Article
Orthopedics
Cheng-Min Shih, Cheng-En Hsu, Kun-Hui Chen, Chien-Chou Pan, Cheng-Hung Lee
Summary: This study investigated the surgical outcomes and prognostic factors of anterior lumbar interbody fusion (ALIF) in revision lumbar interbody fusion. The results showed that ALIF achieved positive clinical and radiographic results in revision lumbar fusion surgery. However, having two or more preoperative fusion segments negatively impacted back pain improvement reaching the minimum clinically important difference (MCID).
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Clinical Neurology
Jonathan A. Ledesma, Jesse C. Ottaway, Mark J. Lambrechts, Azra Dees, Terence L. Thomas, Mark F. Kurd, Kris E. Radcliff, David G. Anderson
Summary: This study compared the early radiographic and clinical outcomes of single-level minimally invasive transforaminal lumbar interbody fusion using either uniplanar or biplanar interbody cages. The results showed significant improvements in anterior disc height, posterior disc height, and segmental lordosis at 1 year for both cage types. There were no significant differences in radiographic outcomes, subsidence rates, patient-reported outcomes, and complications between the groups.
Article
Multidisciplinary Sciences
Weijian Wang, Jiaqi Li, Yafei Xu, Yun Luo, Wenyuan Ding, Wei Zhang
Summary: The study investigated the technical aspects of microscope-assisted anterior decompression fusion and introduced a spreader system suitable for minimally invasive anterior lumbar interbody fusion (Mini-ALIF). The study included 42 patients who underwent microscope-assisted Mini-ALIF surgery and found that the technique provided good intraoperative disc exposure and improved postoperative foramen and disc height.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2023)
Article
Clinical Neurology
Shikha Singh, Kyle McCloskey, Hasan S. Ahmad, Ryan Turlip, Yohannes Ghenbot, Saurabh Sinha, Jang W. Yoon
Summary: This study demonstrated that performing L5-S1 ALIF and anterior-to-psoas LLIF at more cranial levels in lateral decubitus position is an effective approach for restoring spinopelvic alignments with low complication rate and without patient repositioning.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Diogo Garcia, Oluwaseun O. Akinduro, Gaetano De Biase, Bernardo Sousa-Pinto, Daniel J. Jerreld, Ruchita Dholakia, Bijan Borah, Eric Nottmeier, H. Gordon Deen, W. Christopher Fox, Mohamad Bydon, Selby Chen, Alfredo Quinones-Hinojosa, Kingsley Abode-Iyamah
Summary: This study aimed to compare robotic-assisted and nonrobotic-assisted minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) through a cost-utility analysis. The results suggested that robotic-assisted MIS-TLIF was cost-effective in 63% of simulations at a willingness to pay of $50,000/quality-adjusted life year (QALY).
Article
Clinical Neurology
Diogo Garcia, Bernardo Sousa-Pinto, Gaetano De Biase, Henry Ruiz-Garcia, Oluwaseun O. Akinduro, Ruchita Dholakia, Bijan Borah, W. Christopher Fox, Eric Nottmeier, H. Gordon Deen, Kingsley Abode-Iyamah, Alfredo Quinones-Hinojosa, Selby Chen
Summary: The study found that with each successive procedure, there was a reduction in procedure time and overall costs, with an average decrease of 0.97 minutes in procedure time and $82.75 in costs. It took approximately 58 procedures to attain proficiency, resulting in an excess procedure time of 2604.2 minutes and excess costs of $226,563.8.
WORLD NEUROSURGERY
(2022)
Article
Medicine, General & Internal
Giovanni Lombardi, Pedro Berjano, Riccardo Cecchinato, Francesco Langella, Silvia Perego, Veronica Sansoni, Fulvio Tartara, Pietro Regazzoni, Claudio Lamartina
Summary: The study involved 68 healthy subjects with single-level discopathy, demonstrating that minimally invasive surgery (ALIF and LLIF) led to reduced post-operative anemic status, quicker recovery, and enhanced pro-angiogenic stimuli compared to traditional approaches.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Liang Shi, Tao Ding, Yihua Shi, Fang Wang, Chengcong Wu
Summary: This study compared the clinical outcomes of Mis-TLIF and Endo-TLIF, finding that Endo-TLIF had less blood loss and lower postoperative drainage volume, but Mis-TLIF had shorter operative time and lower complication rates. There was no significant difference in long-term outcomes between the two treatments.
