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Updated: Aug 3, 2026
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Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
Published on: July 15, 2021
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Outcomes Of Transforaminal Lumbar Interbody Fusion And Posterior Lumbar Interbody Fusion In Managing Single-Level
Haider Ali Khattak1, Nasim Gul2, Adnan Khaliq3
1Department of Neurosurgery, Ayub Medical College, Abbottabad, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|March 23, 2025
Summary
Transforaminal lumbar interbody fusion (TLIF) shows better outcomes than posterior lumbar interbody fusion (PLIF) for low-grade lumbar spondylolisthesis. TLIF resulted in shorter operative times, less blood loss, and fewer complications.
Area of Science:
- Orthopaedic Surgery
- Neurosurgery
- Spinal Fusion Techniques
Background:
- Debate exists regarding optimal surgical techniques for lumbar spondylolisthesis.
- Transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) are common surgical options.
Purpose of the Study:
- To compare the outcomes of TLIF and PLIF in managing single-level lumbar spondylolisthesis.
- To evaluate operative time, blood loss, pain reduction, and complication rates.
Main Methods:
- A comparative study of 52 patients with grade I/II single-level lumbar spondylolisthesis.
- Patients were divided into two groups: 26 undergoing PLIF (Group A) and 26 undergoing TLIF (Group B).
- Key metrics included operative time, blood loss, VAS pain scores, and complication incidence.
Main Results:
- TLIF (Group B) demonstrated significantly shorter operative times (113.32 min) compared to PLIF (Group A) (126.44 min).
- TLIF also showed significantly less blood loss (371.40 cm³) versus PLIF (440 cm³).
- Postoperative back pain VAS scores were lower in the TLIF group, with no significant difference in leg pain.
Conclusions:
- TLIF is associated with reduced operative time and blood loss compared to PLIF.
- TLIF demonstrated a lower incidence of complications, including dural tears, neurological impairment, and wound infections.
- TLIF appears to be a superior surgical option for grade I/II single-level lumbar spondylolisthesis.
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