Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis

Ahmed Nagaty; Ashraf Yassin Amer; Ahmed Gamil Hassan; Ahmed Samir Rady; Hatem Sabry

doi:doi:10.11648/j.ijn.20200402.16

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Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis

Ahmed Nagaty, Ashraf Yassin Amer, Ahmed Gamil Hassan, Ahmed Samir Rady, Hatem Sabry

Published in International Journal of Neurosurgery (Volume 4, Issue 2)

Received: 29 August 2020 Accepted: 28 September 2020 Published: 7 October 2020

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Abstract

This study aims to assess the difference between minimal invasive TLIF surgery and conventional TLIF surgery in cases of lytic spondylolisthesis, as regards pain, disability, hospital stay and complications. Lytic Spondylolisthesis patients may require fusion of one or more spinal segments to treat their condition adequately. The chances of achieving a successful lumbar spinal fusion has increased. TLIF technique is gradually being accepted in these cases and widely used by most spine surgeons. Minimal invasive TLIF is a recent trend for spinal fusion. This is a prospective randomized comparative study conducted from March 2016 to December 2018 included forty patients with low grade lytic spondylolisthesis that underwent surgeries. Twenty patients underwent MI-TLIF through percutaneous posterior lumbar pedicular screw fixation, microscopic minimally invasive transformational discectomy and interbody cage fusion (patients group “A”) and another twenty patients underwent traditional open posterior lumbar pedicular screw fixation and TLIF (control group “B”). In our results, both surgical 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 1^st three months. Regarding blood loss, need for transfusion and hospital stay, group A showed statistically significant better results. As a conclusion, minimally invasive TLIF is a better option in surgical management of spondylolisthesis especially in the early postoperative period.

Published in	International Journal of Neurosurgery (Volume 4, Issue 2)
DOI	10.11648/j.ijn.20200402.16
Page(s)	50-58
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Spinal Fusion, Spondylolisthesis, Minimal Invasive Spine Surgery, TLIF

References

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[10]	Brodano GB, Martikos K, Lolli F, Gasbarrini A, Cioni A, Bandiera S, et al. Transforaminal Lumbar Interbody Fusion in Degenerative Disk Disease and Spondylolisthesis Grade I: Minimally Invasive Versus Open Surgery. J Spinal Disord Tech. 2015 Dec; 28 (10): E559-564.
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[13]	Kim M-C, Chung H-T, Cho J-L, Kim D-J, Chung N-S. Factors affecting the accurate placement of percutaneous pedicle screws during minimally invasive transforaminal lumbar interbody fusion. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2011 Oct; 20 (10): 1635–43.
[14]	Foley KT, Gupta SK, Justis JR, Sherman MC. Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus. 2001 Apr 15; 10 (4): E10.
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APA Style

Ahmed Nagaty, Ashraf Yassin Amer, Ahmed Gamil Hassan, Ahmed Samir Rady, Hatem Sabry. (2020). Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis. International Journal of Neurosurgery, 4(2), 50-58. https://doi.org/10.11648/j.ijn.20200402.16

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ACS Style

Ahmed Nagaty; Ashraf Yassin Amer; Ahmed Gamil Hassan; Ahmed Samir Rady; Hatem Sabry. Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis. Int. J. Neurosurg. 2020, 4(2), 50-58. doi: 10.11648/j.ijn.20200402.16

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AMA Style

Ahmed Nagaty, Ashraf Yassin Amer, Ahmed Gamil Hassan, Ahmed Samir Rady, Hatem Sabry. Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis. Int J Neurosurg. 2020;4(2):50-58. doi: 10.11648/j.ijn.20200402.16

