Evidence map›Paper›PMID 34537023›Full record

SynthesisBMC musculoskeletal disorders2021

Minimally invasive transforaminal lumbar interbody fusion versus oblique lateral interbody fusion for lumbar degenerative disease: a meta-analysis.

Qing-Yi Zhang, Jie Tan, Kai Huang, Hui-Qi Xie

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Predicting adequate segmental lordosis correction in lumbar spinal stenosis patients undergoing oblique lumbar interbody fusion: a focus on the discontinuous segment.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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.

Qing-Yi ZhangLaboratory of Stem Cell and Tissue Engineering, Orthopaedic Research Institute, Department of Orthopaedics, West China Hospital, Sichuan University, Keyuan fourth Road, Gaopeng Avenue, Chengdu, Sichuan, 610041, People's Republic of China.
Jie TanLaboratory of Stem Cell and Tissue Engineering, Orthopaedic Research Institute, Department of Orthopaedics, West China Hospital, Sichuan University, Keyuan fourth Road, Gaopeng Avenue, Chengdu, Sichuan, 610041, People's Republic of China.
Kai HuangLaboratory of Stem Cell and Tissue Engineering, Orthopaedic Research Institute, Department of Orthopaedics, West China Hospital, Sichuan University, Keyuan fourth Road, Gaopeng Avenue, Chengdu, Sichuan, 610041, People's Republic of China.
Hui-Qi XieLaboratory of Stem Cell and Tissue Engineering, Orthopaedic Research Institute, Department of Orthopaedics, West China Hospital, Sichuan University, Keyuan fourth Road, Gaopeng Avenue, Chengdu, Sichuan, 610041, People's Republic of China. xiehuiqi@scu.edu.cn.

Funding

1.3.5 Project for Disciplines of Excellence of West China Hospital, Sichuan University ZYJC18002Sichuan Province Science and Technology Support Program 2019JDRC0020
6 · The paper itself

Abstract

backgroundMinimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and oblique lateral interbody fusion (OLIF) are widely used in the treatment of lumbar degenerative diseases. In the present study, a meta-analysis was conducted to compare the clinical and radiographic efficacy of these two procedures.

methodsA systematic literature review was performed, and the quality of retrieved studies was evaluated with the Newcastle-Ottawa Scale (NOS). Clinical outcomes, including operation time, intraoperative blood loss, improvement in Visual Analogue Scale (VAS), improvement in Oswestry Disability Index (ODI), Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) effectiveness rate and complications, in addition to radiographic outcomes, including restoration of disc height, disc angle, overall lumbar lordosis, fusion rate and subsidence, were extracted and input into a fixed or random effect model to compare the efficacy of MIS-TLIF and OLIF.

resultsSeven qualified studies were included. Clinically, OLIF resulted in less intraoperative blood loss and shorter operation time than MIS-TLIF. Improvement of VAS for leg pain was more obvious in the OLIF group (P < 0.0001), whereas improvement of VAS for back pain (P = 0.08) and ODI (P = 0.98) as well as JOABPEQ effectiveness rate (P = 0.18) were similar in the two groups. Radiographically, OLIF was more effective in restoring disc height (P = 0.01) and equivalent in improving the disc angle (P = 0.18) and lumbar lordosis (P = 0.48) compared with MIS-TLIF. The fusion rate (P = 0.11) was similar in both groups, while the subsidence was more severe in the MIS-TLIF group (P < 0.00001).

conclusionsThe above evidence suggests that OLIF is associated with a shorter operation time (with supplementary fixation in the prone position) and less intraoperative blood loss than MIS-TLIF and can lead to better leg pain alleviation, disc height restoration and subsidence resistance. No differences regarding back pain relief, functional recovery, complications, disc angle restoration, lumbar lordosis restoration and fusion rate were found. However, due to the limited number of studies, our results should be confirmed with high-level studies to fully compare the therapeutic efficacy of MIS-TLIF and OLIF.

trial registrationPROSPERO ID:  CRD42020201903 .

Indexed as

Intervertebral Disc DegenerationSpinal FusionBack PainHumansLumbar VertebraeLumbosacral RegionMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeDegenerative lumbar diseasesMinimally invasive transforaminal lumbar interbody fusion (MIS-TLIF)Oblique lateral interbody fusion (OLIF)

Identifiers

PMID34537023
PMCPMC8449429

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.