Comparative Meta-Analysis of the Effects of OLIF and TLIF in Lumbar Spondylolisthesis Central Nerve Injury

Abstract

Objective. The main objective is to explore the efficacy of oblique anterior lumbar fusion (OLIF) and transforaminal lumbar fusion (TLIF) in the treatment of lumbar spondylolisthesis central nerve injury. Methods. The perioperative indexes, pain score (VAS), Oswestry dysfunction index (ODI), vertebral slip degree, slip angle, intervertebral space height, and quality of life score of the two groups were compared by meta-Analysis. Results. According to the observation indexes, the perioperative indexes of patients in the OLIF group were better than those in the TLIF group, which showed that the effect of OLIF treatment was better than of TLIF. The pain score and ODI score of the two groups can be obtained. The one-week postoperative pain degree and ODI of patients in the OLIF group are lower than those in the TLIF group, indicating that OLIF treatment will reduce the pain of patients to a greater extent and is more conducive to the recovery of patients. There was no significant difference in vertebral slip, slip angle, and intervertebral space height between the OLIF group and TLIF group. After treatment, the quality-of-life scores of patients in the OLIF group were significantly higher than those in the TLIF group. Conclusion. The treatment of lumbar fusion through OLIF has irreplaceable perioperative advantages of TLIF, such as less bleeding, shorter operation time, less drainage and shorter hospital stay, less postoperative complications, less surgical wound, indirect decompression, no destruction of lumbar posterior stable structure, and maximum preservation of tissue structure. It has the advantages of reducing the intraoperative dural sac injury and nerve root traction injury and shortening the rehabilitation time of patients. It has the prospect of clinical application and can be popularized.