Factors Affecting the Fusion Process and Comparison of PLIF and TLIF Techniques in Lumbar Interbody Fusion

Female sex and autograft use appear to favor earlier fusion, while cage placement provides significant benefits in preserving disc height and improving lumbar lordosis. Surgical technique (PLIF, PLIF+facetectomy, TLIF) did not significantly affect long-term fusion rates or clinical outcomes, emphasizing the importance of patient-specific surgical planning and optimization of modifiable risk factors.These findings highlight that personalized surgical decision-making, rather than the choice of fusion technique alone, plays a key role in optimizing outcomes following PLIF.

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Publication Details

Journal
Clinical Spine Surgery A Spine Publication
Published
2026-03-03
DOI
https://doi.org/10.1097/bsd.0000000000002046
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
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0.00
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article

Factors Affecting the Fusion Process and Comparison of PLIF and TLIF Techniques in Lumbar Interbody Fusion

Nimetullah Alper Durmuş, Şükrü Oral, Halil Ulutabanca, Ahmet Küçük et al.
Clinical Spine Surgery A Spine Publication
Spine and Intervertebral Disc Pathology
article

Factors Affecting the Fusion Process and Comparison of PLIF and TLIF Techniques in Lumbar Interbody Fusion

Nimetullah Alper Durmuş, Şükrü Oral, Halil Ulutabanca, Ahmet Küçük, Rahmi Kemal Koç, Arda Şahin, Eray Abat, Resul Emin Börklü, Erhan Biçer
article en

Abstract

Female sex and autograft use appear to favor earlier fusion, while cage placement provides significant benefits in preserving disc height and improving lumbar lordosis. Surgical technique (PLIF, PLIF+facetectomy, TLIF) did not significantly affect long-term fusion rates or clinical outcomes, emphasizing the importance of patient-specific surgical planning and optimization of modifiable risk factors.These findings highlight that personalized surgical decision-making, rather than the choice of fusion technique alone, plays a key role in optimizing outcomes following PLIF.

Clinical Spine Surgery A Spine Publication
State Hospital (GB), Kayseri Eğitim ve Araştırma Hastanesi (TR), Erciyes University (TR)
Good health and well-being
Openalex Percentile: Top 36%
Spine and Intervertebral Disc Pathology
DOIOpen Access PDFOpenAlex
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Factors Affecting the Fusion Process and Comparison of PLIF and TLIF Techniques in Lumbar Interbody Fusion — Nimetullah Alper Durmuş, Şükrü Oral, et al. · Clinical Spine Surgery A Spine Publication (2026) | TGRS Research Map | TGRS