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@article{10.11648/j.ijn.20200402.16,
  author = {Ahmed Nagaty and Ashraf Yassin Amer and Ahmed Gamil Hassan and Ahmed Samir Rady and Hatem Sabry},
  title = {Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis},
  journal = {International Journal of Neurosurgery},
  volume = {4},
  number = {2},
  pages = {50-58},
  doi = {10.11648/j.ijn.20200402.16},
  url = {https://doi.org/10.11648/j.ijn.20200402.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20200402.16},
  abstract = {This study aims to assess the difference between minimal invasive TLIF surgery and conventional TLIF surgery in cases of lytic spondylolisthesis, as regards pain, disability, hospital stay and complications. Lytic Spondylolisthesis patients may require fusion of one or more spinal segments to treat their condition adequately. The chances of achieving a successful lumbar spinal fusion has increased. TLIF technique is gradually being accepted in these cases and widely used by most spine surgeons. Minimal invasive TLIF is a recent trend for spinal fusion. This is a prospective randomized comparative study conducted from March 2016 to December 2018 included forty patients with low grade lytic spondylolisthesis that underwent surgeries. Twenty patients underwent MI-TLIF through percutaneous posterior lumbar pedicular screw fixation, microscopic minimally invasive transformational discectomy and interbody cage fusion (patients group “A”) and another twenty patients underwent traditional open posterior lumbar pedicular screw fixation and TLIF (control group “B”). In our results, both surgical 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 1st three months. Regarding blood loss, need for transfusion and hospital stay, group A showed statistically significant better results. As a conclusion, minimally invasive TLIF is a better option in surgical management of spondylolisthesis especially in the early postoperative period.},
 year = {2020}
}

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TY  - JOUR
T1  - Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis
AU  - Ahmed Nagaty
AU  - Ashraf Yassin Amer
AU  - Ahmed Gamil Hassan
AU  - Ahmed Samir Rady
AU  - Hatem Sabry
Y1  - 2020/10/07
PY  - 2020
N1  - https://doi.org/10.11648/j.ijn.20200402.16
DO  - 10.11648/j.ijn.20200402.16
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 50
EP  - 58
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20200402.16
AB  - This study aims to assess the difference between minimal invasive TLIF surgery and conventional TLIF surgery in cases of lytic spondylolisthesis, as regards pain, disability, hospital stay and complications. Lytic Spondylolisthesis patients may require fusion of one or more spinal segments to treat their condition adequately. The chances of achieving a successful lumbar spinal fusion has increased. TLIF technique is gradually being accepted in these cases and widely used by most spine surgeons. Minimal invasive TLIF is a recent trend for spinal fusion. This is a prospective randomized comparative study conducted from March 2016 to December 2018 included forty patients with low grade lytic spondylolisthesis that underwent surgeries. Twenty patients underwent MI-TLIF through percutaneous posterior lumbar pedicular screw fixation, microscopic minimally invasive transformational discectomy and interbody cage fusion (patients group “A”) and another twenty patients underwent traditional open posterior lumbar pedicular screw fixation and TLIF (control group “B”). In our results, both surgical 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 1st three months. Regarding blood loss, need for transfusion and hospital stay, group A showed statistically significant better results. As a conclusion, minimally invasive TLIF is a better option in surgical management of spondylolisthesis especially in the early postoperative period.
VL  - 4
IS  - 2
ER  -

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Author Information

Ahmed Nagaty

Department of Neurosurgery, Ain shams University, Cairo, Egypt
Ashraf Yassin Amer

Department of Orthopedics, Saudi German Hospital, Cairo, Egypt
Ahmed Gamil Hassan

Department of Orthopedics, Saudi German Hospital, Cairo, Egypt
Ahmed Samir Rady

Department of Orthopedics, Saudi German Hospital, Cairo, Egypt
Hatem Sabry

Department of Neurosurgery, Ain shams University, Cairo, Egypt

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Plain Text BibTeX RIS

APA Style

Ahmed Nagaty, Ashraf Yassin Amer, Ahmed Gamil Hassan, Ahmed Samir Rady, Hatem Sabry. (2020). Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis. International Journal of Neurosurgery, 4(2), 50-58. https://doi.org/10.11648/j.ijn.20200402.16

