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Do TLIF and PLIF Techniques Differ in Perioperative Complications? – Comparison of Complications Rates of Two High Volume Centers – Lumbar Fusion

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The article published in Global Spine Journal discusses a retrospective bicentric cohort study comparing the less invasive posterior lumbar interbody fusion (PLIF) technique with the conventional transforaminal lumbar interbody fusion (TLIF) technique for the surgical treatment of degenerative spinal disorders. The study analyzed 1142 patients who underwent either PLIF or TLIF up to 3 levels in two specialized centers. The results showed that the overall complication rate was 13.74%, with TLIF patients having slightly more complications than PLIF patients. However, there was no significant difference in the complication rate between the two surgical techniques, contrary to previous literature. The study highlighted the importance of using a uniform classification system (SAVES V2) for recording complications

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spine centre on Harley Street UK

Published article

S: An important component of this work is the complication recording according to a uniform classification system (SAVES V2). In contrast to previous literature, we could demonstrate that there is not a significant difference between the two surgical techniques.

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Global Spine J. 2024 Apr 17:21925682241248095. doi: 10.1177/21925682241248095. Online ahead of print. ABSTRACT STUDY DESIGN: Retrospective bicentric Cohort Study. OBJECTIVE: Posterior (PLIF) and transforaminal lumbar interbody fusion (TLIF) have been clinically proven for the surgical treatment of degenerative spinal disorders. Despite many retrospective studies, the superiority of either technique has not been proven to date.,

Global Spine J. 2024 Apr 17:21925682241248095. doi: 10.1177/21925682241248095. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective bicentric Cohort Study.

OBJECTIVE: Posterior (PLIF) and transforaminal lumbar interbody fusion (TLIF) have been clinically proven for the surgical treatment of degenerative spinal disorders. Despite many retrospective studies, the superiority of either technique has not been proven to date. In the literature, the complication rate of the conventional PLIF technique is reported to be significantly higher, but with inconsistent complication recording. In this retrospective bicentric study, a less invasive PLIF technique was compared with the conventional TLIF technique and complications were recorded using the validated SAVES V2 classification system.

METHODS: 1142 patients underwent PLIF (702) or TLIF (n = 440) up to 3 levels in two specialized centers. Epidemiological data, intra- and postoperative complications during hospitalization and after discharge were analyzed according to SAVES V2.

RESULTS: The overall complication rate was 13.74%. TLIF-patients had slightly significant more complications than PLIF-patients (TLIF = 16.6%/PLIF = 11.9%, P = .0338). Accordingly, complications during revision surgeries were more frequent in the first cohort (TLIF = 20.9%/PLIF = 12.6%; P = .03252). In primary interventions, the surgical technique did not correlate with the complication rate (TLIF = 12.4%/PLIF = 11.7%). There were no significant differences regarding severity of complications.

S: An important component of this work is the complication recording according to a uniform classification system (SAVES V2). In contrast to previous literature, we could demonstrate that there is not a significant difference between the two surgical techniques.

PMID:38631328 | DOI:10.1177/21925682241248095

The London Spine Unit : best recognised spine centre on Harley Street UK

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Do TLIF and PLIF Techniques Differ in Perioperative Complications? – Comparison of Complications Rates of Two High Volume Centers

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Global Spine J. 2024 Apr 17:21925682241248095. doi: 10.1177/21925682241248095. Online ahead of print. ABSTRACT STUDY DESIGN: Retrospective bicentric Cohort Study. OBJECTIVE: Posterior (PLIF) and transforaminal lumbar interbody fusion (TLIF) have been clinically proven for the surgical treatment of degenerative spinal disorders. Despite many retrospective studies, the superiority of either technique has not been proven to date.

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