Evidence map›Paper›PMID 41000495›Full record

ArticleJournal of craniovertebral junction & spine

Enhancing precision and safety in lumbar fusion: A comparative study of navigation-assisted versus standard MIS-TLIF for single level fusion.

Srikant Balasubramaniam, K Jignesh Joshi, K Devendra Tyagi, D Trimurti Nadkarni, R Aijaz Surve

Abstract read
In one paragraph

Article in Journal of craniovertebral junction & spine. 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

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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

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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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

5 authors.

Srikant BalasubramaniamDepartment of Neurosurgery, Topiwala National Medical College and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India.
K Jignesh JoshiDepartment of Neurosurgery, Topiwala National Medical College and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India.
K Devendra TyagiDepartment of Neurosurgery, Topiwala National Medical College and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India.
D Trimurti NadkarniDepartment of Neurosurgery, Topiwala National Medical College and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India.
R Aijaz SurveDepartment of Neurosurgery, Topiwala National Medical College and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is commonly used to treat lumbar spine pathologies such as degenerative disc disease and spondylolisthesis. Despite its advantages, standard MIS-TLIF has limitations, including restricted visualization, radiation exposure, and technical challenges. Navigation-assisted modified MIS-TLIF has been developed to enhance precision and safety. This study compares the clinical and radiological outcomes of navigation-assisted modified MIS-TLIF versus standard MIS-TLIF. Materials and Methods: This retrospective study included 66 patients who underwent lumbar fusion surgery between April 2020 and March 2023. Patients were divided into two groups: 30 underwent navigation-assisted modified MIS-TLIF and 36 underwent standard MIS-TLIF. Inclusion criteria included chronic low back pain due to lumbar degenerative conditions unresponsive to conservative management and single level pathology. Parameters evaluated included operative time, blood loss, hospital stay, complication rate, screw placement accuracy, fusion status (Bridwell grading), and functional outcomes assessed using the Oswestry Disability Index (ODI) and Visual Analog Scale (VAS). Results: The navigation-assisted group demonstrated lower blood loss, shorter hospital stays, and fewer complications. Pedicle screw placement accuracy was higher (96.7% vs. 88.9%). Fusion rates were comparable (Grade 1 fusion: 93.3% vs. 88.9%). Both groups showed significant improvement in ODI and VAS scores over 1 year. Final ODI and VAS scores were slightly better in the standard MIS-TLIF group but not statistically significant. Conclusion: Navigation-assisted modified MIS-TLIF offers improved accuracy, reduced complications, and enhanced perioperative outcomes as compared to standard MIS-TLIF, while achieving similar long-term clinical and radiological results.

Indexed as

Minimally invasive transforaminal lumbar interbody fusionneuronavigation assisted minimally invasive transforaminal lumbar interbody fusiontransforaminal lumbar interbody fusion

Identifiers

PMID41000495
PMCPMC12459937

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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.