Skip to main content

Advertisement

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