{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T16:47:43Z","timestamp":1769878063492,"version":"3.49.0"},"reference-count":27,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,3,20]],"date-time":"2018-03-20T00:00:00Z","timestamp":1521504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to evaluate the effects of PLIF and TLIF on sagittal spinopelvic balance and to compare radiological results of two surgical procedures with regard to spinopelvic parameters.\nMethods\nThirty-five patients (34 female and 1 male; mean age: 52.29 \u00b1 13.08 (range: 35\u201375)) with degenerative spondylolisthesis cases were included in the study. Patients were divided into two groups according to surgical technique: PLIF and TLIF. The level and the severity of listhesis according to Meyerding classification were assessed and spinopelvic parameters including sacral slope, pelvic tilt, pelvic incidence (PI), lumbar lordosis, and segmental lumbar lordosis were measured on digital X-rays. All preoperative and postoperative parameters and the results were compared between two groups.\nResults\nThe age distribution was similar in both groups (p = 0.825) and there was no difference between the mean PI of the groups (p = 0.616). In 15 patients, spondylolisthesis level were at the L5-S1 level (PLIF: 8, TLIF: 7), in 16 patients at the L4-L5 level (PLIF: 6, TLIF: 10) and in 4 patients at the L3-L4 level (PLIF: 2, TLIF: 2). According to Meyerding classification, before the operation, the sliding grades were 0 in 4 patients, 1 in 21 patients, 2 in 7 patients, and 3 in 3 patients. The grades changed into 0 in 28 patients, 1 in 5 patients, and 2 in 2 patients after surgery. There were no differences in the grade of listhesis between PLIF and TLIF groups preoperatively (p = 0.190) and postoperatively (p = 0.208). In both groups, the spondylolisthesis-related deformities of patients were significantly corrected after surgery (p &lt; 0.001).\nConclusion\nPLIF and TLIF techniques have similar radiological results in restoring the sagittal spinopelvic balance in patients with degenerative spondylolisthesis. Both techniques are good options to achieve reduction and fusion in patients with degenerative spondylolisthesis, but have no advantage over each other for restoring spinopelvic balance.\nLevel of evidence\nLevel III, Therapeutic study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.03.001","type":"journal-article","created":{"date-parts":[[2018,4,25]],"date-time":"2018-04-25T22:38:50Z","timestamp":1524695930000},"page":"272-276","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Effect of PLIF and TLIF on sagittal spinopelvic balance of patients with degenerative spondylolisthesis"],"prefix":"10.5152","volume":"52","author":[{"given":"Mustafa","family":"UYSAL","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Metin","family":"OZALAY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alihan","family":"DER\u0130NCEK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alauddin","family":"KOCHA\u0130","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"TURKER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"1","key":"10.1016\/j.aott.2018.03.001_bib1","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1097\/00007632-199301000-00013","article-title":"Etiology of spondylolisthesis. Assessment of the role played by lumbar facet joint morphology","volume":"18","author":"Grobler","year":"1993","journal-title":"Spine"},{"issue":"21","key":"10.1016\/j.aott.2018.03.001_bib2","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.1097\/BRS.0b013e318186b236","article-title":"Postural model of sagittal spino-pelvic alignment and its relevance for lumbosacral developmental spondylolisthesis","volume":"33","author":"Mac-Thiong","year":"2008","journal-title":"Spine"},{"issue":"Suppl 5","key":"10.1016\/j.aott.2018.03.001_bib3","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1007\/s00586-011-1938-8","article-title":"Sagittal imbalance cascade for simple degenerative spine and consequences: algorithm of decision for appropriate treatment","volume":"20","author":"Le Huec","year":"2011","journal-title":"Eur Spine J"},{"issue":"Suppl 5","key":"10.1016\/j.aott.2018.03.001_bib4","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/s00586-011-1930-3","article-title":"Sagittal balance disorders in severe degenerative spine. Can we identify the compensatory mechanisms?","volume":"20","author":"Barrey","year":"2011","journal-title":"Eur Spine J"},{"issue":"12","key":"10.1016\/j.aott.2018.03.001_bib5","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1097\/00007632-199520120-00005","article-title":"An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers","volume":"20","author":"Gelb","year":"1995","journal-title":"Spine"},{"issue":"4","key":"10.1016\/j.aott.2018.03.001_bib6","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1097\/00007632-198207000-00003","article-title":"Reciprocal angulation of vertebral bodies in a sagittal plane: approach to references for the evaluation of kyphosis and lordosis","volume":"7","author":"Stagnara","year":"1982","journal-title":"Spine"},{"issue":"4","key":"10.1016\/j.aott.2018.03.001_bib7","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1007\/BF02368136","article-title":"A\u00a0Barycentremetric study of the sagittal shape of spine and pelvis: the conditions required for an economic standing position","volume":"20","author":"Duval-Beaupere","year":"1992","journal-title":"Ann Biomed Eng"},{"issue":"Suppl 5","key":"10.1016\/j.aott.2018.03.001_bib8","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1007\/s00586-011-1943-y","article-title":"Sagittal spino-pelvic balance is a crucial analysis for normal and degenerative spine","volume":"20","author":"Le Huec","year":"2011","journal-title":"Eur Spine J"},{"issue":"6","key":"10.1016\/j.aott.2018.03.001_bib9","first-page":"578","article-title":"Posterolateral versus interbody fusion in isthmic spondylolisthesis: functional results in 52 cases with a minimum follow-up of 6 years","volume":"70","author":"Dehoux","year":"2004","journal-title":"Acta Orthop Belg"},{"issue":"2","key":"10.1016\/j.aott.2018.03.001_bib10","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/0002-9610(53)90421-8","article-title":"The