Evidence map›Paper›PMID 38378729›Full record

ArticleJournal of orthopaedic surgery and research2024

Comparison of minimally invasive transforaminal lumbar interbody fusion (Mis-TLIF) with bilateral decompression via unilateral approach and open-TLIF with bilateral decompression for degenerative lumbar diseases: a retrospective cohort study.

Fengzhao Zhu, Dongqing Jia, Yaqing Zhang, Chencheng Feng, Ya Ning, Xue Leng, Yue Zhou, Changqing Li, Bo Huang

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Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Long-term clinical outcomes of minimally invasive transforaminal lumbar interbody fusion (Mis-TLIF) compared with open TLIF(O-TLIF): A retrospective cohort study for at least 5 years.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
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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.

Fengzhao ZhuDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China.
Dongqing JiaDepartment of Blood Transfusion, University-Town Hospital of Chongqing Medical University, Chongqing, China.
Yaqing ZhangDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China.
Chencheng FengDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China.
Ya NingDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China.
Xue LengDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China.
Yue ZhouDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China.
Changqing LiDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China.
Bo HuangDepartment of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, China. fmmuhb@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePresently, no study has compared the clinical outcomes of minimally invasive transforaminal lumbar interbody fusion (Mis-TLIF) with bilateral decompression via the unilateral approach (BDUA) and Open-TLIF with bilateral decompression for degenerative lumbar diseases (DLD). We aimed to compare the clinical outcomes of through Mis-TLIF combined with BDUA and Open-TLIF with bilateral decompression for the treatment of DLD, and reported the learning curve of the procedure of MIS-TLIF with BDUA.

methodsWe retrospectively analyzed the prospectively collected data of consecutive DLD patients in the two groups from January 2016 to January 2020.

resultsThe operative time (OT) was significantly longer in the Mis-TLIF group (n = 113) than in the Open-TLIF group (n = 135). The postoperative drainage volume (PDV) and length of stay (LOS) were significantly higher in the Open-TLIF group than in the Mis-TLIF group. Additionally, the complication rate was significantly higher in the Open-TLIF group than in the Mis-TLIF group (14.8% vs. 6.2%, P = 0.030), while there was no significant difference in the reoperation and adjacent segment disease rates between the two groups. There were no significant differences in back pain and leg pain Numerical Rating Scale (NRS) scores and Oswestry Disability Index (ODI) between the two groups preoperatively, at discharge, and 2 years postoperatively. Patients in both groups showed significant improvements in NRS scores and ODI scores after surgery. OT was negatively correlated with the number of surgeries performed (P < 0.001, r =  -0.43). The learning curve of Mis-TLIF with BDUA was steep, with OT tapered to steady state in 43 cases.

conclusionCompared with Open-TLIF with bilateral decompression, Mis-TLIF with BDUA can achieve equivalent clinical outcomes, lower PDV and LOS, and lower complication rates. Although this procedure took longer, it could be a viable alternative for the treatment of DLD after a steep learning curve.

Indexed as

Lumbar VertebraeSpinal FusionDecompressionHumansMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeBilateral decompression via unilateral approachDegenerative lumbar diseasesLearning curveMinimally invasive transforaminal lumbar interbody fusionOpen-TLIF

Identifiers

PMID38378729
PMCPMC10880294

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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.