up. The minimally invasive group was found to have a less blood loss, fewer transfusion requirements, less postoperative back pain, a shorter recovery time, and a shorter hospital stay. However, minimally invasive group required a longer surgical time and there were 2 cases with technical complications. CONCLUSION: This study confirmed the favorable results reported by previous uncontrolled cohort studies. It also showed that the minimally invasive approach had a similar surgical efficacy to that of traditional open approach. However, minimally invasive technique requires a steep learning curve and attention in order to lower the risk of complications.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Cohort Studies
/
Follow-Up Studies
/
Walking
/
Back Pain
/
Learning Curve
/
Operative Time
/
Length of Stay
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Ko
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2006
Document type:
Article