Comparison of PLIF and TLIF in the Treatment of LDH Complicated with Spinal Stenosis

Author:

Fang Xinbo1ORCID,Zhang Mingjie2ORCID,Wang Lili3ORCID,Hao Zhengke4ORCID

Affiliation:

1. Department of Neurosurgery, Zibo Central Hospital, Zibo 255000, China

2. Department of Orthopaedics and Traumatology, Qingdao Hospital of Traditional Chinese Medicine, Hiser Medical Group of Qingdao, Qingdao 266033, China

3. Department of Critical Care Medicine, The Affiliated Qingdao Central Hospital of Qingdao University, The Second Affiliated Hospital of Medical College of Qingdao University, Qingdao 266042, China

4. Department of Orthopeadic Surgery, Caoxian People’s Hospital, Heze 274400, China

Abstract

Objective. The purpose was to compare the clinical effects of posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) in the treatment of lumbar disc herniation (LDH) complicated with spinal stenosis. Methods. 96 LDH patients complicated with spinal stenosis treated in our hospital (April 2018–April 2020) were chosen as the subjects, and split into the PLIF group and the TLIF group according to different surgical approaches, with 48 cases in each group. The clinical effects of the two groups were compared. Results. There was no significant difference in hospitalization time between the two groups (P>0.05). Compared with the PLIF group, the TLIF group had obviously shorter operation time and greatly lesser intraoperative blood loss (P<0.05). The Numerical Rating Scale (NRS) scores of lower limb pain and low back pain in the two groups at 3 months after surgery were significantly lower than those before surgery (P<0.001). The Japanese Orthopaedic Association (JOA) scores of the two groups at 3 months after surgery were significantly higher than those before surgery (P<0.001). The Spitzer Quality of Life Index (SQLI) scores of the two groups at 3 months after surgery were significantly higher than those before surgery (P<0.001). Conclusion. The two surgical approaches have similar efficacy in treating LDH complicated with spinal stenosis. However, PLIF is better than TLIF in terms of operation time and intraoperative blood loss, which should be adopted as the preferred surgical scheme.

Publisher

Hindawi Limited

Subject

Health Informatics,Biomedical Engineering,Surgery,Biotechnology

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