BACKGROUND: The purpose of this study was to compare outcomes of patients with degenerative spondylolisthesis treated by posterolateral lumbar fusion (PLF) versus PLF with transforaminal lumbar interbody fusion (PLF + TLIF). Studies of PLF versus PLF + TLIF have shown either equivalence or support for PLF + TLIF in lumbar spine surgery. Many are heterogeneous in the conditions treated, with few considering only spondylolisthesis of degenerative origin. Radiographic outcomes tend to favor PLF + TLIF, but this has not translated into better clinical outcomes. METHODS: This was a retrospective cohort study. Forty-nine patients undergoing single-level PLF and seventy patients undergoing single-level PLF + TLIF with two-year follow-up were retrospectively reviewed. Demographics, Oswestry Disability Index (ODI), implant cost, surgical data, and complications were analyzed. RESULTS: There was no difference in ODI improvement at two-year follow-up between the cohorts (P=0.97). Dural tears were more common in the PLF cohort (P<0.01), but otherwise complication and reoperation rates were similar. Implant cost (P<0.01) and operative time (P=0.01) were higher in the PLF + TLIF cohort. CONCLUSIONS: The addition of a TLIF to a PLF did not result in a functional improvement in the treatment of degenerative spondylolisthesis as measured by the ODI. 2019 Journal of Spine Surgery. All rights reserved.
BACKGROUND: The purpose of this study was to compare outcomes of patients with degenerative spondylolisthesis treated by posterolateral lumbar fusion (PLF) versus PLF with transforaminal lumbar interbody fusion (PLF + TLIF). Studies of PLF versus PLF + TLIF have shown either equivalence or support for PLF + TLIF in lumbar spine surgery. Many are heterogeneous in the conditions treated, with few considering only spondylolisthesis of degenerative origin. Radiographic outcomes tend to favor PLF + TLIF, but this has not translated into better clinical outcomes. METHODS: This was a retrospective cohort study. Forty-nine patients undergoing single-level PLF and seventy patients undergoing single-level PLF + TLIF with two-year follow-up were retrospectively reviewed. Demographics, Oswestry Disability Index (ODI), implant cost, surgical data, and complications were analyzed. RESULTS: There was no difference in ODI improvement at two-year follow-up between the cohorts (P=0.97). Dural tears were more common in the PLF cohort (P<0.01), but otherwise complication and reoperation rates were similar. Implant cost (P<0.01) and operative time (P=0.01) were higher in the PLF + TLIF cohort. CONCLUSIONS: The addition of a TLIF to a PLF did not result in a functional improvement in the treatment of degenerative spondylolisthesis as measured by the ODI. 2019 Journal of Spine Surgery. All rights reserved.
Authors: James N Weinstein; Jon D Lurie; Tor D Tosteson; Brett Hanscom; Anna N A Tosteson; Emily A Blood; Nancy J O Birkmeyer; Alan S Hilibrand; Harry Herkowitz; Frank P Cammisa; Todd J Albert; Sanford E Emery; Lawrence G Lenke; William A Abdu; Michael Longley; Thomas J Errico; Serena S Hu Journal: N Engl J Med Date: 2007-05-31 Impact factor: 91.245
Authors: Kristian Høy; Cody Bünger; Bent Niederman; Peter Helmig; Ebbe Stender Hansen; Haisheng Li; Thomas Andersen Journal: Eur Spine J Date: 2013-04-13 Impact factor: 3.134
Authors: Leah Y Carreon; Kelly R Bratcher; Chelsea E Canan; Lauren O Burke; Mladen Djurasovic; Steven D Glassman Journal: J Neurosurg Spine Date: 2012-11-16
Authors: James N Weinstein; Jon D Lurie; Tor D Tosteson; Wenyan Zhao; Emily A Blood; Anna N A Tosteson; Nancy Birkmeyer; Harry Herkowitz; Michael Longley; Lawrence Lenke; Sanford Emery; Serena S Hu Journal: J Bone Joint Surg Am Date: 2009-06 Impact factor: 5.284
Authors: Peter Försth; Gylfi Ólafsson; Thomas Carlsson; Anders Frost; Fredrik Borgström; Peter Fritzell; Patrik Öhagen; Karl Michaëlsson; Bengt Sandén Journal: N Engl J Med Date: 2016-04-14 Impact factor: 91.245
Authors: Zoher Ghogawala; James Dziura; William E Butler; Feng Dai; Norma Terrin; Subu N Magge; Jean-Valery C E Coumans; J Fred Harrington; Sepideh Amin-Hanjani; J Sanford Schwartz; Volker K H Sonntag; Fred G Barker; Edward C Benzel Journal: N Engl J Med Date: 2016-04-14 Impact factor: 91.245