A comparative prospective study of clinical and radiological outcomes between open and minimally invasive transforaminal lumbar interbody fusion

Balasubramanian, Sai Gautham; Sonone, Sandeep; Dahapute, Aditya Anand; Muni, Saurabh; Gala, Rohan; Marathe, Nandan; Sakhare, Kuber; Bhaladhare, Shubhanshu

doi:10.4103/isj.isj_40_17

Cited by 3 publications

(3 citation statements)

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“…The increase in disc height from 8 mm to 12 mm and foraminal height from 15 mm to 22 mm, both with P-values of <0.001, are indicative of the efficacy of the surgical procedure in restoring spinal anatomy. These improvements are comparable to those reported in a 2022 study, where postoperative radiological parameters significantly improved following lumbar spondylolisthesis surgery [18]. In the present study, the average operative time of 147.5 minutes and blood loss of 382.7 mL are within the ranges reported in the literature, suggesting a standard level of complexity and risk associated with these procedures [19].…”

Section: Discussionsupporting

confidence: 90%

Clinical & Radiological Outcomes of Posterior Decompression & Transforaminal Lumbar Interbody Fusion (TLIF) among Patients with Lumbar Spondylolisthesis – A Prospective Study

Khan,

Harun,

Rayhan

et al. 2023

EAS J Orthop Physiother

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Introduction: Lumbar spondylolisthesis, a condition characterized by the displacement of one vertebra over another, often leads to chronic back pain and functional impairment. Posterior decompression and TLIF are used as surgical options for patients with lumbar spondylolisthesis. Aim of the Study: The aim of this study was to assess the clinical & radiological outcomes of posterior decompression & transforaminal lumbar interbody fusion (TLIF) among patients with lumbar spondylolisthesis. Methods: This prospective observational study was carried out at NITOR, Dhaka, Bangladesh, during the period from January 2020 to December 2021. Total 30 patients with degenerative lumbar spondylolisthesis were included in this study. Result: In this study, majority of participants were aged 41-50 (47%), predominantly female (60%). Clinical outcomes showed significant improvements post-treatment: low back pain and leg pain, measured by VAS, decreased substantially, and disability scores (ODI and Roland-Morris) also improved markedly. Quality of life, assessed by SF-36, showed notable enhancements in both physical and mental scores. Radiologically, there were significant improvements in disc and foraminal height, reduction in spondylolisthesis severity, and restoration of lumbar lordosis and spinal stability. The average surgery time was around 147.5 minutes, with a mean blood loss of 382.7 mL and an average hospital stay of 7.1 days. A 90% fusion rate was achieved at 1-year follow-up, with dural tears being the most common complication. Despite some complications, the majority of surgeries were completed safely. Conclusion: Posterior decompression and TLIF appear to be effective in treating lumbar spondylolisthesis, as evidenced by improved clinical and radiological outcomes.

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Section: Discussionsupporting

confidence: 90%

Clinical & Radiological Outcomes of Posterior Decompression & Transforaminal Lumbar Interbody Fusion (TLIF) among Patients with Lumbar Spondylolisthesis – A Prospective Study

Khan,

Harun,

Rayhan

et al. 2023

EAS J Orthop Physiother

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“…However, open approaches are associated with significant soft-tissue morbidity. 4 Minimally invasive spine surgery (MIS) has attracted increasing attention in the past few years. 4 The first description of MIS-TLIF appeared in the literature in 2003, and since that time, use of this technique has been gaining popularity.…”

Section: Introductionmentioning

confidence: 99%

“…4 Minimally invasive spine surgery (MIS) has attracted increasing attention in the past few years. 4 The first description of MIS-TLIF appeared in the literature in 2003, and since that time, use of this technique has been gaining popularity. 5 Proponents of MIS fusion suggest that it is associated with reduced blood loss, short hospital stay and lesser postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

Does Conventional Open TLIF cause more Muscle Injury when Compared to Minimally Invasive TLIF?—A Prospective Single Center Analysis

