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Surgical Outcomes of Minimally Invasive Transforaminal Lumbar Interbody Fusion for Highly Migrated Lumbar Disc Herniation

Authors
  • Wang, Anqi1
  • Yu, Zhengrong1
  • 1 Department of Orthopedics, Peking University First Hospital, Beijing
Type
Published Article
Journal
Journal of Pain Research
Publisher
Dove Medical Press
Publication Date
Jun 04, 2021
Volume
14
Pages
1587–1592
Identifiers
DOI: 10.2147/JPR.S303930
PMID: 34113166
PMCID: PMC8187084
Source
PubMed Central
Keywords
Disciplines
  • Original Research
License
Unknown

Abstract

Objective To describe minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for highly migrated lumbar disc herniation (LDH) and assess its clinical outcomes. Patients and Methods This research retrospectively assessed 25 patients who were diagnosed with one-segmental highly migrated LDH and underwent MIS-TLIF in Peking University First Hospital from June 2015 to September 2019. Demographic data, perioperative parameters, complications, recurrence, and surgical outcomes were assessed. Results Twelve males and 13 females, with a mean age of 56.68 years old, were involved and the follow-up period was at least one year. The mean operation time was 222.16 minutes, the mean intraoperative hemorrhage was 250.00 mL, and the mean post-operative hospitalization was 5.76 days. The improvements in visual analog scale (VAS) and Oswestry disability index (ODI) were statistically significant. In addition, based on the MacNab criteria, 22 patients (88.0%) acquired satisfactory (good or excellent) results. One patient underwent post-operative epidural hematoma and recovered after evacuation of the hematoma. No recurrence was found. Conclusion MIS-TLIF is safe and effective and it can provide satisfactory clinical outcomes for highly migrated LDH.

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