A Systematic Review of Complications Following Minimally Invasive Spine Surgery Including Transforaminal Lumbar Interbody Fusion
- PMID: 31302861
- PMCID: PMC6684700
- DOI: 10.1007/s12178-019-09574-2
A Systematic Review of Complications Following Minimally Invasive Spine Surgery Including Transforaminal Lumbar Interbody Fusion
Abstract
Purpose of review: To assess complications after minimally invasive spinal surgeries including transforaminal lumbar interbody fusion (MI-TLIF) by reviewing the most recent literature.
Recent findings: Current literature demonstrates that minimally invasive surgery (MIS) in spine has improved clinical outcomes and reduced complications when compared with open spinal procedures. Recent studies describing MI-TLIF primarily for degenerative disk disease, spondylolisthesis, and vertebral canal stenosis cite over 89 discrete complications, with the most common being radiculitis (ranging from 2.8 to 57.1%), screw malposition (0.3-12.7%), and incidental durotomy (0.3-8.6%). Minimally invasive spine surgery has a distinct set of complications in comparison with other spinal procedures. These complications vary based on the exact MIS procedure and indication. The most frequently documented MI-TLIF complications in current published literature were radiculitis, screw malposition, and incidental durotomy.
Keywords: Complications; Minimally invasive; Spine; Systematic review; Transforaminal lumbar interbody fusion (TLIF).
Conflict of interest statement
Hannah Weiss, Roxanna Garcia, Ben Hopkins, Nathan Shlobin, and Nader Dahdaleh declare that they have no conflict of interest.
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References
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- Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from US national surveys, 2002. Spine. 2006;31:2724–2727. doi: 10.1097/01.brs.0000244618.06877.cd. - DOI - PubMed
-
- Khan NR, et al. Surgical outcomes for minimally invasive vs open transforaminal lumbar interbody fusion: an updated systematic review and meta-analysis. Neurosurgery. 77:847–74 discussion 874 (2015). - PubMed
-
- Xie L, Wu W-J, Liang Y. Comparison between Minimally Invasive Transforaminal Lumbar Interbody Fusion and Conventional Open Transforaminal Lumbar Interbody Fusion: An Updated Meta-analysis. Chin Med J. 2016;129:1969–86 This recent meta-analysis provides one of the most updated reviews of the literature on open-TLIF vs MIS-TLIF. The findings indicated that MIS-TLIF has fusion rates similar to open-TLIF, but with better functional outcome, decreased blood loss, decreased time to ambulation, and decreased length of hospital stay when compared with patients undergoing open-TLIF. - PMC - PubMed
-
- Maroon JC. Current concepts in minimally invasive discectomy. Neurosurgery. 2002;51(supplement 2):S137–S145. - PubMed
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