Minimally Invasive Transforaminal Lumbar Interbody Fusion: Article Swipe
Erik E Rabin
,
Samuel G. Reyes
,
Shyam Chandrasekar
,
Bonnie Huang
,
Jonathan Huang
,
James M. Mossner
,
Benjamin E. Weiss
,
Julia K. Kaniuk
,
Kevin N. Swong
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/bn9.0000000000000037
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/bn9.0000000000000037
Background and Objectives: Low back pain is a leading cause of disability worldwide. This study evaluates perioperative and postoperative complications and outcomes between younger (<65 yr) and older (65+ yr) adults undergoing single-level and multilevel minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). Methods: A single-institution retrospective analysis was performed on 479 patients who underwent single-level or multilevel MIS-TLIF between 1/10/2010 and 5/24/2021. Patient demographics, operative outcomes, and patient complications were recorded and stratified by age groups and fusion level. x-ray or CT evidence of radiographic fusion was assessed in patients with at least six months of follow-up. Results: No differences were found in surgical time, blood loss, or revision/fusion rates between cohorts. There was significant improvement in postoperative Karnofsky Performance Status (KPS) scores ( P <0.05) in all age and fusion groups. Older patients with multilevel fusions were more likely to have worse preoperative and postoperative KPS scores. They also experienced longer hospitalizations regardless of fusion level ( P <0.05). Conclusions: MIS-TLIF demonstrated comparable surgical outcomes in both younger and older patients with improvements in KPS. Older adults undergoing single-level procedures were more likely to experience complications, whereas complication rates in multilevel fusions were similar across age groups. Older patients tend to experience extended hospital stays regardless of levels fused. These findings provide insight into the value of complete conversations of risks and benefits while highlighting the need for medical optimization and proper patient selection for surgical intervention, especially in older patients.
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Metadata
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- Language
- en
- Landing Page
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- OA Status
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https://openalex.org/W7106682075Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/bn9.0000000000000037Digital Object Identifier
- Title
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Minimally Invasive Transforaminal Lumbar Interbody Fusion:Work title
- Type
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articleOpenAlex work type
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enPrimary language
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2025Year of publication
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2025-11-26Full publication date if available
- Authors
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Erik E Rabin, Samuel G. Reyes, Shyam Chandrasekar, Bonnie Huang, Jonathan Huang, James M. Mossner, Benjamin E. Weiss, Julia K. Kaniuk, Kevin N. SwongList of authors in order
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https://doi.org/10.1097/bn9.0000000000000037Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1097/bn9.0000000000000037Direct OA link when available
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Medicine, Perioperative, Surgery, Complication, Lumbar, Retrospective cohort study, Lumbar spine, Comorbidity, Spinal fusion, Blood loss, Quality of life (healthcare), Surgical procedures, Young adult, Single level, Medical record, Surgical complication, Patient satisfaction, Radiography, MEDLINETop concepts (fields/topics) attached by OpenAlex
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