Clinical Outcomes of RA FE ‐ TLIF Compared to FE ‐ TLIF in Patients With Lumbar Spondylolisthesis: A Retrospective Study

作者：Lin Zhao, Z. Peng, Lei Cao, Mingdong Lu, Zhenhua Wu, Ning Ding, Sheng Zhou, J. Liu · 发表于：Orthopaedic Surgery · 年份：2025 · DOI：10.1111/os.70166 · 被引用次数：2 · 研究领域：Spine and Intervertebral Disc Pathology、Cervical and Thoracic Myelopathy、Scoliosis diagnosis and treatment

BACKGROUND: Lumbar spondylolisthesis (LS) is a spinal disorder that often necessitates surgical intervention. However, evidence on the comparative clinical value of robot-assisted full-endoscopic transforaminal lumbar interbody fusion (RA FE-TLIF) versus conventional FE-TLIF in early-grade (Grades I and II) LS remains limited, leaving uncertainty about its true clinical value in this patient population. This study aims to compare the clinical efficacy and safety of FE-TLIF with RA FE-TLIF in patients with Grade I and II LS. METHODS: A retrospective analysis was conducted on 47 patients who underwent surgical treatment for LS between April 2022 and April 2023 at our hospital. Patients were divided into two groups: 22 underwent RA FE-TLIF, and 25 underwent FE-TLIF. Key outcomes measured included operative time, intraoperative blood loss, postoperative recovery time, fusion rate, screw placement accuracy, Visual Analogue Scale (VAS), the Japanese Orthopaedic Association (JOA) scores, and the incidence of postoperative complications. Statistical analyses were performed using the independent-sample t test for continuous variables and the chi-square test for categorical variables, with a significance threshold of p < 0.05. RESULTS: The RA FE-TLIF group exhibited significantly shorter operative times and lower intraoperative blood loss compared to the FE-TLIF group (p < 0.05). Postoperative recovery, as measured by hospital stay, was also shorter in the RA FE-TLIF group (p = 0.001)....