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Volume 5 Issue 4 (April, 2017)

Original Articles

A comparative evaluation of minimal invasive-transforaminal lumbar interbody fusion (MI-TLIF) and open-TLIF
Keshav Gupta, Sanjay Kumar

Background: Transforaminal lumbar interbody fusion (TLIF) has stood the test of time in accomplishing the goal of reducing approach-related morbidity in comparison to its predecessors such as posterior lumbar interbody fusion. The present study compared minimal invasive-transforaminal lumbar interbody fusion (MI-TLIF) and open-TLIF. Materials & Methods: among 86 cases of back and leg pain secondary to degenerative conditions were divided into 2 groups. Group I patients were treated with MI- TLIF and group II with O- TLIF. Results: Group I had 30 males and 13 females and group II had 25 males and 18 females. Diagnosis was listhesis in 28 in group I and 27 in group II, lumber canal stenosis in 5 and 7 and disc herniation in 10 and 9 in group I and II respectively. The mean operative time was 3.2 hours and 2.5 hours, hospital stay was 4.5 days and 5.7 days, CRP level was 2.5 and 5.4 and VAS score was 50.6 and 45.2 and blood loss was 125.9 and 340.2 ml in group I and II respectively. The difference was significant (P< 0.05). Conclusion: MI-TLIF led to lesser blood loss, shorter hospital stay, lesser tissue trauma, and early mobilization. Key words: Posterior lumbar interbody fusion, transforaminal, Herniation.

 
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