Objective: To observe and compare the clinical effects and safety of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in the treatment of lumbar disc herniation between the assistance of microscope and cold light source. Methods: From January 2012 to June 2017, 94 patients with single-segment LDH accepted in our department were treated with MIS-TLIF assisted by microscope or the cold light illumination. In this retrospective study, surgical information, such as operative time, intraoperative hemorrhage, postoperative drainage, postoperative bedridden time, postoperative hospitalization days, pre-operative and post-operative VAS score, ODI index, JOA score, the improvement rate of JOA and perioperative complications, were collected and compared between the patients who received the two different treatments. Results: As for the intraoperative hemorrhage, postoperative drainage, postoperative ambulation time, and postoperative hospitalization days, microscope assisted group revealed better clinical effects than cold light group (P<0.05). The post-operative VAS score, JOA scores and ODI index, and the improvement rate of JOA in both groups were better than that of pre-operation in microscope assisted group (P<0.05). However, no significant differences were found in operative time and postoperative complication between the two groups (P>0.05). Conclusion: Microscope assisted MIS-TLIF is an effective and safe technique with lower intraoperative hemorrhage, less postoperative drainage and lower postoperative complications in the treatment of lumbar disc herniation. |