PMID- 33065349
OWN - NLM
STAT- MEDLINE
DCOM- 20210603
LR  - 20210603
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 145
DP  - 2021 Jan
TI  - Clinical Results and Complications of Endoscopic Lumbar Interbody Fusion for 
      Lumbar Degenerative Disease: A Meta-Analysis.
PG  - 396-404
LID - S1878-8750(20)32225-7 [pii]
LID - 10.1016/j.wneu.2020.10.033 [doi]
AB  - BACKGROUND: Although endoscopic transforaminal lumbar interbody fusion (TLIF) may 
      combine the advantages of minimally invasive fusion and endoscopic spine surgery, 
      little evidence exists on endoscopic TLIF. This meta-analysis investigated the 
      clinical results of endoscopic TLIF. METHODS: We performed a systematic search of 
      Web-based electronic databases to identify articles on endoscopic lumbar 
      interbody fusion. Only studies of water-based endoscopic TLIF with pedicle screw 
      fixation were included. We analyzed preoperative and postoperative scores for the 
      Oswestry Disability Index (ODI) and visual analog scales (VASs) for back and leg 
      pain to evaluate clinical efficacy. The minimal clinically important difference 
      (MCID) of VAS and ODI was analyzed. We calculated differences in means and 95% 
      confidence intervals and investigated indications for endoscopic TLIF, surgical 
      approaches for endoscopic TLIF, the endoscopic systems that were used, and 
      procedure-related complications. RESULTS: Thirteen articles were included in this 
      meta-analysis. Uniportal and biportal endoscopic systems were used. Six articles 
      used the posterolateral approach and 7 used the trans-Kambin approach. 
      Preoperative ODI and VAS scores for leg and back pain significantly improved 
      after endoscopic TLIF with percutaneous pedicle screw fixation (P = 0.00). The 
      ODI significantly improved by twice as much as the MCID. The mean change in the 
      VAS for back and leg pain showed significant improvements over the MCID. The 
      perioperative complications were usually minor. CONCLUSIONS: The early clinical 
      results of endoscopic TLIF with percutaneous pedicle screw fixation are 
      favorable. However, long-term outcomes should be investigated and randomized 
      controlled trials should be conducted.
CI  - Copyright (c) 2020. Published by Elsevier Inc.
FAU - Heo, Dong Hwa
AU  - Heo DH
AD  - Department of Neurosurgery and Orthopedics, Endoscopic Spine Surgery Center, 
      Seoul Bumin Hospital, Seoul, South Korea.
FAU - Lee, Dong Chan
AU  - Lee DC
AD  - Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Anyang, South 
      Korea. Electronic address: surgicel@hanmail.net.
FAU - Kim, Hyeun Sung
AU  - Kim HS
AD  - Department of Neurosurgery, Gangnam Nanoori Hospital, Seoul, South Korea.
FAU - Park, Choon Keun
AU  - Park CK
AD  - Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Anyang, South 
      Korea.
FAU - Chung, Hungtae
AU  - Chung H
AD  - Department of Neurosurgery and Orthopedics, Endoscopic Spine Surgery Center, 
      Seoul Bumin Hospital, Seoul, South Korea.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
DEP - 20201013
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Endoscopy/*methods
MH  - Humans
MH  - Intervertebral Disc Degeneration/*surgery
MH  - Lumbar Vertebrae/surgery
MH  - Minimally Invasive Surgical Procedures/methods
MH  - Spinal Fusion/*methods
OTO - NOTNLM
OT  - Endoscopy
OT  - Fusion
OT  - Lumbar
OT  - Lumbar degenerative disease
OT  - Minimally invasive surgery
OT  - Transforaminal
EDAT- 2020/10/17 06:00
MHDA- 2021/06/04 06:00
CRDT- 2020/10/16 20:11
PHST- 2020/08/17 00:00 [received]
PHST- 2020/10/04 00:00 [revised]
PHST- 2020/10/05 00:00 [accepted]
PHST- 2020/10/17 06:00 [pubmed]
PHST- 2021/06/04 06:00 [medline]
PHST- 2020/10/16 20:11 [entrez]
AID - S1878-8750(20)32225-7 [pii]
AID - 10.1016/j.wneu.2020.10.033 [doi]
PST - ppublish
SO  - World Neurosurg. 2021 Jan;145:396-404. doi: 10.1016/j.wneu.2020.10.033. Epub 2020 
      Oct 13.