{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:40:34Z","timestamp":1760082034816,"version":"build-2065373602"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Transforaminal lumbar interbody fusion (TLIF) is a common procedure for degenerative lumbar disorders. Minimally invasive (MI) techniques were introduced to reduce perioperative morbidity versus open procedures. Here, we compared the perioperative characteristics, radiographic outcomes, and long-term complications for 1-level MI versus open TLIF.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>Retrospectively, 62 adults underwent single-level open versus MI TLIF at a tertiary academic (2021\u2013 2024). Clinical, radiographic, and outcome data were collected, along with the evaluation of other variables: operative time, blood loss, hospital stay, adverse events, adjacent segment disease (ASD), and radiographic correction of lordosis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>MI TLIF resulted in shorter hospital stays (length of stay [LOS]) (4.1 vs. 7.7 days), reduced estimated blood loss (EBL) (51.5 vs. 185.1 mL), less drain use, but similar fusion and reoperation rates. Open TLIF resulted in more durotomies (18.8% vs. 0%), a higher rate of ASD (50.0% vs. 23.03%), but greater global and segmental lordosis correction. Notably, functional outcome and symptom improvement remained similar between the two groups.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Patients undergoing single-level MI TLIF exhibited shorter LOS, reduced EBL, recoveries, and reduced ASD risk, while those undergoing open TLIF exhibited better postoperative global\/sagittal alignment correction. Notably, both groups exhibited comparable functional outcomes.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_926_2025","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:05:18Z","timestamp":1760079918000},"page":"427","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative safety and alignment outcomes in minimally invasive versus open transforaminal lumbar interbody fusion: A retrospective cohort study"],"prefix":"10.25259","volume":"16","author":[{"given":"Schahin","family":"Salmanian","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Brain and Spine, University of South Florida Morsani College of Medicine, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay I.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srujan","family":"Kopparapu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain and Spine, University of South Florida Morsani College of Medicine, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain and Spine, University of South Florida Morsani College of Medicine, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego Tonathiu Soto","family":"Rubio","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain and Spine, University of South Florida Morsani College of Medicine, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark S.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain and Spine, University of South Florida Morsani College of Medicine, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puya","family":"Alikhani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain and Spine, University of South Florida Morsani College of Medicine, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohsen","family":"Rostami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain and Spine, University of South Florida Morsani College of Medicine, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"10.25259\/SNI_926_2025\/ref-1","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/j.spinee.2018.10.017","article-title":"Restoration of lumbar lordosis after minimally invasive transforaminal lumbar interbody fusion: A systematic review","volume":"19","author":"Carlson","year":"2019","journal-title":"Spine J"},{"key":"10.25259\/SNI_926_2025\/ref-2","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1186\/s13018-019-1266-y","article-title":"Open versus minimally invasive TLIF: Literature review and meta-analysis","volume":"14","author":"Hammad","year":"2019","journal-title":"J Orthop Surg Res"},{"key":"10.25259\/SNI_926_2025\/ref-3","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/foc.2006.20.3.7","article-title":"Minimally invasive transforaminal lumbar interbody fusion: Indications, technique, and complications","volume":"20","author":"Holly","year":"2006","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_926_2025\/ref-4","first-page":"2","article-title":"Lumbar interbody fusion: Techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF","volume":"1","author":"Mobbs","year":"2015","journal-title":"J Spine Surg"},{"key":"10.25259\/SNI_926_2025\/ref-5","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1007\/s00586-015-3903-4","article-title":"Minimally invasive versus open transforaminal lumbar interbody fusion for treatment of degenerative lumbar disease: Systematic review and meta-analysis","volume":"24","author":"Phan","year":"2015","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_926_2025\/ref-6","doi-asserted-by":"crossref","first-page":"e105","DOI":"10.3346\/jkms.2022.37.e105","article-title":"Long-term clinical and radiological outcomes of minimally invasive transforaminal lumbar interbody fusion: 10-year follow-up results","volume":"37","author":"Roh","year":"2022","journal-title":"J Korean Med Sci"},{"key":"10.25259\/SNI_926_2025\/ref-7","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1177\/147323000903700337","article-title":"Unilateral transforaminal lumbar interbody fusion: A review of the technique, indications and graft 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