Dave

Marathe

Mayi

et al. 2022

Global Spine Journal

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Study design Prospective, observational. Objectives The aim of our study was to assess the amount of reduction in lean muscle mass (LMM) of multifidus muscle (MFM) between conventional open Transforaminal lumbar interbody fusion (CO-TLIF) as compared to Minimally invasive spine Transforaminal lumbar interbody fusion (MIS-TLIF). Methods This study was conducted between 2017 and 2020. It included 100 patients divided into two groups, 50 patients treated with CO-TLIF, 50 treated with MIS-TLIF. Only patients undergoing single level, primary lumbar fusion at L4-5 or L5-S1 level for degenerative pathologies were included. All patients were assessed by magnetic resonance imaging (MRI) scans 1-year post surgery. Measurements were performed using ImageJ image processing program. Results Mean percentage reduction in LMM in CO-TLIF group was 45.52 ± 12.36% and MIS-TLIF group was 25.83 ± 9.64% [statistically significant (t = 8.78, P < .001)]. Mean percentage reduction in LMM on side of cage insertion was 39.63 ± 15.96% and opposite side was 31.40 ± 15.01% [statistically significant (t = 9.06, P < .001)]. Mean reduction of LMM among males was 29.38 ± 15.23% and females was 40.42 ± 12.67% [statistically significant (t = −3.95, P < .001)]. We observed significant but weak degree of correlation between age and percentage reduction of LMM (r = .22, P = .028). Conclusion Mean reduction in LMM was greater in CO-TLIF group as compared to MIS-TLIF. There was greater reduction in LMM in females and on side of cage insertion. We also found greater reduction in LMM with increasing age in both groups.

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The current status and surgical outcome of the minimally invasive techniques for lumbar interbody fusion in India

Sardhara

Kumar

Mishra

et al. 2022

Journal of Craniovertebral Junction and Spine

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Objective The global shift of trends to minimally invasive spine (MIS) surgery for lumbar degenerative diseases has become prominent in India for few decades. We aimed to assess the current status of MIS techniques for lumbar interbody fusion and their surgical outcomes in the Indian population. Materials and Methods: A systematic review (following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines) was performed using PubMed and Google Scholar till November 2020. The primary (visual analog scale [VAS] and oswestry disability index [ODI] scores; intraoperative blood loss; duration of surgery; duration of hospital stay, and fusion rate) and secondary (wound-associated complications and dural tear/cerebrospinal fluid (CSF) leak) outcomes were analyzed using Review Manager 5.4 software. Results: A total of 15 studies comprising a total of 1318 patients were included for analysis. The pooled mean of follow-up duration was 26.64 ± 8.43 months (range 5.7–36.5 months). Degenerative spondylolisthesis of Myerding grade I/II was the most common indication, followed by lytic listhesis, herniated prolapsed disc, and lumbar canal stenosis. The calculated pooled standard mean difference (SMD) suggested a significant decrease in postoperative ODI scores (SMD = 5.53, 95% confidence interval [CI] = 3.77–7.29; P < 0.01) and VAS scores (SMD = 6.50, 95% CI = 4.6–8.4; P < 0.01). The pooled mean blood loss, duration of postoperative hospital stay, duration of surgery, and fusion rate were 127.75 ± 52.79 mL, 4.78 ± 3.88 days, 178.59 ± 38.69 min, and 97.53% ± 2.69%, respectively. A total of 334 adverse events were recorded in 1318 patients, giving a complication rate of 25.34%. Conclusions: Minimally invasive transforaminal lumbar interbody fusion (TLIF) is the most common minimally invasive technique employed for lumbar interbody fusion in India, while oblique lumbar interbody fusion is in the initial stages. The surgical and outcome-related factors improved significantly after MIS LIF in the Indian population.

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A comparative prospective study of clinical and radiological outcomes between open and minimally invasive transforaminal lumbar interbody fusion

Cited by 3 publications

References 2 publications

Clinical & Radiological Outcomes of Posterior Decompression & Transforaminal Lumbar Interbody Fusion (TLIF) among Patients with Lumbar Spondylolisthesis – A Prospective Study

Clinical & Radiological Outcomes of Posterior Decompression & Transforaminal Lumbar Interbody Fusion (TLIF) among Patients with Lumbar Spondylolisthesis – A Prospective Study

Does Conventional Open TLIF cause more Muscle Injury when Compared to Minimally Invasive TLIF?—A Prospective Single Center Analysis

The current status and surgical outcome of the minimally invasive techniques for lumbar interbody fusion in India

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