Our Summary

This study compared two types of surgeries used to treat a single-level lumbar degenerative disease, an illness which affects the lower back. The surgeries compared were Full-Endoscopic Lumbar Interbody Fusion (FE-LIF) and Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF).

The researchers found that both surgeries were safe as none of the patients experienced clear complications. However, FE-LIF had a higher exposure to radiation, took longer to perform, but caused less bleeding than MIS-TLIF.

After the surgery, patients from both groups reported significant relief from lower back and leg pain. Their disability scores, which measure how much a person’s disability affects their ability to manage everyday activities, improved greatly after the surgery.

A year after the surgery, the sensory and motor functions of nerve roots had significantly improved in both groups. The rate of fusion, which refers to the process of bones joining together, was better in the FE-LIF group.

In conclusion, while both surgeries were effective and minimally invasive, FE-LIF had a longer operation time and a higher level of radiation exposure.

FAQs

  1. What were the two types of surgeries compared in the study for treating single-level lumbar degenerative disease?
  2. What were the main differences between the Full-Endoscopic Lumbar Interbody Fusion (FE-LIF) and Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF)?
  3. Did the patients experience any improvements in their sensory and motor functions post-surgery?

Doctor’s Tip

However, it also resulted in less bleeding and a higher rate of fusion. It is important for patients to discuss with their doctor the benefits and risks of each surgery option to determine the best course of treatment for their specific condition. Additionally, patients should follow their doctor’s post-operative instructions carefully to ensure a successful recovery and optimal outcome.

Suitable For

Patients with single-level lumbar degenerative disease who are experiencing significant lower back and leg pain, have not responded to conservative treatments such as physical therapy or medication, and have good overall health may be recommended lumbar fusion surgery. The decision to undergo lumbar fusion should be made in consultation with a healthcare provider after a thorough evaluation of the individual’s condition and treatment options.

Timeline

Additionally, FE-LIF showed better fusion rates compared to MIS-TLIF. However, both surgeries resulted in significant pain relief and improved functionality in patients with lumbar degenerative disease. It is important for patients to discuss with their healthcare provider the best surgical option for their specific condition and needs.

What to Ask Your Doctor

Some questions a patient should ask their doctor about lumbar fusion include:

  1. What are the potential risks and complications associated with the surgery?
  2. How long will the recovery process take and what can I expect in terms of pain management?
  3. What is the success rate of this type of surgery for my specific condition?
  4. Will I need physical therapy or rehabilitation after the surgery?
  5. How long will I need to be off work or limit my activities following the surgery?
  6. Are there any alternative treatment options available to me?
  7. How often will I need to follow-up with you after the surgery?
  8. Will I need any additional imaging tests or procedures after the surgery to monitor my progress?
  9. What should I do if I experience any complications or unexpected symptoms after the surgery?
  10. Can you explain the differences between FE-LIF and MIS-TLIF and why one may be more suitable for my condition than the other?

Reference

Authors: Wang JC, Cao Z, Li ZZ, Zhao HL, Hou SX. Journal: World Neurosurg. 2022 Sep;165:e457-e468. doi: 10.1016/j.wneu.2022.06.083. Epub 2022 Jun 22. PMID: 35752422