Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis
Preoperative pathology requiring fusion surgery has a great impact on postoperative outcomes. However, the previous clinical and meta-analysis studies did not control for the pathology. In this systematic review, the authors aimed to compare oblique lumbar interbody fusion (OLIF) with transforaminal...
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| Format: | Article |
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MDPI AG
2021-07-01
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| Online Access: | https://www.mdpi.com/2075-1729/11/7/696 |
| _version_ | 1797526717107011584 |
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| author | Min Cheol Chang Gang-Un Kim Yoo Jin Choo Gun Woo Lee |
| author_facet | Min Cheol Chang Gang-Un Kim Yoo Jin Choo Gun Woo Lee |
| author_sort | Min Cheol Chang |
| collection | DOAJ |
| description | Preoperative pathology requiring fusion surgery has a great impact on postoperative outcomes. However, the previous clinical and meta-analysis studies did not control for the pathology. In this systematic review, the authors aimed to compare oblique lumbar interbody fusion (OLIF) with transforaminal interbody fusion (TLIF) as an interbody fusion technique in lumbar fusion surgery for patients with degenerative spondylolisthesis (DS). We systematically searched for relevant articles in the available databases. Among the 3022 articles, three studies were identified and met the inclusion criteria. In terms of radiological outcome, the amount of disc height restoration was greater in the OLIF group than in the TLIF group, but there was no significant difference between the two surgical techniques (<i>p</i> = 0.18). In the clinical outcomes, the pain improvement was not significantly different between the two surgical techniques. In terms of surgical outcomes, OLIF resulted in a shorter length of hospital stay and less blood loss than TLIF (<i>p</i> < 0.0001 and <i>p</i> = 0.02, respectively). The present meta-analysis indicated no significant difference in clinical, radiological outcomes, and surgical time between TLIF and OLIF for DS, but the lengths of hospital stay and blood loss were better in OLIF than TLIF. Though encouraging, these findings were based on low-quality evidence from a small number of retrospective studies that are prone to bias. |
| first_indexed | 2024-03-10T09:34:16Z |
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| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-10T09:34:16Z |
| publishDate | 2021-07-01 |
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| spelling | doaj.art-548aadbd505d48758c04bd60ad3bc15d2023-11-22T04:13:19ZengMDPI AGLife2075-17292021-07-0111769610.3390/life11070696Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-AnalysisMin Cheol Chang0Gang-Un Kim1Yoo Jin Choo2Gun Woo Lee3Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Yeungnam University Hospital, Daegu 42415, KoreaDepartment of Orthopaedic Surgery, Hanil General Hospital, Seoul 01450, KoreaDepartment of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Yeungnam University Hospital, Daegu 42415, KoreaDepartment of Orthopaedic Surgery, Yeungnam University College of Medicine, Yeungnam University Hospital, Daegu 42415, KoreaPreoperative pathology requiring fusion surgery has a great impact on postoperative outcomes. However, the previous clinical and meta-analysis studies did not control for the pathology. In this systematic review, the authors aimed to compare oblique lumbar interbody fusion (OLIF) with transforaminal interbody fusion (TLIF) as an interbody fusion technique in lumbar fusion surgery for patients with degenerative spondylolisthesis (DS). We systematically searched for relevant articles in the available databases. Among the 3022 articles, three studies were identified and met the inclusion criteria. In terms of radiological outcome, the amount of disc height restoration was greater in the OLIF group than in the TLIF group, but there was no significant difference between the two surgical techniques (<i>p</i> = 0.18). In the clinical outcomes, the pain improvement was not significantly different between the two surgical techniques. In terms of surgical outcomes, OLIF resulted in a shorter length of hospital stay and less blood loss than TLIF (<i>p</i> < 0.0001 and <i>p</i> = 0.02, respectively). The present meta-analysis indicated no significant difference in clinical, radiological outcomes, and surgical time between TLIF and OLIF for DS, but the lengths of hospital stay and blood loss were better in OLIF than TLIF. Though encouraging, these findings were based on low-quality evidence from a small number of retrospective studies that are prone to bias.https://www.mdpi.com/2075-1729/11/7/696lumbar spineinterbody fusionoblique lumbar interbody fusiontransforaminal interbody fusionoutcomesmeta-analysis |
| spellingShingle | Min Cheol Chang Gang-Un Kim Yoo Jin Choo Gun Woo Lee Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis Life lumbar spine interbody fusion oblique lumbar interbody fusion transforaminal interbody fusion outcomes meta-analysis |
| title | Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis |
| title_full | Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis |
| title_fullStr | Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis |
| title_short | Transforaminal Lumbar Interbody Fusion (TLIF) versus Oblique Lumbar Interbody Fusion (OLIF) in Interbody Fusion Technique for Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis |
| title_sort | transforaminal lumbar interbody fusion tlif versus oblique lumbar interbody fusion olif in interbody fusion technique for degenerative spondylolisthesis a systematic review and meta analysis |
| topic | lumbar spine interbody fusion oblique lumbar interbody fusion transforaminal interbody fusion outcomes meta-analysis |
| url | https://www.mdpi.com/2075-1729/11/7/696 |
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