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ACS Style

Ahmed Nagaty; Ashraf Yassin Amer; Ahmed Gamil Hassan; Ahmed Samir Rady; Hatem Sabry. Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis. Int. J. Neurosurg. 2020, 4(2), 50-58. doi: 10.11648/j.ijn.20200402.16

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AMA Style

Ahmed Nagaty, Ashraf Yassin Amer, Ahmed Gamil Hassan, Ahmed Samir Rady, Hatem Sabry. Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis. Int J Neurosurg. 2020;4(2):50-58. doi: 10.11648/j.ijn.20200402.16

Copy | Download

@article{10.11648/j.ijn.20200402.16,
  author = {Ahmed Nagaty and Ashraf Yassin Amer and Ahmed Gamil Hassan and Ahmed Samir Rady and Hatem Sabry},
  title = {Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis},
  journal = {International Journal of Neurosurgery},
  volume = {4},
  number = {2},
  pages = {50-58},
  doi = {10.11648/j.ijn.20200402.16},
  url = {https://doi.org/10.11648/j.ijn.20200402.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20200402.16},
  abstract = {This study aims to assess the difference between minimal invasive TLIF surgery and conventional TLIF surgery in cases of lytic spondylolisthesis, as regards pain, disability, hospital stay and complications. Lytic Spondylolisthesis patients may require fusion of one or more spinal segments to treat their condition adequately. The chances of achieving a successful lumbar spinal fusion has increased. TLIF technique is gradually being accepted in these cases and widely used by most spine surgeons. Minimal invasive TLIF is a recent trend for spinal fusion. This is a prospective randomized comparative study conducted from March 2016 to December 2018 included forty patients with low grade lytic spondylolisthesis that underwent surgeries. Twenty patients underwent MI-TLIF through percutaneous posterior lumbar pedicular screw fixation, microscopic minimally invasive transformational discectomy and interbody cage fusion (patients group “A”) and another twenty patients underwent traditional open posterior lumbar pedicular screw fixation and TLIF (control group “B”). In our results, both surgical 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 1st three months. Regarding blood loss, need for transfusion and hospital stay, group A showed statistically significant better results. As a conclusion, minimally invasive TLIF is a better option in surgical management of spondylolisthesis especially in the early postoperative period.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Minimally Invasive Versus Open TLIF in the Management of Lumbar Spondylolisthesis
AU  - Ahmed Nagaty
AU  - Ashraf Yassin Amer
AU  - Ahmed Gamil Hassan
AU  - Ahmed Samir Rady
AU  - Hatem Sabry
Y1  - 2020/10/07
PY  - 2020
N1  - https://doi.org/10.11648/j.ijn.20200402.16
DO  - 10.11648/j.ijn.20200402.16
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 50
EP  - 58
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20200402.16
AB  - This study aims to assess the difference between minimal invasive TLIF surgery and conventional TLIF surgery in cases of lytic spondylolisthesis, as regards pain, disability, hospital stay and complications. Lytic Spondylolisthesis patients may require fusion of one or more spinal segments to treat their condition adequately. The chances of achieving a successful lumbar spinal fusion has increased. TLIF technique is gradually being accepted in these cases and widely used by most spine surgeons. Minimal invasive TLIF is a recent trend for spinal fusion. This is a prospective randomized comparative study conducted from March 2016 to December 2018 included forty patients with low grade lytic spondylolisthesis that underwent surgeries. Twenty patients underwent MI-TLIF through percutaneous posterior lumbar pedicular screw fixation, microscopic minimally invasive transformational discectomy and interbody cage fusion (patients group “A”) and another twenty patients underwent traditional open posterior lumbar pedicular screw fixation and TLIF (control group “B”). In our results, both surgical 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 1st three months. Regarding blood loss, need for transfusion and hospital stay, group A showed statistically significant better results. As a conclusion, minimally invasive TLIF is a better option in surgical management of spondylolisthesis especially in the early postoperative period.
VL  - 4
IS  - 2
ER  -

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