A cross-sectional study of MIS TLIF in treatment of spondylolisthesis: initial good results from 92 Vietnamese patients.

Autor:	Nguyen LH; Department of Spinal Surgery Vietduc University Hospital.; University of Medicine and Pharmacy, Vietnam National University., Manh Do H; Department of Spinal Surgery Vietduc University Hospital., Pham PH; Department of Spinal Surgery Vietduc University Hospital., Bui HM; Department of Spinal Surgery Vietduc University Hospital.; University of Medicine and Pharmacy, Vietnam National University., Duong AT; Department of Neurosugery, Vinh Phuc General Hospital, Vinh Phuc, Vietnam., Nguyen KM; Insitute of Orthopaedic and Trauma Surgery Vietduc University Hospital.; University of Medicine and Pharmacy, Vietnam National University., Dinh SN; Department of Spinal Surgery Vietduc University Hospital.; Hanoi Medical University., Doan HT; Bach Mai Hospital, Hanoi., Nguyen TL; Department of Spinal Surgery Vietduc University Hospital.; Insitute of Orthopaedic and Trauma Surgery Vietduc University Hospital.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 May 08; Vol. 85 (6), pp. 2518-2521. Date of Electronic Publication: 2023 May 08 (Print Publication: 2023).
DOI:	10.1097/MS9.0000000000000746
Abstrakt:	Minimally invasive transforaminal lumbar interbody fusion has proven effectiveness in treating spondylolisthesis, but there were few reports applying the technique from scarce resourcing developing countries. In this study, the authors report the results and share our experience of minimally invasive spinal transforaminal lumbar interbody fusion in spondylolisthesis treatment in Vietnamese patients. Materials and Methods: In this study, the authors enroled 92 patients diagnosed with single-level, grade I or grade II lumbar spondylolisthesis from January 2019 to October 2022. Results: The median age in our study was 47.79±12.61 (range 15-75), the male/female ratio was 1/2.3. The mean disease duration was 28.57 months. Conventional X-ray images showed that there were 74 patients (80.43%) with spondylolisthesis grade I, 18 patients (19.57%) with grade II. Spondylolisthesis occured mainly in L4-L5 with 53 patients (57.61%). The isthmic sign was recorded in 16 patients (31.4%). The mean blood loss was 149.46 ml. Patients walked on average of 3.22 days after surgery. VAS score reduced significantly in both back and leg. Spinal function improved significantly with a preoperative Owestry Disability Index of 48.18% decrease to 15.18% 12 months after surgery. The surgical results were good and excellent at 95.00% after 12 months of surgery according to Macnab scale. The fusion rate reached 97.50%. Conclusions: The results of this Macnab's classification study show that minimally invasive spinal transforaminal lumbar interbody fusion is an effective treatment for spondylolisthesis with less pain, less blood loss after surgery, and high fusion rate. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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