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Minimally invasive lateral lumbar intervertebral fusion vs traditional anterior approach for localized lumbar tuberculosis: A matched-pair case control study

The Spine Journal Nov 06, 2019

Yang X, et al. - In this retrospective case-control study of a total of 60 persons with single-level localized lumbar tuberculosis, researchers assessed the clinical, radiological, and functional outcomes of lateral lumbar intervertebral fusion (LLIF) vs the traditional anterior approach for treating localized lumbar tuberculosis. In the LLIF group vs the traditional group, incision length, operation time, and blood loss were significantly less. In both groups, a comparable improvement in segmental lordosis following the operation was discovered. No important variation between the two groups in neurological recovery, blood infection markers (ESR, CRP), functional outcome, or fusion rate was noted, except for the postoperative VAS score, which was significantly lower in the LLIF group vs the traditional group. In the traditional group got a transfusion, four individuals and four had a superficial wound infection, while no person in the LLIF group got a transfusion or encountered any infection, nevertheless, between the two groups, the variation was not statistically important. Hence, for treating persons with localized lumbar tuberculosis, both LLIF and traditional anterior surgery are adequate, however, the LLIF approach leads to significantly quicker operation time and less blood loss.
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