Comparison of Perioperative and Postoperative Outcomes of Minimally Invasive and Open TLIF in Obese Patients: A Systematic Review and Meta‑Analysis

References

• Surveillance report 2018 – obesity: identification, assessment and management (2014) NICE guideline CG189 and BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups (2013) NICE guideline PH46. London: National Institute for Health and Care Excellence (UK) Copyright © NICE 2018; 2018.
   Google Scholar
• PwC. Action required: the urgency of addressing social determinants of health. A PwC Health Research Institute report 2019.
   Google Scholar
• Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol. 2009;53:1925–1932. doi:10.1016/j.jacc.2008.12.068
   PubMed Web of Science ®Google Scholar
• Pi-Sunyer X. The medical risks of obesity. Postgrad Med. 2009;121:21–33. doi:10.3810/pgm.2009.11.2074
   PubMed Web of Science ®Google Scholar
• De la Garza-ramos R, Bydon M, Abt NB, et al. The impact of obesity on short- and long-term outcomes after lumbar fusion. Spine. 2015;40:56–61. doi:10.1097/BRS.0000000000000655
   PubMed Web of Science ®Google Scholar
• Flippin M, Harris J, Paxton EW, et al. Effect of body mass index on patient outcomes of surgical intervention for the lumbar spine. J Spine Surg. 2017;3:349–357. doi:10.21037/jss.2017.06.15
   PubMedGoogle Scholar
• Villavicencio A, Nelson EL, Rajpal S, Vivek N, Burneikiene S. The impact of BMI on operating room time, blood loss, and hospital stay in patients undergoing spinal fusion. Clin Neurol Neurosurg. 2019;179:19–22. doi:10.1016/j.clineuro.2019.02.012
   PubMed Web of Science ®Google Scholar
• Narain AS, Parrish JM, Jenkins NW, et al. Risk factors for medical and surgical complications after single-level minimally invasive transforaminal lumbar interbody fusion. Int J Spine Surg. 2020;14:125–132. doi:10.14444/7018
   PubMed Web of Science ®Google Scholar
• Urquhart DM, Kurniadi I, Triangto K, et al. Obesity is associated with reduced disc height in the lumbar spine but not at the lumbosacral junction. Spine. 2014;39:E962–6. doi:10.1097/BRS.0000000000000411
   PubMed Web of Science ®Google Scholar
• Divi SN, Goyal DKC, Galetta MS, et al. How does body mass index influence outcomes in patients after lumbar fusion? Spine. 2020;45:555–561. doi:10.1097/BRS.0000000000003313
   PubMed Web of Science ®Google Scholar
• Bagley C, MacAllister M, Dosselman L, Moreno J, Aoun SG, El Ahmadieh TY. Current concepts and recent advances in understanding and managing lumbar spine stenosis. F1000Research. 2019;8:137. doi:10.12688/f1000research.16082.1
   Google Scholar
• Delgado-López PD, Castilla-Díez JM. Impact of obesity in the pathophysiology of degenerative disk disease and in the morbidity and outcome of lumbar spine surgery. Neurocirugia. 2018;29:93–102. doi:10.1016/j.neucir.2017.06.002
   Web of Science ®Google Scholar
• Lee SY, Kim W, Lee SU, Choi KH. Relationship between obesity and lumbar spine degeneration: a cross-sectional study from the fifth Korean national health and nutrition examination survey, 2010–2012. Metab Syndr Relat Disord. 2019;17:60–66. doi:10.1089/met.2018.0051
   PubMed Web of Science ®Google Scholar
• Jain D, Berven S. Effect of obesity on the development, management, and outcomes of spinal disorders. J Am Acad Orthop Surg. 2019;27:e499–e506. doi:10.5435/JAAOS-D-17-00837
   PubMed Web of Science ®Google Scholar
• Valette S, Cohendy R. [Anesthesia and obesity]. Rev Pneumol Clin. 2002;58:117–20. French
   PubMedGoogle Scholar
• Huschak G, Busch T, Kaisers UX. Obesity in anesthesia and intensive care. Best Pract Res Clin Endocrinol Metab. 2013;27:247–260. doi:10.1016/j.beem.2013.02.001
   PubMed Web of Science ®Google Scholar
• Pouwels S, Buise MP, Twardowski P, Stepaniak PS, Proczko M. Obesity Surgery and Anesthesiology Risks: a Review of Key Concepts and Related Physiology. Obes Surg. 2019;29:2670–2677. doi:10.1007/s11695-019-03952-y
