Su Kai, Guo Ying, Zhang Zhongmin, Jin Dadi
Department of Orthopaedics, the 3rd Affiliated Hospital of Southern Medical University & Academy of Orthopaedics of Guangdong Province, Guangzhou Guangdong, 510630, P.R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Nov;27(11):1386-9.
To review the latest comparative research of minimally invasive transforaminal lumbar interbody fusion (TLIF) and traditional open approach.
The domestic and foreign literature concerning the comparative research of minimally invasive TLIF and traditional open TLIF was reviewed, then intraoperative indicators, length of hospitalization, effectiveness, complication, fusion rate, and the effect on paraspinal muscles were analyzed respectively.
Minimally invasive TLIF has less blood loss and shorter length of hospitalization, but with longer operation and fluoroscopic time. Minimally invasive surgery has the same high fusion rate as open surgery, however, its effectiveness is not superior to open surgery, and complication rate is relatively higher. In the aspect of the effect on paraspinal muscles, in creatine kinase, multifidus cross-sectional area, and atrophy grading, minimally invasive surgery has no significant reduced damage on paraspinal muscles.
Minimally invasive TLIF is not significantly superior to open TLIF, and it does not reduce the paraspinal muscles injury. But prospective double-blind randomized control trials are still needed for further study.
回顾微创经椎间孔腰椎椎间融合术（TLIF）与传统开放手术的最新对比研究。
回顾国内外有关微创TLIF与传统开放TLIF对比研究的文献，然后分别分析术中指标、住院时间、疗效、并发症、融合率以及对椎旁肌的影响。
微创TLIF出血量更少、住院时间更短，但手术时间和透视时间更长。微创手术与开放手术的融合率同样高，然而，其疗效并不优于开放手术，且并发症发生率相对较高。在对椎旁肌的影响方面，在肌酸激酶、多裂肌横截面积和萎缩分级上，微创手术对椎旁肌的损伤没有显著减轻。
微创TLIF并不显著优于开放TLIF，且未减少对椎旁肌的损伤。但仍需要前瞻性双盲随机对照试验进行进一步研究。
