Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective study
Abstract Background Degenerative lumbar diseases (LDD) are increasingly common among the elderly due to extended life expectancy. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a preferred surgical technique for LDD, offering advantages over traditional methods, although it...
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| Language: | English |
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BMC
2025-07-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-06111-5 |
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| author | Kangheng Niu Zhenzhen Tao Le Cheng Zhong Wei Hui Kang Tanjun Wei Biwang Huang Feng Xu Chengjie Xiong |
| author_facet | Kangheng Niu Zhenzhen Tao Le Cheng Zhong Wei Hui Kang Tanjun Wei Biwang Huang Feng Xu Chengjie Xiong |
| author_sort | Kangheng Niu |
| collection | DOAJ |
| description | Abstract Background Degenerative lumbar diseases (LDD) are increasingly common among the elderly due to extended life expectancy. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a preferred surgical technique for LDD, offering advantages over traditional methods, although it presents technical challenges. In this study, we compared the clinical outcomes and radiological accuracy between optical navigation-assisted MIS-TLIF (OMIS-TLIF) and conventional C-arm navigation-assisted MIS-TLIF (CMIS-TLIF) for the treatment of LDD. Methods A retrospective analysis was conducted on 90 patients who underwent single-level lumbar fusion between December 2021 and April 2023. Patients were divided into two groups: 36 underwent OMIS-TLIF, and 54 underwent CMIS-TLIF. The surgical duration, blood loss, hospital stay, complication rates, and clinical outcomes were assessed. Radiological parameters, such as pedicle screw placement accuracy and facet joint violation (FJV) rates, were also evaluated. The learning curves for surgical time were analyzed using the Cumulative Sum Control Chart method. Results OMIS-TLIF demonstrated a significantly shorter total operation time (125.25 ± 19.51 min) compared with CMIS-TLIF (136.41 ± 20.39 min, P < 0.05). OMIS-TLIF also achieved higher accuracy in pedicle screw placement (99.31% vs. 96.76%, P < 0.05) and lower FJV rates (91.67% vs. 81.48%, P < 0.05). Significantly lower pain scores (VAS) and improved functional outcomes (ODI) was observed at the 1-week follow-up (P < 0.05), although no significant differences were noted at the 3-month and latest follow-ups. The learning curve for OMIS-TLIF showed proficiency after 14 cases, whereas CMIS-TLIF required 27 cases to achieve similar proficiency. Conclusion The optical navigation system enhances the precision and efficiency of MIS-TLIF. OMIS-TLIF demonstrated superior clinical outcomes compared with CMIS-TLIF, with improved accuracy of instrument placement, a shorter surgery times and learning curve. These findings suggest that OMIS-TLIF offers significant advantages for the treatment of LDD. |
| format | Article |
| id | doaj-art-43ed059c3dce42ffbbd2d0d1e1c2acbd |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
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| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-43ed059c3dce42ffbbd2d0d1e1c2acbd2025-08-20T03:43:10ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-07-0120111310.1186/s13018-025-06111-5Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective studyKangheng Niu0Zhenzhen Tao1Le Cheng2Zhong Wei3Hui Kang4Tanjun Wei5Biwang Huang6Feng Xu7Chengjie Xiong8Department of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaDepartment of Orthopedics, General Hospital of Central Theater Command of the PLA of ChinaAbstract Background Degenerative lumbar diseases (LDD) are increasingly common among the elderly due to extended life expectancy. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a preferred surgical technique for LDD, offering advantages over traditional methods, although it presents technical challenges. In this study, we compared the clinical outcomes and radiological accuracy between optical navigation-assisted MIS-TLIF (OMIS-TLIF) and conventional C-arm navigation-assisted MIS-TLIF (CMIS-TLIF) for the treatment of LDD. Methods A retrospective analysis was conducted on 90 patients who underwent single-level lumbar fusion between December 2021 and April 2023. Patients were divided into two groups: 36 underwent OMIS-TLIF, and 54 underwent CMIS-TLIF. The surgical duration, blood loss, hospital stay, complication rates, and clinical outcomes were assessed. Radiological parameters, such as pedicle screw placement accuracy and facet joint violation (FJV) rates, were also evaluated. The learning curves for surgical time were analyzed using the Cumulative Sum Control Chart method. Results OMIS-TLIF demonstrated a significantly shorter total operation time (125.25 ± 19.51 min) compared with CMIS-TLIF (136.41 ± 20.39 min, P < 0.05). OMIS-TLIF also achieved higher accuracy in pedicle screw placement (99.31% vs. 96.76%, P < 0.05) and lower FJV rates (91.67% vs. 81.48%, P < 0.05). Significantly lower pain scores (VAS) and improved functional outcomes (ODI) was observed at the 1-week follow-up (P < 0.05), although no significant differences were noted at the 3-month and latest follow-ups. The learning curve for OMIS-TLIF showed proficiency after 14 cases, whereas CMIS-TLIF required 27 cases to achieve similar proficiency. Conclusion The optical navigation system enhances the precision and efficiency of MIS-TLIF. OMIS-TLIF demonstrated superior clinical outcomes compared with CMIS-TLIF, with improved accuracy of instrument placement, a shorter surgery times and learning curve. These findings suggest that OMIS-TLIF offers significant advantages for the treatment of LDD.https://doi.org/10.1186/s13018-025-06111-5Comprehensive workflow navigationOptical navigationMIS-TLIFSurgical accuracy and efficiency |
| spellingShingle | Kangheng Niu Zhenzhen Tao Le Cheng Zhong Wei Hui Kang Tanjun Wei Biwang Huang Feng Xu Chengjie Xiong Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective study Journal of Orthopaedic Surgery and Research Comprehensive workflow navigation Optical navigation MIS-TLIF Surgical accuracy and efficiency |
| title | Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective study |
| title_full | Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective study |
| title_fullStr | Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective study |
| title_full_unstemmed | Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective study |
| title_short | Comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion: a retrospective study |
| title_sort | comprehensive workflow with optical navigation in minimally invasive transforaminal lumbar interbody fusion a retrospective study |
| topic | Comprehensive workflow navigation Optical navigation MIS-TLIF Surgical accuracy and efficiency |
| url | https://doi.org/10.1186/s13018-025-06111-5 |
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