Evidence map›Paper›PMID 34603954›Full record

ReviewJournal of clinical orthopaedics and trauma2021

Minimally invasive transforaminal lumbar interbody fusion - A narrative review on the present status.

S Phani Kiran, G Sudhir

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07127380 (MID-MIS Trail Protocol - Comparison of Clinical Outcomes, Complications Rate and Treatment Costs of Mini-TLIF and MIDLIF in the Treatment of Discogenic Low Back Pain), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% 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.

NCT07127380 narecruitingnot on this mapstarted 2025, after this paper: background citation

MID-MIS Trail Protocol - Comparison of Clinical Outcomes, Complications Rate and Treatment Costs of Mini-TLIF and MIDLIF in the Treatment of Discogenic Low Back Pain

TypeinterventionalSponsorCopernicus Memorial HospitalRan2025 to 2028Enrolled100ConditionsLower Back Pain Chronic, Lumbar Degenerative Disease, Lumbar Disc Degeneration, Degenerative Disc Disease(DDD)ArmsMidline Lumbar Interbody Fusion (MIDLIF), Minimally Invasive Transforaminal Lumbar Interbody Fusion (mini-TLIF)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Efficacy of low-dose Escherichia coli-derived recombinant human bone morphogenetic protein-2 in minimally invasive transforaminal lumbar interbody fusion.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 · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Comparison of the clinical outcomes of VBE-TLIF versus MIS-TLIF for single-level degenerative lumbar diseases.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
  10. Pros and Cons of Minimally Invasive Spine Surgery.Advances and technical standards in neurosurgery · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Increasing relevance of minimally invasive spinal surgery.Journal of clinical orthopaedics and trauma · 2021
    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

2 authors at 1 institution in 1 country.

S Phani KiranGleneagles Global Health City, Chennai, India.
G SudhirDepartment of Spine Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Sri Ramachandra Institute of Higher Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive lumbar transforaminal interbody fusion (MIS TLIF) has become the most commonly performed lumbar fusion procedure. There are multiple variables such as bone graft properties, use of rhBMP (recombinant human bone morphogenic protein), interbody cage properties, image guidance techniques, etc., that may impact the outcomes and fusion rates. Radiation exposure to the patient as well as to the operating team is an important concern. The minimally invasive anterior approaches for lumbar fusion with ability to insert larger cages and achieve better sagittal correction have added another option in management of lumbar degenerative deformities. A literature review of recent studies and systematic reviews on different aspects impacting the outcomes of MIS TLIF has been done to define the present status of the procedure in this narrative review. Iliac crest bone graft can help achieve very good fusion rate without significantly increasing the morbidity. RhBMP is most potent enhancer of fusion and the adverse effects can be avoided by surgical technique and using lower dose. The use of navigation techniques has reduced the radiation exposure to patient and the surgeons but the benefit seems to be significant only in long segment fusions.

Indexed as

ALIF, Anterior lumbar interbody fusionBone graft substitutesDBM, Demineralised Bone MatrixJOABPEQ, Japanese Orthopaedic Association Back Pain Evaluation QuestionnaireLLIF, Lateral lumbar interbody fusionMIISA, Minimally Invasive Interbody Selection AlgorithmMinimally invasive lumbar interbody fusionMIS TLIFMIS TLIF, Minimally invasive transforaminal interbody fusionNavigation assisted lumbar fusionOLIF, Oblique lumbar interbody fusionrhBMP, recombinant human bone morphogenic proteinSiCaP, Silicate-substituted Calcium PhosphateTransforaminal interbody fusionXLIF, Extreme lateral lumbar interbody fusionβ-TCP, β-Tricalcium Phosphate

Identifiers

PMID34603954
PMCPMC8463772
OpenAlexW3198172115

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.