Minimally invasive tubular decompression had significant improvements compared to conventional open laminectomy for lumbar spinal stenosis, according to systematic review study published in Scientific Reports.
Seven things to know:
1. Researchers conducted a systematic review and focused on adult patients with lumbar spinal stenosis. They compared MIS tubular decompression with traditional open laminectomy decompression.
2. Reviewers included nine studies comprising 10 cohorts and 2,860 total patients.
3. The analysis found that minimally invasive spine surgery was associated with a significant reduction in overall complications. Other advantages were significantly lower surgical site infections.
4. Five studies suggested lower risks of dural tears in minimally invasive spine patients, but the difference didn’t reach statistical significance.
5. Reoperation rates over seven studies didn’t show significant differences.
6. Perioperative outcomes demonstrated significantly lower estimated blood loss in minimally invasive spine patients, along with shorter hospital lengths of stay.
7. The study concluded that “MI tubular decompression surgery offers significant perioperative advantages over conventional open laminectomy for LSS, including lower overall complication rates, reduced surgical site infections, decreased EBL, and shorter hospital LOS … Collectively, these findings support MI tubular decompression as a safe and beneficial surgical option, warranting further high-quality studies to assess long-term outcomes and optimize patient selection.”
