Journal Article

Comparison of results among UBE-TLIF, MIS-TLIF and open TLIF for Meyerding grade I lumbar spondylolisthesis: a retrospective study

Wang, Yang, Ke, Zhenyong, Liu, Yang, Zhong, Dian, Zhao, Guosheng, Lu, Zhenyuan

2024

Overview

Background The unilateral biportal endoscopic (UBE) technique has garnered significant attention for its little paraspinal iatrogenic damage, expedited recovery, and low complication rates. This method is also applicable to open transforaminal lumbar interbody fusion (TLIF). Therefore, this study aimed to conduct a comparative analysis of the outcomes associated with unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF), minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF), and TLIF for Meyerding grade I lumbar spondylolisthesis. Methods The study examined the outcomes of 79 patients with Meyerding grade I lumbar spondylolisthesis who underwent single-level intervertebral fusion. Clinical assessments included the measurement of pain levels using the Visual Analogue Scale (VAS) for low back and leg pain, the Oswestry Disability Index (ODI), surgical data, and demographic information. Imaging techniques were utilized to evaluate the fusion rate. Results The VAS-Back demonstrated a statistically significant improvement in Group UBE-TLIF compared to the other groups at the one-week postoperative evaluation ( p  < .05). Additionally, the UBE-TLIF group exhibited a significantly longer total operative time compared to the other groups ( p  < .05). However, it was noted that the Postop Hemovac drain were significantly greater in the MIS-TLIF and TLIF groups compared to the UBE-TLIF group ( p  < .05). Conclusions The present research demonstrated the effectiveness of UBE-TLIF, MIS-TLIF, and TLIF as surgical approaches for treating Meyerding grade I lumbar spondylolisthesis. Among these methods, UBE-TLIF demonstrated a reduction in Postop Hemovac drain, and an increase in operative duration.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adult / Aged / Back pain / Back surgery / Clinical outcomes / Comparative analysis / Endoscopy / Endoscopy - methods / Evaluation / Female / Humans / Imaging techniques / Information processing / Internal Medicine / Lumbar spondylolisthesis / Lumbar Vertebrae - surgery / Male / Medicine / Medicine & Public Health / Middle Aged / Minimally Invasive Surgical Procedures - methods / Minimally invasive transforaminal lumbar interbody fusion / Pain / Pain Measurement / Patients / Retrospective Studies / Skin / Spinal Fusion - methods / Spondylolisthesis / Spondylolisthesis - surgery / Statistical analysis / Surgeons / Surgery / Transforaminal lumbar interbody fusion / Treatment Outcome / Unilateral biportal endoscopy technology