Evidence map›Paper›PMID 32528800›Full record

ArticleGlobal spine journal2020

Defining the MIS-TLIF: A Systematic Review of Techniques and Technologies Used by Surgeons Worldwide.

Sara Lener, Christoph Wipplinger, R Nick Hernandez, Ibrahim Hussain, Sertac Kirnaz, Rodrigo Navarro-Ramirez, Franziska Anna Schmidt, Eliana Kim, Roger Härtl

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 2% of its field
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

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Sara LenerWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-5644-2399
Christoph WipplingerWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-9001-6932
R Nick HernandezWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.
Ibrahim HussainWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.
Sertac KirnazWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-4104-3985
Rodrigo Navarro-RamirezWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.
Franziska Anna SchmidtWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.
Eliana KimWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.
Roger HärtlWeill Cornell Brain and Spine Center, Weill Cornell Medicine, New York, NY, USA.
Cornell University · USInnsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectiveTo date there is no consensus among surgeons as to what defines an MIS-TLIF (transforaminal lumbar interbody fusion using minimally invasive spine surgery) compared to an open or mini-open TLIF. This systematic review aimed to examine the MIS-TLIF techniques reported in the recent body of literature to help provide a definition of what constitutes the MIS-TLIF, based on the consensus of the majority of surgeons.

methodsWe created a database of articles published about MIS-TLIF between 2010 and 2018. We evaluated the technical components of the MIS-TLIF including instruments and incisions used as well the order in which key steps are performed.

resultsWe could identify several patterns for MIS-TLIF performance that seemed agreed upon by the majority of MIS surgeons: use of paramedian incisions; use of a tubular retractor to perform a total facetectomy, decompression, and interbody cage implantation; and percutaneous insertion of the pedicle-screw rod constructs with intraoperative imaging.

conclusionBased on this review of the literature, the key features used by surgeons performing MIS TLIF include the use of nonexpandable or expandable tubular retractors, a paramedian or lateral incision, and the use of a microscope or endoscope for visualization. Approaches using expandable nontubular retractors, those that require extensive subperiosteal dissection from the midline laterally, or specular-based retractors with wide pedicle to pedicle exposure are far less likely to be promoted as an MIS-based approach. A definition is necessary to improve the communication among spine surgeons in research as well as patient education.

Indexed as

minimally invasive spine surgeryMIS-TLIFsystematic reviewtransforaminal lumbar interbody fusion

Identifiers

PMID32528800
PMCPMC7263344
OpenAlexW3032461762

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.