   PubMed Web of Science ®Google Scholar
• Itani KMF, Dellinger EP, Mazuski J, et al. Surgical Site Infection Research Opportunities. Surg Infect (Larchmt). 2017;18:401–408. doi:10.1089/sur.2017.060
   PubMed Web of Science ®Google Scholar
• Cheadle WG. Risk factors for surgical site infection. Surg Infect (Larchmt). 2006;7(Suppl 1):S7–11. doi:10.1089/sur.2006.7.s1-7
   PubMedGoogle Scholar
• Yuan K, Chen HL. Obesity and surgical site infections risk in orthopedics: a meta-analysis. Int J Surg. 2013;11:383–388. doi:10.1016/j.ijsu.2013.02.018
   PubMed Web of Science ®Google Scholar
• Bin Abd Razak HR, Dhoke P, Tay K-S, Yeo W, Yue W-M. Single-Level Minimally Invasive Transforaminal Lumbar Interbody Fusion Provides Sustained Improvements in Clinical and Radiological Outcomes up to 5 Years Postoperatively in Patients with Neurogenic Symptoms Secondary to Spondylolisthesis. Asian Spine J. 2017;11:204–212. doi:10.4184/asj.2017.11.2.204
   PubMed Web of Science ®Google Scholar
• Hammad A, Wirries A, Ardeshiri A, Nikiforov O, Geiger F. Open versus minimally invasive TLIF: literature review and meta-analysis. J Orthop Surg Res. 2019;14:229. doi:10.1186/s13018-019-1266-y
   PubMed Web of Science ®Google Scholar
• Seng C, Siddiqui MA, Wong KPL, et al. Five-Year Outcomes of Minimally Invasive Versus Open Transforaminal Lumbar Interbody Fusion A Matched-Pair Comparison Study. Spine. 2013;38:2049–2055. doi:10.1097/BRS.0b013e3182a8212d
   PubMed Web of Science ®Google Scholar
• Serban D, Calina N, Tender G. Standard versus Minimally Invasive Transforaminal Lumbar Interbody Fusion: a Prospective Randomized Study. Biomed Res Int. 2017;2017:7236970. doi:10.1155/2017/7236970
   PubMed Web of Science ®Google Scholar
• Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(264):w64. doi:10.7326/0003-4819-151-4-200908180-00135
   PubMed Web of Science ®Google Scholar
• Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med. 2009;151:W65–94. doi:10.7326/0003-4819-151-4-200908180-00136
   PubMed Web of Science ®Google Scholar
• Cumpston M, Li T, Page MJ, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst Rev. 2019. doi:10.1002/14651858.ED000142
   PubMed Web of Science ®Google Scholar
• Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol. 2005;5:13. doi:10.1186/1471-2288-5-13
   PubMedGoogle Scholar
• Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21:1539–1558. doi:10.1002/sim.1186
   PubMed Web of Science ®Google Scholar
• Furlan AD, Malmivaara A, Chou R, et al. 2015 Updated Method Guideline for Systematic Reviews in the Cochrane Back and Neck Group. Spine. 2015;40:1660–1673. doi:10.1097/BRS.0000000000001061
   PubMed Web of Science ®Google Scholar
• Lau D, Khan A, Terman SW, Yee T, La Marca F, Park P. Comparison of perioperative outcomes following open versus minimally invasive transforaminal lumbar interbody fusion in obese patients. Neurosurg Focus. 2013;35:E10. doi:10.3171/2013.5.FOCUS13154
   PubMed Web of Science ®Google Scholar
• Wang J, Zhou Y, Zhang ZF, Li CQ, Zheng WJ, Liu J. Comparison of the Clinical Outcome in Overweight or Obese Patients After Minimally Invasive Versus Open Transforaminal Lumbar Interbody Fusion. J Spinal Disord Tech. 2014;27:202–206. doi:10.1097/BSD.0b013e31825d68ac
   PubMedGoogle Scholar
• Abbasi H, Grant A. Effect of Body Mass Index on Perioperative Outcomes in Minimally Invasive Oblique Lateral Lumbar Interbody Fusion versus Open Fusions: a Multivariant Analysis. Cureus. 2018;10:e2288. doi:10.7759/cureus.2288
   PubMed Web of Science ®Google Scholar
• Terman SW, Yee TJ, Lau D, Khan AA, La Marca F, Park P. Minimally invasive versus open transforaminal lumbar interbody fusion: comparison of clinical outcomes among obese patients. Clinical article. J Neurosurg Spine. 2014;20:644–652.
