Comparative analysis of the results of minimally invasive and traditional surgical treatment of patients with lumbosacral spondylolisthesis

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Background. Minimally invasive surgery (MIS) has been increasingly utilized as an alternative to open surgery (OPEN) for lumbo-sacral spondylolisthesis treatment. However, comparative analyses of outcomes remain limited.

Aims — to compare perioperative and functional outcomes between MIS and OPEN in patients with lumbar spondylolisthesis.

Methods. A retrospective cohort study of 224 patients (2018–2024) was conducted. Patients were divided into MIS (n = 120) and OPEN (n = 104) groups. Outcomes analyzed included surgical duration, blood loss, hospital stay, functional recovery (Oswestry Disability Index, ODI), pain reduction (Visual Analog Scale, VAS), and complications. Statistical analysis was performed using the Wilcoxon rank-sum test (p < 0.05 considered significant).

Results. MIS demonstrated shorter operative time (145 min vs. 200 min, p < 0.001), reduced blood loss (140 mL vs. 400 mL, p < 0.001), and shorter hospital stay (4 vs. 9 days, p < 0.001). Functional recovery and pain relief were also superior in MIS, with fewer complications.

Conclusions. MIS is associated with faster recovery, lower complication rates, and improved functional outcomes compared to OPEN. These findings support the increased adoption of MIS in lumbar spondylolisthesis treatment.

作者简介

Nikolay Konovalov

N.N. Burdenko National Medical Research Center of Neurosurgery

Email: rekatut@yandex.ru
ORCID iD: 0000-0003-0824-1848
SPIN 代码: 9436-3719

MD, PhD, Professor, Corresponding Member of the RAS

俄罗斯联邦, Moscow

Dmitriy Usachev

N.N. Burdenko National Medical Research Center of Neurosurgery

Email: rekatut@yandex.ru
ORCID iD: 0000-0002-9811-9442
SPIN 代码: 6618-0420

MD, PhD, Professor, Academician of the RAS

俄罗斯联邦, Moscow

Nikita Ilyinskiy

N.N. Burdenko National Medical Research Center of Neurosurgery

Email: rekatut@yandex.ru
ORCID iD: 0009-0005-4320-741X

Resident

俄罗斯联邦, Moscow

Evgeniy Brinyuk

N.N. Burdenko National Medical Research Center of Neurosurgery

Email: rekatut@yandex.ru
ORCID iD: 0000-0001-6184-7481
SPIN 代码: 3381-3193

MD, PhD

俄罗斯联邦, Moscow

Bakhromkhon Zakirov

N.N. Burdenko National Medical Research Center of Neurosurgery

Email: rekatut@yandex.ru
ORCID iD: 0000-0002-8782-850X
SPIN 代码: 5240-7555

MD, PhD

俄罗斯联邦, Moscow

Sergey Ivanov

N.N. Burdenko National Medical Research Center of Neurosurgery

编辑信件的主要联系方式.
Email: rekatut@yandex.ru
ORCID iD: 0009-0007-4094-6959
SPIN 代码: 1476-1068

PhD Student

俄罗斯联邦, 16 4th Tverskaya-Yamskaya str., 125047, Moscow

参考

  1. Munazzam SW, Rai V, Asfandyar QA. Minimally invasive versus open spinal fusion surgery for spondylolisthesis treatment: a systematic review and meta-analysis. J Orthop Case Rep 2025;15(1):224–234. doi: https://doi.org/10/13107/jocr.2025.v15.i01.5184
  2. Lewandrowski KU, Dowling Á, Kim C, et al. Endoscopic transfacet decompression for severe lumbar spinal stenosis: a technical note, illustrative clinical series, and surgeon survey regarding post-decompression instability. J Pers Med. 2025;15(2):53. doi: https://doi.org/10/3390/jpm15020053
  3. Lu Z, Zhong D, Liu Y, et al. Comparison of results among UBE–TLIF, MIS–TLIF, and open TLIF for Meyerding grade I lumbar spondylolisthesis: a retrospective study. BMC Surg. 2024;24(1):355. doi: https://doi.org/10.1186/s12893-024-02651-5
  4. Macwan I, Deshpande V, Simpson E, et al. Cost-utility of lumbar interbody fusion surgery: a systematic review. Spine J. 2025;25(3):1117–1138. doi: https://doi.org/10.1016/j.spinee.2024.12.027
  5. Jang HD, Choi SW, Roh YH. Long-term incidence of adjacent segmental pathology after minimally i nvasive vs. open transforaminal lumbar interbody fusion. Global Spine J. 2024;15(3):1635–1643. doi: https://doi.org/10.1177/21925682241254800
  6. Patel JY, Kundnani V, Jain S, et al. Superior facet joint violations in single-level minimally invasive and open transforaminal lumbar interbody fusion: a comparative study. Asian Spine J. 2020;29(12):3134–3142. doi: https://doi.org/ 10.31616/asj.2019.0065
  7. Ali EMS, Abdeen M, Saleh MK. Minimally invasive versus mini-open transforaminal lumbar interbody fusion in managing low-grade degenerative spondylolisthesis. Acta Neurochir (Wien). 2024;166(1):365. doi: https://doi.org/10.1007/s00701-024-06231-7
  8. Ali EMS, Eladawy, AM. Can minimally invasive transforaminal lumbar interbody fusion achieve a better clinical and radiological outcome than traditional open technique in isthmic spondylolisthesis? J Orthop Surg Res. 2024;19:523. doi: https://doi.org/10.1186/s13018-024-04994-4
  9. Perez-Cruet M, Black J, Singhal I, et al. Minimally invasive cost-effective surgical treatment of lumbar spondylolisthesis with associated spinal stenosis. Med Res Arch. 2025;12(11):1–19. doi: https://doi.org/10.18103/mra.v12i11.6163
  10. Jhala A, Singh D, Mistry M. Minimally invasive transforaminal lumbar interbody fusion: Results of 23 consecutive cases. Indian J Orthop. 2014;48(6):562–567. doi: https://doi.org/10.4103/0019-5413.144217
  11. Баулин И.А., Гаврилов П.В., Советова Н.А. и др. Лучевой анализ формирования костного блока при использовании различных материалов для переднего спондилодеза у пациентов с инфекционным спондилитом // Хирургия позвоночника. — 2015. — Т. 12. — № 1. — С. 83–89. [Baulin IA, Gavrilov PV, Sovetova NA, et al. Radiological analysis of the bone block formation in using different materials for anterior fusion in patients with infectious spondylitis. Hir. Pozvonoc. 2015;12(1):83–89. (In Russ.)] doi: https://doi.org/10.14531/ss2015.1.83-89
  12. Zeng G, Li Z, Hou J, et al. Robot-assisted screw fixation combined with endoscopic bone graft in the minimally invasive treatment of lumbar spondylolysis: a single-center retrospective study. Orthop Surg. 2025;17(4):1143–1151. doi: https://doi.org/10.1111/os.14368
  13. Anwar F, Roca AM, Medakkar S, et al. Correlation between anxiety, sleep disturbance, and clinical outcomes in a lumbar decompression cohort. J Clin Neurosci. 2024;127:110759. doi: https://doi.org/10.1016/j.jocn.2024.110759
  14. Wang MY, Grossman J. Awake, endoscopic lumbar interbody spinal fusion: 10 years of experience with the first 400 cases. J Neurosurg Spine. 2025;42(4):435–442. doi: https://doi.org/10.3171/2024.9.SPINE2431

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