A Cadaveric Comparison of Discectomy Performance During TLIF: Endoscopic vs Tubular Approach
Authors: Boddapati V, Yuk F, Virk S — 2025
PubMed: https://pubmed.ncbi.nlm.nih.gov/39146210
Spine 50(10): 713-719. DOI: 10.1097/BRS.0000000000005122
Abstract (EN)
Study Design: Cadaveric study. Objective: Compare discectomy adequacy between endoscopic TLIF (E-TLIF) and minimally invasive tubular TLIF (T-TLIF). Methods: 14 discs E-TLIF vs 15 discs T-TLIF; digital image analysis quantified % discectomy and quadrant performance; operative time and change in inter-pedicular distance (IPD) measured. Results: Overall discectomy similar (50.26 % E-TLIF vs 48.86 % T-TLIF, P = 0.61); quadrant 2 superior in E-TLIF (P = 0.02). IPD change not different. E-TLIF faster (15.2 ± 4.4 min vs 20.0 ± 7.1 min, P = 0.048). Conclusions: Adequate discectomy can be achieved with E-TLIF; efficiency advantages warrant further optimisation.
PubMed