   PubMed Web of Science ®Google Scholar
• Adogwa O, Carr K, Thompson P, et al. A prospective, multi-institutional comparative effectiveness study of lumbar spine surgery in morbidly obese patients: does minimally invasive transforaminal lumbar interbody fusion result in superior outcomes? World Neurosurg. 2015;83:860–866. doi:10.1016/j.wneu.2014.12.034
   PubMed Web of Science ®Google Scholar
• Ownby RL, Crocco E, Acevedo A, John V, Loewenstein D. Depression and risk for Alzheimer disease: systematic review, meta-analysis, and metaregression analysis. Arch Gen Psychiatry. 2006;63:530–538. doi:10.1001/archpsyc.63.5.530
   PubMed Web of Science ®Google Scholar
• Foley KT, Holly LT, Schwender JD. Minimally invasive lumbar fusion. Spine. 2003;28:S26–35. doi:10.1097/01.BRS.0000076895.52418.5E
   PubMed Web of Science ®Google Scholar
• Sayari AJ, Patel DV, Yoo JS, Singh K. Device solutions for a challenging spine surgery: minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). Expert Rev Med Devices. 2019;16:299–305. doi:10.1080/17434440.2019.1601013
   PubMed Web of Science ®Google Scholar
• Wong AP, Smith ZA, Stadler JA 3rd, et al. Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF): surgical technique, long-term 4-year prospective outcomes, and complications compared with an open TLIF cohort. Neurosurg Clin N Am. 2014;25:279–304. doi:10.1016/j.nec.2013.12.007
   PubMed Web of Science ®Google Scholar
• Othman YA, Alhammoud A, Aldahamsheh O, Vaishnav AS, Gang CH, Qureshi SA. Minimally Invasive Spine Lumbar Surgery in Obese Patients: a Systematic Review and Meta-Analysis. HSS J. 2020;16:168–176. doi:10.1007/s11420-019-09735-6
   PubMedGoogle Scholar
• Tan JH, Liu G, Ng R, Kumar N, Wong HK, Liu G. Is MIS-TLIF superior to open TLIF in obese patients?: a systematic review and meta-analysis. Eur Spine J. 2018;27:1877–1886. doi:10.1007/s00586-018-5630-0
   PubMed Web of Science ®Google Scholar
• Chotai S, Parker SL, Sivaganesan A, et al. Effect of complications within 90 days on patient-reported outcomes 3 months and 12 months following elective surgery for lumbar degenerative disease. Neurosurg Focus. 2015;39:E8. doi:10.3171/2015.8.FOCUS15302
   PubMed Web of Science ®Google Scholar
• Senker W, Meznik C, Avian A, Berghold A. Perioperative morbidity and complications in minimal access surgery techniques in obese patients with degenerative lumbar disease. Eur Spine J. 2011;20:1182–1187. doi:10.1007/s00586-011-1689-6
   PubMed Web of Science ®Google Scholar
• Lingutla KK, Pollock R, Benomran E, et al. Outcome of lumbar spinal fusion surgery in obese patients: a systematic review and meta-analysis. Bone Joint J. 2015;97-b:1395–1404. doi:10.1302/0301-620X.97B10.35724
   PubMed Web of Science ®Google Scholar
• Mehta AI, Babu R, Karikari IO, et al. 2012 Young Investigator Award winner: the distribution of body mass as a significant risk factor for lumbar spinal fusion postoperative infections. Spine. 2012;37:1652–1656. doi:10.1097/BRS.0b013e318241b186
   PubMed Web of Science ®Google Scholar
• Shafa E, Schwender JD. Complications with minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in the morbidly obese population with degenerative spondylolisthesis. Spine J. 2016;16:S274. doi:10.1016/j.spinee.2016.07.379