WORLD NEUROSURGERY
(2022)
Article
Orthopedics
Guan-yu Cui, Xiao-guang Han, Yi Wei, Ya-jun Liu, Da He, Yu-qing Sun, Bo Liu, Wei Tian
Summary: In the treatment of lumbar spondylolisthesis, robot-assisted MIS-TLIF may result in more precise pedicle screw placement, less intraoperative blood loss, less postoperative drainage, less postoperative pain, quicker recovery, and less paraspinal muscle atrophy compared to traditional open surgery.
ORTHOPAEDIC SURGERY
(2021)
Article
Orthopedics
Weijian Wang, Jiaqi Li, Yafei Xu, Yun Luo, Wenyuan Ding, Wei Zhang
Summary: This study aims to analyze the factors affecting the revision of lateral lumbar interbody fusion (LLIF) and summarize the complications and decision-making strategies for revision surgery after LLIF. The study found that postoperative foraminal stenosis is an important risk factor for undergoing revision surgery after LLIF.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Hao Chen, Goudi Zheng, Zhenyu Bian, Changju Hou, Maoqiang Li, Zhen Zhang, Liulong Zhu, Xuepeng Wang
Summary: This study compared the clinical efficacy and postoperative outcomes of MIS-TLIF and Endo-LIF in treating lumbar degenerative diseases. The results showed no significant differences in the clinical outcomes between the two groups at various timepoints. However, the Endo-LIF group had a longer operation time but less intraoperative blood loss, shorter hospital stay, and lower lower back pain scores.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Qing-Yi Zhang, Jie Tan, Kai Huang, Hui-Qi Xie
Summary: This study compared the clinical and radiographic efficacy of Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF) and Oblique lateral Interbody Fusion (OLIF). The results showed that OLIF had shorter operation time, less intraoperative blood loss, better leg pain alleviation, disc height restoration, and subsidence resistance compared to MIS-TLIF. However, there were no significant differences in back pain relief, functional recovery, complications, disc angle restoration, lumbar lordosis restoration, and fusion rate between the two procedures. Further high-level studies are needed to confirm these findings.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Medicine, General & Internal
Quan-You Gao, Fei-Long Wei, Tian Li, Kai-Long Zhu, Ming-Rui Du, Wei Heng, Fan Yang, Hao-Ran Gao, Ji-Xian Qian, Cheng-Pei Zhou
Summary: This study compared the outcomes and complications of patients with lumbar spinal stenosis (LSS) undergoing oblique lateral interbody fusion (OLIF) or minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). The results showed that OLIF and MIS-TLIF had similar postoperative improvements, but OLIF was more successful at restoring disc height, foraminal height, and lumbar lordotic angle. The complication rates were comparable between the two procedures.
FRONTIERS IN MEDICINE
(2022)
Article
Clinical Neurology
Frank J. Yuk, Matthew T. Carr, Alexander J. Schupper, James Lin, Rami Tadros, Peter Wiklund, John Sfakianos, Jeremy Steinberger
Summary: This technical note presents the first reported case of a totally robotic minimally invasive anterior and posterior lumbar fusion and instrumentation. The surgery was successful, with significant improvement of symptoms postoperatively, and radiography confirming appropriate placement of the implants.
WORLD NEUROSURGERY
(2023)
Review
Clinical Neurology
Michael C. Prabhu, Kevin C. Jacob, Madhav R. Patel, Hanna Pawlowski, Nisheka N. Vanjani, Kern Singh
Summary: The minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a widely used surgical technique for lumbar arthrodesis, offering improved efficacy and safety through minimizing soft tissue damage. This article provides an overview of the historical development of posterior-approach treatment for discogenic radiculopathy, culminating in the introduction of MIS-TLIF. The characteristics, technical variability, and reported outcomes of modern MIS-TLIF are evaluated, along with a glimpse into potential future technologies.