Imaging indicators and fusion analysis of percutaneous endoscopic posterior lumbar interbody fusion and modified posterior lumbar interbody fusion for the treatment of lumbar degenerative diseases
Year: 2025
Type: article
Abstract: Background: Although numerous studies have confirmed percutaneous endoscopic posterior lumbar interbody fusion (PE-PLIF) as a safe and effective minimally invasive technique for lumbar degenerative diseases (LDDs), existing research primarily focuses on clinical outcomes and involves limited imaging analysis. This study aimed to quantitatively compare PE-PLIF and modified posterior lumbar interbody fusion (MPLIF) through comprehensive radiographic evaluation and clinical outcomes. Methods: ), and bone graft range were recorded and compared for each patient during the preoperative period, the first postoperative review, and the final follow-up. Additionally, the fusion rates, operative time, intraoperative blood loss (IBL), time to ambulation post-surgery, length of postoperative hospital stay, and complications were compared between the two groups at 3 and 6 months postoperatively. Results: , P=0.004), and the average operation time was significantly longer than that of the MPLIF group (P<0.001). However, the IBL was significantly less than that in the MPLIF group (P<0.001). The postoperative bed rest time in the PE-PLIF group was significantly shorter than that in the MPLIF group (P<0.001). The postoperative hospital stay in the PE-PLIF group was significantly shorter than that in the MPLIF group (P<0.001). Both procedures were completed successfully with no major complications. Conclusions: PE-PLIF demonstrates superior efficacy over MPLIF in restoring intervertebral height and stability, with advantages including reduced blood loss, better endplate preservation, reliable fusion rates, and faster recovery. These findings suggest that PE-PLIF is a safer, more effective minimally invasive option for LDD treatment, and further validation is warranted.
Authors: Jin Tang, Jianing Wang, Tao Li, Siyu Wang, Zhengping Liu, Xue Du, Xiaokun Wang, Wei Xie, Jinfeng Hu, Xugui Li
Language: English
Subfield: Pathology and Forensic Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413369381