Evidence map›Paper›PMID 36864438›Full record

ArticleJournal of orthopaedic surgery and research2023

Comparison of radiographic and clinical outcomes between ALIF, OLIF, and TLIF over 2-year follow-up: a comparative study.

Kuan-Kai Tung, Wei-Cheng Tseng, Yun-Che Wu, Kun-Hui Chen, Chien-Chou Pan, Wen-Xian Lu, Cheng-Min Shih, Cheng-Hung Lee

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
7.4field-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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. ALIF vs. posterior fusion for lumbar degenerative disease: comparable efficacy but elevated risk of severe complications-a systematic review and meta-analysis.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 · 2025
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  17. Cyclic testing of standalone ALIF versus TLIF in lumbosacral spines of low bone mineral density: an ex vivo biomechanical study.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
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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

8 authors at 4 institutions in 1 country.

Kuan-Kai TungDepartment of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID http://orcid.org/0000-0001-7378-4211
Wei-Cheng TsengDepartment of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan.
Yun-Che WuDepartment of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan.
Kun-Hui ChenDepartment of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan.
Chien-Chou PanDepartment of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan.
Wen-Xian LuDepartment of Orthopedics, Feng Yuan Hospital Ministry of Health and Welfare, Taichung, Taiwan.
Cheng-Min ShihDepartment of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan.
Cheng-Hung LeeDepartment of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan. 298ftcvgh@gmail.com.
Taichung Veterans General Hospital · TWMinistry of Health and Welfare · TWNational Chung Hsing University · TWProvidence University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegarding the increasing adoption of oblique lateral interbody fusion (OLIF) for treating degenerative lumbar disorders, we aimed to evaluate whether OLIF, one of the options for anterolateral approach lumbar interbody fusion, demonstrate clinical superiority over anterior lumbar interbody fusion (ALIF) or posterior approach, represented by transforaminal lumbar interbody fusion (TLIF).

methodsPatients who received ALIF, OLIF, and TLIF for symptomatic degenerative lumbar disorders during the period 2017-2019 were identified. Radiographic, perioperative, and clinical outcomes were recorded and compared during 2-year follow-up.

resultsA total of 348 patients with 501 correction levels were enrolled in the study. Fundamental sagittal alignment profiles were substantially improved at 2-year follow-up, particularly in the anterolateral approach (A/OLIF) group. The Oswestry disability index (ODI) and EuroQol-5 dimension (EQ-5D) in the ALIF group were superior when compared to the OLIF and TLIF group 2-year following surgery. However, comparisons of VAS-Total, VAS-Back, and VAS-Leg revealed no statistically significance across all approaches. TLIF demonstrated highest subsidence rate of 16%, while OLIF had least blood loss and was suitable for high body mass index patients.

conclusionsRegarding treatment for degenerative lumbar disorders, ALIF of anterolateral approach demonstrated superb alignment correction and clinical outcome. Comparing to TLIF, OLIF possessed advantage in reducing blood loss, restoring sagittal profiles and the accessibility at all lumbar level while simultaneously achieving comparable clinical improvement. Patient selection in accordance with baseline conditions, and surgeon preference both remain crucial issues circumventing surgical approach strategy.

Indexed as

Spinal FusionSurgeonsBody Mass IndexHumansLumbar VertebraeLumbosacral RegionALIFClinical outcomeDegenerative spine disordersLumbar interbody fusionOLIFTLIF

Identifiers

PMID36864438
PMCPMC9979469
OpenAlexW4322770853

What OpenQuestion holds

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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.