treatment of ruptured lumbar intervertebral discs; criteria for spinal fusion","volume":"86","author":"Cloward","year":"1953","journal-title":"Am J Surg"},{"issue":"2","key":"10.1016\/j.aott.2018.03.001_bib11","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s00064-006-0112-7","volume":"10","author":"Harms","year":"1998","journal-title":"Operat Orthop Traumatol"},{"issue":"3","key":"10.1016\/j.aott.2018.03.001_bib12","doi-asserted-by":"crossref","first-page":"130","DOI":"10.5435\/00124635-200803000-00004","article-title":"Posterior lumbar interbody fusion","volume":"16","author":"DiPaola","year":"2008","journal-title":"J\u00a0Am Acad Orthop Surg"},{"issue":"2","key":"10.1016\/j.aott.2018.03.001_bib13","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s12178-009-9053-8","article-title":"Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches","volume":"2","author":"Cole","year":"2009","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"4","key":"10.1016\/j.aott.2018.03.001_bib14","doi-asserted-by":"crossref","first-page":"293","DOI":"10.3944\/AOTT.2010.2375","article-title":"The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration","volume":"44","author":"Ergun","year":"2010","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"20","key":"10.1016\/j.aott.2018.03.001_bib15","doi-asserted-by":"crossref","first-page":"2284","DOI":"10.1097\/01.brs.0000142224.46796.a7","article-title":"Evaluation of a functional position for lateral radiograph acquisition in adolescent idiopathic scoliosis","volume":"29","author":"Faro","year":"2004","journal-title":"Spine"},{"key":"10.1016\/j.aott.2018.03.001_bib16","first-page":"371","article-title":"Spondylolisthesis","volume":"54","author":"Meyerding","year":"1932","journal-title":"Surg Gynecol Obstet"},{"issue":"5","key":"10.1016\/j.aott.2018.03.001_bib17","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1007\/s00586-015-4086-8","article-title":"A\u00a0comparative study of perioperative complications between transforaminal versus posterior lumbar interbody fusion in degenerative lumbar spondylolisthesis","volume":"25","author":"Liu","year":"2016","journal-title":"Eur Spine J"},{"key":"10.1016\/j.aott.2018.03.001_bib18","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1186\/1471-2474-15-367","article-title":"A\u00a0comparison of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion: a literature review and meta-analysis","volume":"15","author":"Zhang","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"10.1016\/j.aott.2018.03.001_bib19","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1007\/s00586-002-0493-8","article-title":"Complications in lumbar fusion surgery for chronic low back pain: comparison of three surgical techniques used in a prospective randomized study. A report from the Swedish Lumbar Spine Study Group","volume":"12","author":"Fritzell","year":"2003","journal-title":"Eur Spine J"},{"issue":"11","key":"10.1016\/j.aott.2018.03.001_bib20","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1097\/00007632-200206010-00002","article-title":"Chronic low back pain and fusion: a comparison of three surgical techniques: a prospective multicenter randomized study from the Swedish lumbar spine study group","volume":"27","author":"Fritzell","year":"2002","journal-title":"Spine"},{"issue":"11","key":"10.1016\/j.aott.2018.03.001_bib21","doi-asserted-by":"crossref","first-page":"2181","DOI":"10.1007\/s00586-012-2374-0","article-title":"Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis","volume":"21","author":"Funao","year":"2012","journal-title":"Eur Spine J"},{"issue":"Suppl 5","key":"10.1016\/j.aott.2018.03.001_bib22","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1007\/s00586-011-1924-1","article-title":"Sagittal parameters of the spine: biomechanical approach","volume":"20","author":"Roussouly","year":"2011","journal-title":"Eur Spine J"},{"issue":"5","key":"10.1016\/j.aott.2018.03.001_bib23","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1227\/01.neu.0000303194.02921.30","article-title":"Spinopelvic alignment of patients with degenerative spondylolisthesis","volume":"61","author":"Barrey","year":"2007","journal-title":"Neurosurgery"},{"issue":"Suppl 6","key":"10.1016\/j.aott.2018.03.001_bib24","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1097\/01.brs.0000155560.92580.90","article-title":"The importance of spino-pelvic balance in L5-s1 developmental spondylolisthesis: a review of pertinent radiologic measurements","volume":"30","author":"Labelle","year":"2005","journal-title":"Spine"},{"issue":"3","key":"10.1016\/j.aott.2018.03.001_bib25","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/01.brs.0000152379.54463.65","article-title":"Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position","volume":"30","author":"Roussouly","year":"2005","journal-title":"Spine"},{"issue":"25","key":"10.1016\/j.aott.2018.03.001_bib26","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1097\/BRS.0b013e3181ee6bd4","article-title":"Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery","volume":"35","author":"Schwab","year":"2010","journal-title":"Spine"},{"issue":"Suppl 1","key":"10.1016\/j.aott.2018.03.001_bib27","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s00586-012-2236-9","article-title":"Criteria to restore the sagittal balance in deformity and degenerative spondylolisthesis","volume":"21","author":"Lamartina","year":"2012","journal-title":"Eur Spine J"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301062?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301062?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3370\/3317","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:32:40Z","timestamp":1763465560000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3370"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":27,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2018,1,4]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2018.03.001","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effect of PLIF and TLIF on sagittal spinopelvic balance of patients with degenerative spondylolisthesis","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2018.03.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}