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Table 2 Summary of MI-TLIF and O-TLIF Studies Eligible for Analysis

From: Minimally invasive versus open Transforaminal lumbar Interbody fusion in obese patients: a meta-analysis

Study

Complication(s)

Measures of Functional and Pain Outcomes

Operative Time (min),Blood Loss(ml), LOS (d),and Postoperative drainage(ml)

MI-TLIF

Open-TLIF

MI-TLIF

Open-TLIF

MI-TLIF

Open-TLIF

Adogwa [24], USA

5(2 surgical-site infection; 1 Spinal cord/nerve root injury; 1 Durotomy;1 Hardware failure)

12(1 surgical-site infection;

1 Spinal cord/nerve root injury;

9 Durotomy;1 adjacent segment disease)

BP-VAS(1 year,2 year) = 2.62 ± 3.82,2.42 ± 3.81;

LP-VAS(1 year,2 year) = 3.35 ± 4.77,3.77 ± 4.53;

ODI(1 year,2 year) = 17.09 ± 26.73,11.61 ± 25.52

BP-VAS(1 year,2 year) = 3.50 ± 3.70,2.33 ± 3.67;

LP-VAS(1 year,2 year) = 3.03 ± 4.34,2.67 ± 4.10;

ODI(1 year,2 year) = 18.43 ± 22.41,14.88 ± 22.1

NP

NP

Wang [16], China

0

3(2 fat liquefaction;1 infection)

BP-VAS(3mo,6mo) = 1.6 ± 0.9,1.0 ± 0.4;

ODI(3mo,6mo) = 19.9 ± 3.0,17.1 ± 2.3

BP-VAS(3mo,6mo) = 2.4 ± 1.2,1.8 ± 0.5;

ODI(3mo,6mo) = 20.8 ± 1.0,16.5 ± 2.2

Time = 152 ± 56; BL = 136 ± 18; LOS = 4.7 ± 1.2; PD = 52 ± 10

Time = 103 ± 31; BL = 364 ± 23; LOS = 8.6 ± 3.1; PD = 375 ± 26

Zhang [30], China

2fat liquefaction

2fat liquefaction

BP-VAS(5d) = 2.11 ± 1.25; LP-VAS(5d) = 1.86 ± 1.11; ODI (5d) = 15.9 ± 1.23

BP-VAS(5d) = 2.8 ± 1.6;

LP-VAS(5d) = 2.3 ± 1.9;

ODI (5d) = 2.4 ± 1.1

Time = 118 ± 26; BL = 126 ± 49; LOS = 6 ± 2.7

Time = 188 ± 41; BL = 430 ± 76; LOS = 10 ± 4.2

Mao [26], China

3fat liquefaction

3(1dural laceration,2fat liquefaction)

BP-VAS(5d,3mo,6mo) = 2.09 ± 1.23, 1.39 ± 0.23, 0.39 ± 0.13;

LP-VAS(5d,3mo,6mo) = 1.78 ± 1.03,1.09 ± 1.03, 0.46 ± 0.21;

ODI(5d,3mo,6mo) = 27.3 ± 3.01, 15.9 ± 1.23, 7.2 ± 0.98

BP-VAS(5d,3mo,6mo) = 2.6 ± 1.40, 1.78 ± 0.33, 1.09 ± 0.13;

LP-VAS(5d,3mo,6mo) = 2.3 ± 1.90,1.79 ± 0.23, 0.89 ± 0.12;

ODI(5d,3mo,6mo) = 30.2 ± 2.01, 18.2 ± 2.21, 12.2 ± 0.92

Time = 120 ± 28.26; BL = 110.83 ± 50.51; LOS = 5 ± 2.5

Time = 200 ± 43.05; BL = 420 ± 86; LOS = 9.3 ± 3.4

Wang [28], China

4(2 Superficial wound infection 2 Dural tear)

7(4 Superficial wound infection

3 Dural tear)

BP-VAS (1 day,30mo) = 1.5 ± 0.7, 1.3 ± 0.6;

ODI (30mo) = 18.2 ± 5.9

BP-VAS (1 day,30mo) = 3.8 ± 1.4, 1.3 ± 0.6;

ODI (30mo) = 17.4 ± 7.1

Time = 127 ± 25; BL = 274 ± 99; PD = 52 ± 23

Time = 168 ± 37; BL = 645 ± 163; PD = 190 ± 84

Terman [27], USA

9(1 cardiopulmonary; 2 durotomy; 1 K-wire fracture;  2 urinary tract infection; 1pneumonia;1 ileus; 1 urinary retention)

11(3durotomy; 5 excessive blood loss; 1 seroma; 1 wound infection;1 urinary retention)

BP-VAS (30mo) = 2.4 ± 2.35; ODI (30mo) = 15 ± 23.3

BP-VAS (30mo) = 2.8 ± 2.087;ODI (30mo) = 13 ± 21.969

Time = 100 ± 25; LOS = 2 + 0.5;

Time = 550 ± 175;LOS = 3.25 + 0.25;

Lau [25], USA

9(2 durotomy 1 fractured K-wire in L-5 vertebral body 1 wound dehiscence atrial fbrillation w/ rapid ventricular 1response 2 UTI(urinary tract infection) 1 tachycardia associated w/ respiratory failure 1 deep vein thrombosis)

14(8 durotomy 1valium w/drawal 1development of seroma 1reoperation for screw revision 1 UTI(urinary tract infection) 1 tachycardia associated w/ respiratory failure; 1 wound infection)

NP

NP

BL = 168.6 ± 162.1; LOS = 3.1 ± 1.7;

BL = 661.0 ± 561.3; LOS = 4.7 ± 2.1

  1. BP-VAS Back pain-visual analog scale, LP-VAS Leg pain-visual analog scale, ODI Oswestry disability index, BL Blood Loss, LOS Length of stay, PD Postoperative drainage, MI-TLIF Minimally invasive transforaminal lumbar interbody fusion surgery, Open-TLIF Open transforaminal lumbar interbody fusion surgery, NP Not provided