Evidence map›Paper›PMID 39805707›Full record

ArticleInternational journal of spine surgery2025

Short- and Mid-Term Outcomes Following ALIF and TLIF in L5-S1 Isthmic Spondylolisthesis Patients.

Jialun Chi, Kate S Woods, Ved A Vengsarkar, Zhiwen Xu, Hanzhi Yang, Abhishek Kumar, Yi Zhang, Zhichang Zhang, Jesse Wang, Lawal Labaran and 2 more

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Article in International journal of spine surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Durability of One- and Two-Level Lumbar Fusion Surgeries: A Survivorship Analysis Based on Revision Surgery Rates.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    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

12 authors.

Jialun ChiDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Kate S WoodsDepartment of Orthopedic Surgery, Creighton University School of Medicine, Omaha, NE, USA.
Ved A VengsarkarDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Zhiwen XuDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Hanzhi YangDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Abhishek KumarDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Yi ZhangDepartment of Spine Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Zhichang ZhangDepartment of Orthopedic Surgery, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Jesse WangDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Lawal LabaranDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Li JinDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA.
Xudong LiDepartment of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA xl2n@uvahealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA limited number of studies have compared the outcomes of anterior lumbar interbody fusion (ALIF) to transforaminal lumbar interbody fusion (TLIF) for the treatment of isthmic spondylolisthesis. This study aims to compare postoperative complications between these two surgical approaches.

methodsA retrospective review was performed using a large national database. The study population included all patients older than 18 years who underwent single-level ALIF or TLIF with a diagnosis of L5 to S1 isthmic spondylolisthesis. A 1:2 propensity score was used to match ALIF and TLIF cohorts for age, sex, and relevant comorbidities, including smoking status. Multivariate logistic regression was used to compare 3-month and 2-year medical and surgical complications, including 5-year reoperation rates.

resultsFive hundred and seventy-eight ALIF patients were paired with 1,156 TLIF patients following the match. The analysis revealed a higher 3-month ileus rate in ALIF patients (

conclusionsAside from the increased rate of ileus in the ALIF group, there was no significant difference in both short- and mid-term complications, including overall reoperation rate, between the 2 techniques. Spine surgeons should select the optimal technique for a given patient. CLINICAL RELEVANCE: ALIF and TLIF offer comparable mid-term postoperative outcomes for treating 1-level L5/S1 isthmic spondylolisthesis. LEVEL OF EVIDENCE: 3:

Indexed as

ALIFback paincomplicationslumbar interbody fusionoutcomesspondylolisthesisTLIF

Identifiers

PMID39805707
PMCPMC12052911

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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.