1
|
Dave BR, Marathe N, Mayi S, Degulmadi D, Rai RR, Patil S, Jadav K, Bali SK, Kumar A, Meena U, Parmar V, Amin P, Dave M, Krishnan PA, Krishnan A. Does Conventional Open TLIF cause more Muscle Injury when Compared to Minimally Invasive TLIF?-A Prospective Single Center Analysis. Global Spine J 2024; 14:93-100. [PMID: 35442112 PMCID: PMC10676181 DOI: 10.1177/21925682221095467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
STUDY DESIGN Prospective, observational. OBJECTIVES The aim of our study was to assess the amount of reduction in lean muscle mass (LMM) of multifidus muscle (MFM) between conventional open Transforaminal lumbar interbody fusion (CO-TLIF) as compared to Minimally invasive spine Transforaminal lumbar interbody fusion (MIS-TLIF). METHODS This study was conducted between 2017 and 2020. It included 100 patients divided into two groups, 50 patients treated with CO-TLIF, 50 treated with MIS-TLIF. Only patients undergoing single level, primary lumbar fusion at L4-5 or L5-S1 level for degenerative pathologies were included. All patients were assessed by magnetic resonance imaging (MRI) scans 1-year post surgery. Measurements were performed using ImageJ image processing program. RESULTS Mean percentage reduction in LMM in CO-TLIF group was 45.52 ± 12.36% and MIS-TLIF group was 25.83 ± 9.64% [statistically significant (t = 8.78, P < .001)]. Mean percentage reduction in LMM on side of cage insertion was 39.63 ± 15.96% and opposite side was 31.40 ± 15.01% [statistically significant (t = 9.06, P < .001)]. Mean reduction of LMM among males was 29.38 ± 15.23% and females was 40.42 ± 12.67% [statistically significant (t = -3.95, P < .001)].We observed significant but weak degree of correlation between age and percentage reduction of LMM (r = .22, P = .028). CONCLUSION Mean reduction in LMM was greater in CO-TLIF group as compared to MIS-TLIF. There was greater reduction in LMM in females and on side of cage insertion. We also found greater reduction in LMM with increasing age in both groups.
Collapse
Affiliation(s)
- Bharat R. Dave
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Nandan Marathe
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Shivanand Mayi
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | | | - Ravi Ranjan Rai
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Sameer Patil
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Kirit Jadav
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Shiv K. Bali
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Arvind Kumar
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Umesh Meena
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Vatsal Parmar
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Prarthan Amin
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | - Mirant Dave
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| | | | - Ajay Krishnan
- Stavya Spine Hospital & Research Institute, Ahmedabad, Gujarat, India
| |
Collapse
|