Clinical and radiographic outcomes after minimally invasive transforaminal lumbar interbody fusion

Arnold B. Etame, Anthony C. Wang, Khoi D. Than, Paul Park

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective: To evaluate outcomes after minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). Background: MI-TLIF is a relatively novel technique for treating symptomatic spondylolisthesis and degenerative disc disease of the lumbar spine. It has become a popular option for lumbar arthrodesis largely because of its potential to minimize iatrogenic trauma to the soft tissue, paraspinous muscles as well as to neural elements. Methods: Literature search using PubMed database. Results: Eight retrospective clinical studies and 1 prospective clinical study were identified. No randomized studies were found. The indications for surgery were low-back pain and/or radicular symptoms secondary to spondylolisthesis and/or degenerative disc disease. Analysis of radiographic outcomes demonstrated a fusion rate greater than 90% in the vast majority of patients. Patients also experienced a significant improvement in functional outcome parameters at a mean follow-up of 20 months. Comparison of functional outcomes of MI-TLIF patients to a similar matched cohort of patients who underwent conventional open TLIF did not demonstrate any statistically significant difference between both cohorts. Conclusion: For carefully selected patients, MI-TLIF has a very favorable long term outcome that is comparable to conventional open TLIF, with the added benefit of decreased adjacent tissue injury.

Original languageEnglish (US)
Pages (from-to)47-53
Number of pages7
JournalSAS Journal
Volume4
Issue number2
DOIs
StatePublished - Jun 1 2010

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Keywords

  • Minimally invasive spine
  • Outcomes
  • TLIF
  • Transforaminal lumbar interbody fusion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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