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.

研究概要

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.