Minimally Invasive Transforaminal Lumbar Interbody Fusion + Cement-Augmented Pedicle Screw Fixation .
Efficacy of minimally invasive transforaminal lumbar interbody fusion plus cement-augmented pedicle screw fixation in the treatment of degenerative lumbar spine disease with osteoporosis in the elderly.
Eur Rev Med Pharmacol Sci . 2023 Jul;27(14):6573-6582.Forty patients with degenerative lumbar spine disease were randomized to receive either minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) plus cement-augmented pedicle screw fixation (n=19) or transforaminal lumbar interbody fusion (TLIF) plus cement augmentation (n=21). Outcomes of interest included pain on a Visual Analog Scale (VAS), Oswestry Dysfunction Index (ODI), and cervical myelopathy using the Japanese Orthopaedic Association (JOA) score at 3 and 6 months, and at the final follow-up. Operative time, bleeding volume, and postoperative drainage were also assessed. Bleeding volume, postoperative drainage, ODI, VAS, and JOA scores at 3 and 6 months were significantly better in the minimally invasive group.
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