Evidence map›Paper›PMID 31068542›Full record

ArticleNeurologia medico-chirurgica2019

Time Course Observation of Outcomes between Minimally Invasive Transforaminal Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion.

Guang-Xun Lin, Chun-Kun Park, Jung-Woo Hur, Jin-Sung Kim

Abstract readComparative Study
In one paragraph

Article in Neurologia medico-chirurgica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Guang-Xun LinDepartment of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea.
Chun-Kun ParkDepartment of Neurosurgery, Good Doctor Teun Teun Hospital.
Jung-Woo HurDepartment of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea.
Jin-Sung KimDepartment of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study is to compare the long-term patient-outcomes, spinal fusion, and incidence of adjacent segment degeneration (ASD) between minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and open posterior lumbar interbody fusion (O-PLIF). We retrospectively reviewed 70 consecutive cases who underwent single-level MIS-TLIF or O-PLIF from March 2010 to July 2013. All the patients achieved a minimum of 5-year follow-up. Data collected for each patient included demographic data, perioperative data, and complications. Clinical outcomes were evaluated with Oswestry disability index and visual analogue scale (VAS). Radiological outcomes included fusion rate and ASD. About 34 patients of MIS-TLIF and 36 patients of O-PLIF were enrolled. Higher Charlson comorbidity index scores were noted in MIS-TLIF than in O-PLIF. Blood loss was significantly lower in MIS-TLIF than O-PLIF. There were significant improvements in clinical and radiological outcomes in both groups. At 6 months, in MIS-TLIF group had significantly lower VAS for back pain and disc height compared with in O-PLIF group. The fusion rate was similar between the two groups at 5-year follow-up. Although the total complication rates were similar between the two groups, both the incidence of ASD was significantly higher in O-PLIF group than MIS-TLIF group (P = 0.032). In conclusion, this study indicates that MIS-TLIF is comparable to O-PLIF in terms of fusion rates and clinical outcomes in single-segment degenerative lumbar diseases. In addition, compared with O-PLIF, MIS-TLIF has the advantages of lesser blood loss, faster recovery, and lower incidence of ASD.

Indexed as

Lumbar VertebraeAgedAged, 80 and overFemaleHumansIncidenceIntervertebral Disc DegenerationMaleMiddle AgedMinimally Invasive Surgical ProceduresPostoperative ComplicationsRetrospective StudiesSpinal FusionTime FactorsTreatment Outcomeadjacent segment degenerationdegenerative lumbar diseaselong-termminimally invasive transforaminal lumbar interbody fusionposterior lumbar interbody fusion

Identifiers

PMID31068542
PMCPMC6580044

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.