A retrospective controlled study protocol of transforaminal lumbar interbody fusion compared with posterior lumbar interbody fusion for spondylolisthesis

Abstract

Background: In the current literature, for adult lumbar spondylolisthesis, the direct comparison of clinical outcomes and perioperative complications between transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) is limited. Whether the therapeutic effect of TLIF is better than that of PLIF is still controversial. In this retrospective controlled study, our aim was to compare their clinical outcomes and radiological results of the above two stabilization approaches after 1-year follow-up period. Methods: This investigation was approved via the Institutional Review committee of China-Japan friendship hospital. This was a retrospective single-center analysis of subjects. We reviewed the patients with spondylolisthesis treated with TLIF or PLIF between July 2016 and February 2019 in our hospital. Patients with these conditions will be included: with the radiological evidence of degenerative lumbar spondylolismia with leg pain and/or low back pain, or the neurogenic claudication after failure of conventional conservative treatment for more than 6 months. The patients who received 3 levels or more intervertebral fusion levels were excluded. Patients without a completed medical history were excluded. Patients who had a history of lumbar spine surgery were also excluded. Clinical outcomes in our follow-up included functional outcomes, complications, and radiographic such as spondylolisthesis degree. The radiographs were obtained at 1, 3, 6, and 12 months during the outpatient follow-up. Results: This protocol will provide a solid theoretical basis for exploring which technique is better in treatment of spondylolisthesis. Trial registration: This study protocol was registered in Research Registry (number: researchregistry6032).

Comparison between posterior lumbar interbody fusion and transforaminal lumbar interbody fusion in the management of lumbar spondylolisthesis

“…These clinical symptoms have to correlate with radiological fi ndings on Xray and MRI. The surgical treatment aims to stabilize, reduce the displaced vertebra (return to position), decompress and remove nerve compression (9,10).…”

Heamocoagulase Agkistrodon on Hemostatic Effectivity on Posterior Lumbar Operation

“…The main surgical methods are minimally invasive and open surgical methods, and the PLIF technique is one of the most classic surgical methods to treat lumbar degeneration [12]. This technique removes the intervertebral disc tissue, fully decompresses, and fuses the intervertebral bones [13]. Most patients obtain satisfactory results.…”

Efficacy of Single-Position Oblique Lateral Interbody Fusion Combined With Percutaneous Pedicle Screw Fixation in Treating Degenerative Lumbar Spondylolisthesis: A Cohort Study

“…Degenerative lumbar spondylolysis (DLS) refers to the displacement of the lumbar vertebral body relative to the lower vertebral body due to lumbar degenerative changes. The prevalence rate is approximately 4.1 ~ 11.1% ( 1 ). When severe neurological deficits occur or medical treatment is unsuccessful, surgery can be proposed.…”