Realizable Minimally Invasive 1-Day Lumbar Interbody Fusion Surgery: No General Anesthesia, No Hemovac Insertion, No Skin Suture Surgery, and Early Ambulation

Abstract

Objective The lumbar interbody fusion surgery, patients commonly have severe pain, requiring adequate bed rest for a long time. We performed a 1-day minimally invasive spine (MIS) lumbar interbody fusion that required no hemovac insertion and no skin suture and led to early ambulation. Here, we report the surgical procedure and results. Methods This study was designed as a retrospective review. From January 2013 to August 2014, 49 patients who received the MIS TLIF for 1-day MIS lumbar interbody fusion surgery were included in this study. The surgical procedures performed were as follows: (1) epidural catheter insertion; (2) midline subdermal dissection procedure; (3) MIS TLIF; (4) bleeding control procedure; (5) percutaneous transpedicular screwing; (6) tight subdermal plan suture; (7) skin sealing procedures. Postoperatively, wound dressing was not needed. Epidural catheter was removed on the second day after the operation. Results Average intraoperative bleeding was 128.6 mL per level. The average operation time was 78.9 min. per level. An average midline skin incision was 2.8 cm per level. The possible ambulation time was 0.94±0.88 day. The discharge time after antibiotic injection for 3 days was 4.88±1.51 days. In the corresponding order of preoperative and immediate postoperative, 3-month, 6-month, and final follow-up, Postoperative VAS (back), VAS (leg) and ODI improved significantly immediate postoperatively (p<0.0001). Postoperatively, there was no cases of revision due to hematoma. Conclusion The results indicated good clinical results of the 1-day minimally invasive lumbar interbody fusion surgery, without any serious complications