Which Is Better in Clinical and Radiological Outcomes for Lumbar Degenerative Disease of Two Segments: MIS-TLIF or OPEN-TLIF?

J. Pers. Med., 2022 · DOI: 10.3390/jpm12121977 · Published: November 30, 2022

Simple Explanation

This study compares two surgical methods, MIS-TLIF and OPEN-TLIF, for treating lumbar degenerative diseases affecting two spinal segments. The study aims to determine which method provides better clinical and radiological outcomes for patients with this condition. The findings suggest that while both methods have similar outcomes, OPEN-TLIF may be preferable due to lower operation time and radiation exposure.

Study Duration

January 2015 to September 2021

Participants

112 patients with lumbar degenerative diseases of two segments

Evidence Level

Not specified

Key Findings

1
The MIS-TLIF group had longer operation times and more intraoperative fluoroscopy times compared to the OPEN-TLIF group.
2
There was no significant difference in blood loss, postoperative drainage, or postoperative CK content between the two groups.
3
Pedicle screws were more likely to deviate laterally out of the vertebral body in the MIS-TLIF group.

Research Summary

This study retrospectively analyzed 112 patients with two-level lumbar degenerative diseases treated with either MIS-TLIF or OPEN-TLIF to compare clinical and radiological outcomes. Results indicated similar postoperative quality of life scores and radiological outcomes between the two surgical methods. The study concludes that OPEN-TLIF is recommended for patients with two-segment lumbar degenerative diseases due to shorter operation times and lower radiation exposure.

Practical Implications

Surgical Choice

OPEN-TLIF may be preferred for two-segment lumbar degenerative diseases to minimize operation time and radiation exposure.

Technique Refinement

Surgeons performing MIS-TLIF should focus on improving pedicle screw placement accuracy.

Patient Counseling

Patients should be informed that while both procedures have similar outcomes, MIS-TLIF may involve longer operative times and higher radiation exposure.

Which Is Better in Clinical and Radiological Outcomes for Lumbar Degenerative Disease of Two Segments: MIS-TLIF or OPEN-TLIF?

Simple Explanation

Key Findings

Research Summary

Practical Implications

Surgical Choice

Technique Refinement

Patient Counseling

Study Limitations

Your Feedback

Was this summary helpful?

Which Is Better in Clinical and Radiological Outcomes for Lumbar Degenerative Disease of Two Segments: MIS-TLIF or OPEN-TLIF?

Simple Explanation

Key Findings

Research Summary

Practical Implications

Surgical Choice

Technique Refinement

Patient Counseling

Study Limitations

Your Feedback

Was this summary helpful?