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Radiological and Clinical Outcomes of Transforaminal vs. Posterior Lumbar Interbody Fusions: A Systematic Review – Lumbar Fusion

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The article compared the outcomes of 1 and 2 level posterior lumbar interbody fusion (PLIF) versus transforaminal lumbar interbody fusion (TLIF) techniques. Fourteen studies were analyzed to determine trends in radiological and clinical outcomes, complications, operation time, length of hospital stay, reoperation rate, pseudoarthrosis or failure rate, and estimated blood loss. The results showed that TLIF had a lower rate of neurological deficit, shorter operation time, and less blood loss compared to PLIF. No significant difference was found in fusion rate, length of hospital stay, or surgical site infection between the two techniques. The study suggested that multicenter non-randomized prospective trials are needed to further investigate the potential superiority of one method over the other

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spinal clinic in the world

Published article

: The superiority of TLIF over PLIF may be evidenced by the lower rate of neurologic deficit, surgical technical aspects, less blood loss and shorter operation time. Cage migration, screw displacement, infection, and pseudoarthrosis may be influenced by a variety of factors, including the facility, the surgeon, and the instrumentation/ graft used, and do not appear to be different. Multicenter non-randomized prospective trials are recommended to determine the possible superiority of…

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Turk Neurosurg. 2024;34(2):175-183. doi: 10.5137/1019-5149.JTN.42926-22.2.ABSTRACTAIM: To compare 1 and 2 level posterior lumbar interbody fusion (PLIF) to transforaminal lumbar interbody fusion (TLIF) techniques in an effort to elucidate trends in overall radiological and clinical outcome, rate of complications, operation time, length of hospital stay, reoperation rate, pseudoarthrosis or failure rate, and estimated blood loss.MATERIAL AND,

Turk Neurosurg. 2024;34(2):175-183. doi: 10.5137/1019-5149.JTN.42926-22.2.

ABSTRACT

AIM: To compare 1 and 2 level posterior lumbar interbody fusion (PLIF) to transforaminal lumbar interbody fusion (TLIF) techniques in an effort to elucidate trends in overall radiological and clinical outcome, rate of complications, operation time, length of hospital stay, reoperation rate, pseudoarthrosis or failure rate, and estimated blood loss.

MATERIAL AND METHODS: Online databases including Scopus, Science Direct, Clinical key, Ovid, Embase, and PubMed/ Medline were queried over the period encompassing January 2000 to August 2021 for suitable studies. Search criteria consisted of (“TLIF” AND “PLIF”) OR (“Transforaminal Lumbar interbody fusion” AND “Posterior lumbar interbody fusion”) AND (“comparative” OR “comparison”) OR (“fusion” OR “outcome” Or “reoperation” OR “Failure rate” OR “Failure” OR “Complication rate” OR “Complication”).

RESULTS: Fourteen eligible studies were selected. Neurological deficits were considerably higher in the PLIF group (24%vs.10%). The mean operation time and estimated blood loss for PLIF and TLIF were 178.5 min and 515 ml; and 160 min and 405 ml, respectively. No significant difference was found regarding the fusion rate. The reoperation rate was greater in PLIF (2%) than TLIF (0%). No clear difference was found regarding the length of stay (LOS) and surgical site infection (SSI).

: The superiority of TLIF over PLIF may be evidenced by the lower rate of neurologic deficit, surgical technical aspects, less blood loss and shorter operation time. Cage migration, screw displacement, infection, and pseudoarthrosis may be influenced by a variety of factors, including the facility, the surgeon, and the instrumentation/ graft used, and do not appear to be different. Multicenter non-randomized prospective trials are recommended to determine the possible superiority of one method over the other.

PMID:38497172 | DOI:10.5137/1019-5149.JTN.42926-22.2

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Radiological and Clinical Outcomes of Transforaminal vs. Posterior Lumbar Interbody Fusions: A Systematic Review

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Turk Neurosurg. 2024;34(2):175-183. doi: 10.5137/1019-5149.JTN.42926-22.2.ABSTRACTAIM: To compare 1 and 2 level posterior lumbar interbody fusion (PLIF) to transforaminal lumbar interbody fusion (TLIF) techniques in an effort to elucidate trends in overall radiological and clinical outcome, rate of complications, operation time, length of hospital stay, reoperation rate, pseudoarthrosis or failure rate, and estimated blood loss.MATERIAL AND

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