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Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes.

作者信息

Tomita Takashi, Kamei Keita, Yamauchi Ryota, Nakagawa Takahiro, Omi Hirotsugu, Nitobe Yoshiro, Asari Toru, Kumagai Gentaro, Wada Kanichiro, Ito Junji, Ishibashi Yasuyuki

机构信息

Department of Orthopaedic Surgery, Aomori Prefectural Central Hospital, Aomori 030-8553, Japan.

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8562, Japan.

出版信息

J Clin Med. 2022 Mar 16;11(6):1651. doi: 10.3390/jcm11061651.


DOI:10.3390/jcm11061651
PMID:35329981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8951443/
Abstract

Although minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is the most common procedure in minimally invasive spine stabilization (MISt), details of the technique remain unclear. This technical report shows the mid-long-term clinical outcomes in patients who underwent posterior oblique square decompression (POSDe) with the three-step wanding technique of tubular MIS-TLIF for degenerative lumbar disease. Tubular MIS-TLIF (POSDe) was performed on 50 patients (males, 19; age, 69.2 ± 9.6 years), and traditional open surgery was performed (OS) on 27 (males, 4; age, 67.9 ± 6.6 years). We evaluated the clinical outcomes using the Visual Analog Scale for back pain, Japanese Orthopedic Association (JOA) scores, and JOA Back Pain Evaluation Questionnaire. We also assessed the fusion rate using the Bridwell grading system with computed tomography or plain radiography for at least 2 years postoperatively. Although there was no significant difference in the improvement rate of JOA scores between the two groups, the mean operation time and blood loss were significantly lower with MIS-TLIF than with OS. In the tubular MIS-TLIF group, there were no cases of deep wound infection; four cases had a pseudarthrosis, two had dural injury, and three had cage retropulsion. We revealed good clinical outcomes in patients who underwent POSDe.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea2e/8951443/fee2e8398d8d/jcm-11-01651-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea2e/8951443/602c79bc90fb/jcm-11-01651-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea2e/8951443/583602fbe278/jcm-11-01651-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea2e/8951443/fee2e8398d8d/jcm-11-01651-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea2e/8951443/602c79bc90fb/jcm-11-01651-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea2e/8951443/583602fbe278/jcm-11-01651-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea2e/8951443/fee2e8398d8d/jcm-11-01651-g003.jpg

相似文献

[1]
Posterior Oblique Square Decompression with a Three-Step Wanding Technique in Tubular Minimally Invasive Transforaminal Lumbar Interbody Fusion: Technical Report and Mid-Long-Term Clinical Outcomes.

J Clin Med. 2022-3-16

[2]
[Treatment of grade I and II degree degenerative lumbar spondylolisthesis with minimally invasive surgery-transforaminal lumbar interbody fusion under Quadrant channel].

Zhongguo Gu Shang. 2019-3-25

[3]
Minimally invasive transforaminal lumbar interbody fusion using the biportal endoscopic techniques versus microscopic tubular technique.

Spine J. 2021-12

[4]
A comparison of minimally invasive transforaminal lumbar interbody fusion and decompression alone for degenerative lumbar spondylolisthesis.

Neurosurg Focus. 2019-5-1

[5]
Early Clinical Evaluation of Percutaneous Full-endoscopic Transforaminal Lumbar Interbody Fusion with Pedicle Screw Insertion for Treating Degenerative Lumbar Spinal Stenosis.

Orthop Surg. 2021-2

[6]
Comparison of Outcomes between Robot-Assisted Minimally Invasive Transforaminal Lumbar Interbody Fusion and Oblique Lumbar Interbody Fusion in Single-Level Lumbar Spondylolisthesis.

Orthop Surg. 2021-10

[7]
A Novel Inextensible Endoscopic Tube Versus Traditional Extensible Retractor System in Single-Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Prospective Observation Study.

Pain Physician. 2019-11

[8]
[Comparison of minimally invasive using a tubular retraction system versus open transforaminal lumbar interbody fusion for the treatment of lumbar degenerative diseases].

Zhonghua Yi Xue Za Zhi. 2015-9-1

[9]
Minimally invasive transforaminal lumbar interbody fusion versus oblique lateral interbody fusion for lumbar degenerative disease: a meta-analysis.

BMC Musculoskelet Disord. 2021-9-18

[10]
Full-Endoscopic Posterior Lumbar Interbody Fusion Via an Interlaminar Approach Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Preliminary Retrospective Study.

World Neurosurg. 2020-12

本文引用的文献

[1]
Percutaneous Endoscopic Robot-Assisted Transforaminal Lumbar Interbody Fusion (PE RA-TLIF) for Lumbar Spondylolisthesis: A Technical Note and Two Years Clinical Results.

Pain Physician. 2022-1

[2]
Endo-TLIF versus MIS-TLIF in 1-segment lumbar spondylolisthesis: A prospective randomized pilot study.

Clin Neurol Neurosurg. 2022-1

[3]
Direct medical costs after surgical or nonsurgical treatment for degenerative lumbar spinal disease: A nationwide matched cohort study with a 10-year follow-up.

PLoS One. 2021

[4]
Comparison of outcomes between indirect decompression of oblique lumbar interbody fusion and MIS-TLIF in one single-level lumbar spondylosis.

Sci Rep. 2021-6-17

[5]
MIS-TLIF versus O-TLIF for single-level degenerative stenosis: study protocol for randomised controlled trial.

BMJ Open. 2021-3-5

[6]
Clinical and radiologic comparison of anterior-posterior single-position lateral surgery versus MIS-TLIF for degenerative lumbar spondylolisthesis.

J Orthop Sci. 2021-11

[7]
Defining the MIS-TLIF: A Systematic Review of Techniques and Technologies Used by Surgeons Worldwide.

Global Spine J. 2020-4

[8]
Comparison of Minimally Invasive Versus Open Transforaminal Interbody Lumbar Fusion.

Global Spine J. 2020-4

[9]
Clinical outcomes of minimally invasive transforaminal lumbar interbody fusion via a novel tubular retractor.

J Int Med Res. 2020-5

[10]
Anterior lumbar fusion techniques: ALIF, OLIF, DLIF, LLIF, IXLIF.

Orthop Traumatol Surg Res. 2020-2

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