Online ISSN: 2515-8260

Keywords : Transforaminal Lumbar Interbody Fusion


TRANSFORAMINAL LUMBAR INTERBODY FUSION in the MANAGEMENT of LYTIC SPONDYLOLITHESIS: MINIMALLY INVASIVE VERSUS CONVENTIONAL OPEN TECHNIQUES

Ashraf Yassin Amer; Ahmed Gamil Ahmed; Ahmed Samir Rady; Mohamed Ahmed Raaft; Mahmoud Mohamed Elbakry

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 309-324

This study assesses the difference between Minimally Invasive Transforaminal Lumbar
Interbody Fusion (MI-TLIF) surgery and conventional open TLIF surgery incases of
lytic spondylolisthesis regarding pain, disability, hospital stay and complications. Lytic
Spondylolisthesis patients may require fusion of one or more spinal segments. The
chances of achieving a successful lumbar spinal fusion have increased. TLIF technique
is gradually being accepted in these cases and widely used by most spinesurgeons.
Minimally invasive TLIF is a recent trend for spinal fusion. This is a prospective
randomized comparative study conducted from March 2016 to December 2018 that
included 40 patients with low grade lytic spondylolisthesis who underwent TLIF. 20
patients underwent MI-TLIF through percutaneous posterior lumbar pedicular screw
fixation, microscopic minimally invasive transform aminal discectomy and interbody
cage fusion (patients group A) and another 20 patients underwent conventional open
posterior lumbar pedicular screw fixation and TLIF (control group B). In our results,
bothsurgical techniques showed improvement in pain and function within 12 months
(follow up period), but group A showed statistically significant improvement in pain
and function in the first 3 months. Regarding blood loss, need for transfusion and
hospital stay, group A showed statistically significant better results. As a conclusion,
MI-TLIF is a better option in surgical management of spondylolisthesis especially in the
early postoperative period.