Evidence map›Paper›PMID 40908279›Full record

ArticleOrthopaedic surgery2025

Clinical Outcomes of RA FE-TLIF Compared to FE-TLIF in Patients With Lumbar Spondylolisthesis: A Retrospective Study.

Lin Zhao, Zhengxuan Peng, Lei Cao, Mingdong Lu, Zhanxiang Wu, Ning Ding, Sheng Zhou, Jie Liu

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Lin ZhaoOrthopedics Department, Gansu Provincial People's Hospital, Lanzhou, China.
Zhengxuan PengRadiology Department, Gansu Provincial People's Hospital, Lanzhou, China.
Lei CaoDepartment of Pediatric Neurology, Gansu Maternal and Child Health Hospital, Lanzhou, Gansu, China.
Mingdong LuOrthopedics Department, Gansu Provincial People's Hospital, Lanzhou, China.
Zhanxiang WuOrthopedics Department, Gansu Provincial People's Hospital, Lanzhou, China.
Ning DingOrthopedics Department, Gansu Provincial People's Hospital, Lanzhou, China.
Sheng ZhouRadiology Department, Gansu Provincial People's Hospital, Lanzhou, China.
Jie LiuOrthopedics Department, Gansu Provincial People's Hospital, Lanzhou, China.ORCID https://orcid.org/0000-0002-5316-1145

Funding

Natural Science Foundation in Gansu 25JRRA309Special Project of Key Laboratory of National Health Commission 23GSSYA-3
6 · The paper itself

Abstract

backgroundLumbar spondylolisthesis (LS) is a spinal disorder that often necessitates surgical intervention. However, evidence on the comparative clinical value of robot-assisted full-endoscopic transforaminal lumbar interbody fusion (RA FE-TLIF) versus conventional FE-TLIF in early-grade (Grades I and II) LS remains limited, leaving uncertainty about its true clinical value in this patient population. This study aims to compare the clinical efficacy and safety of FE-TLIF with RA FE-TLIF in patients with Grade I and II LS.

methodsA retrospective analysis was conducted on 47 patients who underwent surgical treatment for LS between April 2022 and April 2023 at our hospital. Patients were divided into two groups: 22 underwent RA FE-TLIF, and 25 underwent FE-TLIF. Key outcomes measured included operative time, intraoperative blood loss, postoperative recovery time, fusion rate, screw placement accuracy, Visual Analogue Scale (VAS), the Japanese Orthopaedic Association (JOA) scores, and the incidence of postoperative complications. Statistical analyses were performed using the independent-sample t test for continuous variables and the chi-square test for categorical variables, with a significance threshold of p < 0.05.

resultsThe RA FE-TLIF group exhibited significantly shorter operative times and lower intraoperative blood loss compared to the FE-TLIF group (p < 0.05). Postoperative recovery, as measured by hospital stay, was also shorter in the RA FE-TLIF group (p = 0.001). VAS and JOA scores indicated greater pain relief and functional improvement in the RA FE-TLIF group, with statistically significant differences observed at both 1 month and final follow-up (p < 0.05). The incidence of postoperative complications was lower in the RA FE-TLIF group, though this difference was not statistically significant (p = 0.144). Complete fusion rates were 95.45% in the RA FE-TLIF group and 88.00% in the FE-TLIF group, with no significant difference (p > 0.05). Screw placement accuracy was higher in the RA FE-TLIF group (97.73%) than in the FE-TLIF group (89.00%), with a significant difference (p < 0.05).

conclusionRA FE-TLIF demonstrates superior clinical outcomes compared to FE-TLIF in the treatment of LS. These findings support the broader adoption of RA FE-TLIF as a preferred surgical technique for this condition.

Indexed as

EndoscopyLumbar VertebraeRobotic Surgical ProceduresSpinal FusionSpondylolisthesisAdultAgedFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment Outcomeclinical outcomesfull‐endoscopic transforaminal lumbar interbody fusionlumbar spondylolisthesisrobot‐assisted surgerysurgical technique

Identifiers

PMID40908279
PMCPMC12580220

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