Background
Methods
Retrieval strategy
Selection criteria
Data extraction
Study outcomes
Quality assessment
Statistical analysis
Results
Study selection
Characteristics of trials
Study | Study | No. of patients | Mean follow | Meanage | Gender (% male) | Mean BMI (kg/m2) | Diagnosis | NOS score |
---|---|---|---|---|---|---|---|---|
design | (MI: Open) | up (mo) | (y) (MI: Open) | (MI: Open) | (MI: Open) | |||
Adogwa [24], USA | retrospective cohort study | 40/108 | 24 | 56.62/56.12 | 50/47 | 34.48/35.63 | DDD, Spondylolisthesis | 7 |
Wang [29], China | retrospective cohort study | 35/37 | 6 | 51.3/52.3 | 54/68 | 34.8/33.7 | LDP | 6 |
Lau [25], USA | retrospective cohort study | 78/49 | NP | 50.5/57.4 | 46.2/42.1 | 36.9/37.2 | spondylolisthesis, DDD, LDH, stenosis, deformity | 7 |
Wang [28], China | prospective cohort study | 42/39 | 36.1 | 56.4/54.2 | 69.1/69.2 | 29.5/28.3 | spondylolisthesis, | 6 |
Terman [27], USA | retrospective cohort study | 53/21 | 30 | 52.4/58.2 | 45/62 | 35.2/33.8 | spondylolisthesis, DDD, stenosis, LDH | 7 |
Zhang [30], China | retrospective cohort study | 32/24 | 6 | 42/45 | 41/39 | 31.3/33.2 | LDH | 5 |
Mao [26], China | retrospective cohort study | 46/33 | 6 | 40.8/43.3 | 41.3/36.3 | 32.8/33.6 | LDH | 5 |
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 |