{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:22:43Z","timestamp":1740158563320,"version":"3.37.3"},"reference-count":24,"publisher":"Asian Spine Journal (ASJ)","issue":"5","license":[{"start":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T00:00:00Z","timestamp":1696377600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["asianspinejournal.org"],"crossmark-restriction":true},"short-container-title":["Asian Spine J"],"published-print":{"date-parts":[[2023,10,31]]},"abstract":"<jats:p>Study Design: Retrospective single-center study.Purpose: This study aims to evaluate perioperative and intermediate-term clinical outcomes of patients undergoing different lumbar fusion techniques.Overview of Literature: Various open and minimally invasive techniques for lumbar fusion are available, but previous studies comparing lumbar fusion techniques have heterogeneous data, making interpretation challenging.Methods: Between 2011 and 2018, data from 447 consecutive patients undergoing one\/two-level lumbar fusion were analyzed. Posterior lumbar interbody fusion (PLIF) with bilateral muscle strip or Wiltse approach, open transforaminal lumbar interbody fusion (TLIF) and minimally invasive TLIF, and posterolateral fusion only were among the surgical techniques used. Core outcomes measure index (COMI) questionnaires were distributed before surgery and at 3 months, 1 year, and 2 years postoperatively to establish patient selfreported outcome measures. Demographic data (age, gender, and body mass index [BMI]) for each patient were also collected in addition to surgical indication, previous operative history, perioperative outcomes, and complications, and whether later revision surgery was required. Pearson\u2019s chi-square test, Kruskal-Wallis test, repeated measure mixed-effects models, and ordinal logistic regression were used for statistical analysis.Results: Postoperative COMI scores improved across all procedures compared with pre-surgery (&lt;i&gt;p&lt;\/i&gt;&lt;0.001). There was no significant difference between different postoperative COMI scores. Significant predictors of higher postoperative COMI score included higher pretreatment COMI score (&lt;i&gt;p&lt;\/i&gt;\u22640.001), previous surgery (&lt;i&gt;p&lt;\/i&gt;\u22640.04), younger age (&lt;i&gt;p&lt;\/i&gt;\u22640.05), higher BMI (&lt;i&gt;p&lt;\/i&gt;\u22640.005), and the indications of lytic spondylolisthesis (&lt;i&gt;p&lt;\/i&gt;=0.02) and degenerative disc disease (&lt;i&gt;p&lt;\/i&gt;&lt;0.001). Patients undergoing minimally invasive TLIF had a significantly shorter post-surgery stay than patients undergoing open PLIF (Kruskal-Wallis test, &lt;i&gt;p&lt;\/i&gt;=0.03).Conclusions: At 2 years postoperatively, there was no significant difference in clinical outcomes between open and minimally invasive techniques. These findings suggest that the main determinant of surgical approach should be surgeon preference and training.<\/jats:p>","DOI":"10.31616\/asj.2022.0448","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T02:00:02Z","timestamp":1696384802000},"page":"807-817","update-policy":"https:\/\/doi.org\/10.31616\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Outcome Data Using Different Techniques for Posterior Lumbar Fusion: A Large Single-Center Study"],"prefix":"10.31616","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6831-6990","authenticated-orcid":true,"given":"Daniel","family":"Lewis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1907-9201","authenticated-orcid":true,"given":"Shivan","family":"Marya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1081-9170","authenticated-orcid":true,"given":"Roberto","family":"Carrasco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0477-7920","authenticated-orcid":true,"given":"Silviu","family":"Sabou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Leach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16744","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000076895.52418.5e"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2010.09.004"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-005-0911-9"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000218477.53318.bc"},{"key":"ref5","first-page":"S74","volume-title":"Comparative effectiveness and economic evaluations of open versus minimally invasive posterior or transforaminal lumbar interbody fusion: a systematic review","author":"Goldstein","year":"2016"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2021.07.006"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-017-3078-3"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3903-4"},{"key":"ref9","first-page":"E559","volume-title":"Transforaminal lumbar interbody fusion in degenerative disk disease and spondylolisthesis grade I: minimally invasive versus open surgery","author":"Brodano","year":"2015"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000004215"},{"key":"ref11","first-page":"397","volume-title":"Benefit of transforaminal lumbar interbody fusion vs posterolateral spinal fusion in lumbar spine disorders: a propensity-matched analysis from the National Neurosurgical Quality and Outcomes Database Registry","author":"Glassman","year":"2016"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/bsd.0000000000000297"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.01.028"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-2880-8"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-2747-z"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3171\/2014.2.spine13794"},{"key":"ref17","first-page":"847","volume-title":"Surgical outcomes for minimally invasive vs open transforaminal lumbar interbody fusion: an updated systematic review and meta-analysis","author":"Khan","year":"2015"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000000655"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-021-06907-z"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2016.06.005"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1383764"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000000734"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.06.207"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0000000000002787"}],"container-title":["Asian Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.asianspinejournal.org\/upload\/pdf\/asj-2022-0448.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.asianspinejournal.org\/journal\/view.php?doi=10.31616\/asj.2022.0448","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.asianspinejournal.org\/upload\/pdf\/asj-2022-0448.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T07:15:22Z","timestamp":1698650122000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.asianspinejournal.org\/journal\/view.php?doi=10.31616\/asj.2022.0448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,31]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.31616\/asj.2022.0448","relation":{},"ISSN":["1976-1902","1976-7846"],"issn-type":[{"type":"print","value":"1976-1902"},{"type":"electronic","value":"1976-7846"}],"subject":[],"published":{"date-parts":[[2023,10,31]]},"assertion":[{"value":"2022-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-04","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}