• Kai Su, Ying Guo, Zhongmin Zhang, and Dadi Jin.
• Department of Orthopaedics, the 3rd Affiliated Hospital of Southern Medical University & Academy of Orthopaedics of Guangdong Province, Guangzhou Guangdong, 510630, P.R. China.
• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Nov 1;27(11):1386-9.

ObjectiveTo review the latest comparative research of minimally invasive transforaminal lumbar interbody fusion (TLIF) and traditional open approach.MethodsThe domestic and foreign literature concerning the comparative research of minimally invasive TLIF and traditional open TLIF was reviewed, then intraoperative indicators, length of hospitalization, effectiveness, complication, fusion rate, and the effect on paraspinal muscles were analyzed respectively.ResultsMinimally invasive TLIF has less blood loss and shorter length of hospitalization, but with longer operation and fluoroscopic time. Minimally invasive surgery has the same high fusion rate as open surgery, however, its effectiveness is not superior to open surgery, and complication rate is relatively higher. In the aspect of the effect on paraspinal muscles, in creatine kinase, multifidus cross-sectional area, and atrophy grading, minimally invasive surgery has no significant reduced damage on paraspinal muscles.ConclusionMinimally invasive TLIF is not significantly superior to open TLIF, and it does not reduce the paraspinal muscles injury. But prospective double-blind randomized control trials are still needed for further study.

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