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| Effect of Wiltse Approach for Transforaminal Lumbar Interbody Fusion in the Treatment of Degenerative Change of Lumbar Intervertebral Disc |
| FENG Shuai |
| First-author's address: China Aerospace Science and Industry Group 731 Hospital, Beijing 100074, China |
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Abstract Objective: To investigate the effect of Wiltse approach for transforaminal lumbar interbody fusion in the treatment of degenerative change of lumbar intervertebral disc. Method: A total of 100 patients with degenerative change of lumbar intervertebral disc admitted to China Aerospace Science and Industry Group 731 Hospital from January 2019 to November 2022 were divided into two groups according to random number table method. The control group (n=50) was treated with traditional approach for transforaminal lumbar interbody fusion, while the observation group (n=50) was treated with Wiltse approach for transforaminal lumbar interbody fusion. The intraoperative bleeding volume, postoperative drainage, postoperative hospitalization time, before and after treatment of lumbar and lower limb pain [visual analogue scale (VAS)], functional status [Oswestry dysfunction index (ODI)] and lumbar related parameters (intervertebral space height and lumbar lordosis) were compared between the two groups. Result: The intraoperative bleeding volume and postoperative drainage in the observation group were significantly less than those in the control group, and the postoperative hospitalization time was significantly shorter than that in the control group, the differences were statistically significant (P<0.05). There were no significant differences in VAS scores, ODI and lumbar related parameters between the two groups before operation (P>0.05). 1 and 3 months after operation, the VAS scores of lumbar vertebrae and lower limb and ODI in the observation group were significantly better than those in the control group, and the related parameters of lumbar vertebrae were significantly higher than those in the control group, the differences were statistically significant (P<0.05). Conclusion: Wiltse approach for transforaminal lumbar interbody fusion is effective in the treatment of degenerative change of lumbar intervertebral disc, which can significantly improve the lumbar function and vertebral body parameters of patients and accelerate postoperative rehabilitation.
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Received: 10 April 2023
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