Minimally Invasive Spine Lumbar Surgery in Obese Patients: A Systematic Review and Meta-Analysis.

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
Yahya A OthmanSheeraz Qureshi

Abstract

Transforaminal lumbar interbody fusion (TLIF) is the treatment of choice for lumbar spinal stenosis and spondylolisthesis. The procedure can be performed through a traditional open approach (O-TLIF) or through minimally invasive techniques (MI-TLIF). Spinal surgeries in obese patients can pose risks, including increased rates of infection and thromboembolic events. We sought to systematically review the literature on the differences between MI-TLIF and O-TLIF in the obese patient in terms of complication rate, functional outcomes, blood loss, and length of hospital stay. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to systematically search PubMed, Embase, Web of Science, and the Cochrane Library for studies published through February 2019 and identified those comparing the outcomes of O-TLIF and MI-TLIF in obese patients. The primary outcome was complication rate (total, infections, dural tears); secondary outcomes were blood loss, length of hospital stay, and functional scores. Two authors independently reviewed the studies using the Newcastle-Ottawa Scale, and data were pooled using the Mantel-Haenszel random-effects model. In the sample of 430 patients, the average age wa...Continue Reading

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Citations

Jan 22, 2022·Global Spine Journal·Abduljabbar AlhammoudSheeraz A Qureshi

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