Minimally invasive surgery for low-grade spondylolisthesis: percutaneous endoscopic or oblique lumbar interbody fusion

J Comp Eff Res. 2020 Jun;9(9):639-650. doi: 10.2217/cer-2020-0022. Epub 2020 Jun 18.

Abstract

Aim: To compare the clinical and radiographic outcomes of percutaneous endoscopic-assisted lumbar interbody fusion (PELIF) versus oblique lumbar interbody fusion (OLIF) for the treatment of symptomatic low-grade lumbar spondylolisthesis. Material & methods: The clinical and radiographic records of 48 patients underwent single-level minimally invasive lumbar fusion with a PELIF (n = 16) or OLIF (n = 32) were reviewed. Results: The clinical and radiographic outcomes were similar in both groups. PELIF procedure exhibited superior capability of the enlargement of foraminal width, but inferior capability of the restoration of foraminal height than OLIF procedure. Conclusion: PELIF minimizes the iatrogenic damages and perioperative risks to a great extent, and seems to be a promising option for the treatment of symptomatic low-grade lumbar spondylolisthesis.

Keywords: comparative effectiveness research; low-grade lumbar spondylolisthesis; oblique lumbar interbody fusion; percutaneous endoscopic interbody fusion.

MeSH terms

  • Aged
  • Anesthesia, Epidural
  • Comparative Effectiveness Research
  • Endoscopy
  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / surgery*
  • Magnetic Resonance Imaging
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods*
  • Spinal Fusion / methods*
  • Spondylolisthesis / diagnostic imaging
  • Spondylolisthesis / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome