Citation: jianzhong jiang, bs, fengping gan, ms, haitao tan, md, zhaolin xie, bs, xiang luo, ms, guoxiu huang, ms, yin li, ms, shengbin huang, ms, effect of computer navigation-assisted minimally invasive direct lateral interbody fusion in the treatment of patients with lumbar tuberculosis, medicine (2018) 97:48, http://dx.Doi.Org/10.1097/md.0000000000013484.Summary: the benefits of navigation-assisted technologies are not entirely understood.Therefore, this study aimed to examine the outcomes of patients with lumbar tuberculosis who received computer navigation-assisted minimally invasive direct lateral interbody fusion (dlif).This was a (b)(6) study of 33 patients with lumbar tuberculosis who underwent minimally invasive dlif at the department of spine and orthopedics of guigang people¿s hospital (guangxi, china) between (b)(6) 2015 and (b)(6) 2016.The patients were p athologically diagnosed as lumbar tuberculosis and grouped into the navigation-assisted fluoroscopy (nav; n = 18) and non-navigation-assisted fluoroscopy (non-nav; n = 15) groups.X-ray exposure and operation times were assessed in all patients.All surgical procedures were successfully completed.No case was converted into open surgery.The nav group had longer surgical preparation time but shorter operation time compared with the non-nav group (both p <(><<)>.01).Total operation time showed no significant difference between the 2 groups (p =.1).The time of radiation exposure in the non-nav group was longer compared with that of the nav group (53.2 ± 9.9 vs 13.5 ± 2.6 s; p <(><<)>.01).There were no significant differences regarding intraoperative blood loss, postoperative drainage volume, length of hospital stay, bone fusion and complications between the 2 groups (all p >.05).Computer navigation-assisted minimally invasive dlif could significantly reduce intraoperative radiation exposure, with no increase in total operation time.Reported events: two patients had anterior numbness of the ipsilateral thigh and five patients felt weak when flexing the hip.These patients received physiotherapy, acupuncture, and neurotrophic drugs, and recovered within 1 to 3 months of the surgery.
|