   Google Scholar
• Bohl DD, Ahn J, Mayo BC, et al. Does Greater Body Mass Index Increase the Risk for Revision Procedures Following a Single-Level Minimally Invasive Lumbar Discectomy? Spine. 2016;41:816–821. doi:10.1097/BRS.0000000000001340
   PubMed Web of Science ®Google Scholar
• Narain AS, Hijji FY, Bohl DD, Yom KH, Kudaravalli KT, Singh K. Is Body Mass Index a Risk Factor for Revision Procedures After Minimally Invasive Transforaminal Lumbar Interbody Fusion? Clin Spine Surg. 2018;31:E85–e91. doi:10.1097/BSD.0000000000000547
   PubMed Web of Science ®Google Scholar
• Buerba RA, Fu MC, Gruskay JA, Long WD 3rd, Grauer JN. Obese Class III patients at significantly greater risk of multiple complications after lumbar surgery: an analysis of 10,387 patients in the ACS NSQIP database. Spine J. 2014;14:2008–2018. doi:10.1016/j.spinee.2013.11.047
   PubMed Web of Science ®Google Scholar
• Yoo JS, Hrynewycz NM, Brundage TS, Singh K. The Use of Patient-Reported Outcome Measurement Information System Physical Function to Predict Outcomes Based on Body Mass Index Following Minimally Invasive Transforaminal Lumbar Interbody Fusion. Spine. 2019;44:E1388–E95. doi:10.1097/BRS.0000000000003137
   PubMed Web of Science ®Google Scholar
• JSt C, Jackson TR. Minimally invasive lumbar discectomy in obese patients. Neurosurgery. 2007;61:539–44; discussion 44. doi:10.1227/01.NEU.0000290900.23190.C9
   Web of Science ®Google Scholar
• Qin R, Liu B, Zhou P, et al. Minimally Invasive Versus Traditional Open Transforaminal Lumbar Interbody Fusion for the Treatment of Single-Level Spondylolisthesis Grades 1 and 2: a Systematic Review and Meta-Analysis. World Neurosurg. 2019;122:180–189. doi:10.1016/j.wneu.2018.10.202
   PubMed Web of Science ®Google Scholar
• Chen YC, Zhang L, Li EN, et al. An updated meta-analysis of clinical outcomes comparing minimally invasive with open transforaminal lumbar interbody fusion in patients with degenerative lumbar diseases. Medicine. 2019;98:e17420. doi:10.1097/MD.0000000000017420
   PubMed Web of Science ®Google Scholar
• Khan NR, Clark AJ, Lee SL, Venable GT, Rossi NB, Foley KT. Surgical Outcomes for Minimally Invasive vs Open Transforaminal Lumbar Interbody Fusion: an Updated Systematic Review and Meta-analysis. Neurosurgery. 2015;77:847–74; discussion 74. doi:10.1227/NEU.0000000000000913
   Web of Science ®Google Scholar
• Xie Q, Zhang J, Lu F, Wu H, Chen Z, Jian F. Minimally invasive versus open Transforaminal lumbar Interbody fusion in obese patients: a meta-analysis. BMC Musculoskelet Disord. 2018;19:15. doi:10.1186/s12891-018-1937-6
   PubMed Web of Science ®Google Scholar
• Djurasovic M, Gum JL, Crawford CH, et al. Cost-effectiveness of minimally invasive midline lumbar interbody fusion versus traditional open transforaminal lumbar interbody fusion. J Neurosurg Spine. 2019;32:31–35.
   Web of Science ®Google Scholar
• Passias PG, Brown AE, Alas H, et al. A cost benefit analysis of increasing surgical technology in lumbar spine fusion. Spine J. 2021;21:193–201. doi:10.1016/j.spinee.2020.10.012
   PubMed Web of Science ®Google Scholar