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- Title
Does Conventional Open TLIF cause more Muscle Injury when Compared to Minimally Invasive TLIF?—A Prospective Single Center Analysis.
- Authors
Dave, Bharat R.; Marathe, Nandan; Mayi, Shivanand; Degulmadi, Devanand; Rai, Ravi Ranjan; Patil, Sameer; Jadav, Kirit; Bali, Shiv K.; Kumar, Arvind; Meena, Umesh; Parmar, Vatsal; Amin, Prarthan; Dave, Mirant; Krishnan, Preety Ajay; Krishnan, Ajay
- 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.
- Subjects
MUSCLE injuries; MUSCLE mass; LEAN body mass; MAGNETIC resonance imaging; IMAGE processing
- Publication
Global Spine Journal, 2024, Vol 14, Issue 1, p93
- ISSN
2192-5682
- Publication type
Article
- DOI
10.1177/21925682221095467