ArticleSisli Etfal Hastanesi tip bulteni2025
A Novel Anatomical Closure Technique For PLIF: Improved Hemostasis, Reduced Drain Duration, and Enhanced Functional Outcomes.
Article in Sisli Etfal Hastanesi tip bulteni, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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6 authors.
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Abstract
Objectives: This study introduces a novel anatomical closure technique in posterior lumbar interbody fusion (PLIF) surgery utilizing Adjustable Cross-Link (ACL) support to improve hemostasis, minimize drain duration, and enhance postoperative outcomes. Methods: A retrospective analysis was conducted on 44 patients undergoing single-level PLIF with total laminectomy. Nineteen patients received standard closure (Group 1), while 25 underwent ACL-assisted closure (Group 2). Outcomes, including blood loss, drain usage, and functional recovery, were compared between the groups. Results: Group 2 demonstrated significantly lower blood loss (p=0.044), reduced drain index (p<0.001), and shorter hospital stays (p<0.05) compared to Group 1. Early-stage visual analogue scale (VAS) for low back pain was also lower in Group 2 (p<0.001). Complication rates were lower in Group 2 (4.0% vs. 10.5%), with no reoperations required. Functional recovery, assessed by ODI scores, showed significant improvements in both groups. Conclusion: ACL-assisted anatomical closure significantly reduces blood loss, shortens drain duration, and enhances early functional outcomes. Its mechanical stability facilitates better muscle healing and reduces postoperative complications, highlighting its potential as a superior closure method in PLIF surgeries.
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