Skip to main content

Main menu

  • Home
  • Content
    • Current Issue
    • Advance Online Publication
    • Archive
  • About Us
    • About ISASS
    • About the Journal
    • Author Instructions
    • Editorial Board
    • Reviewer Guidelines & Publication Criteria
  • More
    • Advertise
    • Subscribe
    • Alerts
    • Feedback
  • Join Us
  • Reprints & Permissions
  • Sponsored Content
  • Other Publications
    • ijss

User menu

  • My alerts

Search

  • Advanced search
International Journal of Spine Surgery
  • My alerts
International Journal of Spine Surgery

Advanced Search

  • Home
  • Content
    • Current Issue
    • Advance Online Publication
    • Archive
  • About Us
    • About ISASS
    • About the Journal
    • Author Instructions
    • Editorial Board
    • Reviewer Guidelines & Publication Criteria
  • More
    • Advertise
    • Subscribe
    • Alerts
    • Feedback
  • Join Us
  • Reprints & Permissions
  • Sponsored Content
  • Follow ijss on Twitter
  • Visit ijss on Facebook
Research ArticleMinimally Invasive Surgery

Women Do Not Have Poorer Outcomes After Minimally Invasive Lumbar Fusion Surgery: A Five-Year Follow-Up Study

Winston Shang Rong Lim, Ming Han Lincoln Liow, Graham Seow-Hng Goh, William Yeo, Zhixing Marcus Ling, Wai-Mun Yue, Chang Ming Guo and Seang Beng Tan
International Journal of Spine Surgery October 2020, 7108; DOI: https://doi.org/10.14444/7108
Winston Shang Rong Lim
1Department of Orthopedic Surgery, Singapore General Hospital, Singapore
MBBS, MRCS (Edin)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ming Han Lincoln Liow
1Department of Orthopedic Surgery, Singapore General Hospital, Singapore
MBBS, DWD (CAW), MRCS (Edin), MMed (Ortho)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Graham Seow-Hng Goh
1Department of Orthopedic Surgery, Singapore General Hospital, Singapore
MBBS, MRCS (Edin)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
William Yeo
1Department of Orthopedic Surgery, Singapore General Hospital, Singapore
BAppSc, MPhty
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Zhixing Marcus Ling
1Department of Orthopedic Surgery, Singapore General Hospital, Singapore
MBBS, MRCS (Glas)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Wai-Mun Yue
2The Orthopaedic Centre, Mount Elizabeth Medical Centre, Singapore
MBBS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chang Ming Guo
1Department of Orthopedic Surgery, Singapore General Hospital, Singapore
MBBS, MMED (Surg)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Seang Beng Tan
3Orthopaedic and Spine Clinic, Mount Elizabeth Novena Medical Centre, Singapore
MBBS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

ABSTRACT

Background: Women undergoing lumbar spine surgery report greater preoperative pain and disability and have less improvement after surgery. There is a paucity of literature on sex-related differences after minimally invasive surgery transforaminal lumbar interbody fusion (MIS TLIF) surgery. We aim to determine whether sex influences outcome after MIS TLIF at 5-year midterm follow-up.

Methods: Prospectively collected registry data for 907 patients who underwent MIS TLIF at a single institution from 2004 to 2013 were reviewed. Of these, 296 patients (94 males and 202 females) were reviewed at 5-year follow-up. All patients were assessed preoperatively and postoperatively at 2 and 5 years. Data recorded included patient demographics, Oswestry Disability Index (ODI), Short-Form 36 Physical and Mental component scores (SF-36 PCS and MCS), and the North American Spine Society lumbar spine outcome assessment instrument.

Results: Females who underwent MIS TLIF were generally younger (females, 52.2 years; males, 56.1 years; P = .04). Females had significantly poorer preoperative ODI (females, 49.5; males, 41.5; P < .001) and SF-36 PCS (females, 31.9; males, 35.6; P < .01) and MCS (females, 44.9; males, 49.2; P < .01) scores. At 2-year and 5-year follow-up, there were no significant differences in ODI, SF-36, and pain scores between sexes. Both groups reported similar proportions that returned to work and returned to function. There were no differences in proportion of patients who were satisfied or had their expectations fulfilled.

Conclusions: Women who undergo MIS TLIF have poorer preoperative function and quality of life than men. However, women demonstrated greater improvement after surgery, attaining similar clinical outcomes at 5-year follow-up.

Level of Evidence: 3.

  • minimally invasive surgery
  • gender
  • transforaminal lumbar interbody fusion
  • spinal stenosis
  • patient reported outcome measure

Footnotes

  • Disclosures and COI: The authors declare no conflict of interest regarding the publication of this article.

  • This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2020 ISASS.
Next
Back to top

In this issue

International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
  • Table of Contents
  • Index by author

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on International Journal of Spine Surgery.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Women Do Not Have Poorer Outcomes After Minimally Invasive Lumbar Fusion Surgery: A Five-Year Follow-Up Study
(Your Name) has sent you a message from International Journal of Spine Surgery
(Your Name) thought you would like to see the International Journal of Spine Surgery web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Women Do Not Have Poorer Outcomes After Minimally Invasive Lumbar Fusion Surgery: A Five-Year Follow-Up Study
Winston Shang Rong Lim, Ming Han Lincoln Liow, Graham Seow-Hng Goh, William Yeo, Zhixing Marcus Ling, Wai-Mun Yue, Chang Ming Guo, Seang Beng Tan
International Journal of Spine Surgery Oct 2020, 7108; DOI: 10.14444/7108

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Women Do Not Have Poorer Outcomes After Minimally Invasive Lumbar Fusion Surgery: A Five-Year Follow-Up Study
Winston Shang Rong Lim, Ming Han Lincoln Liow, Graham Seow-Hng Goh, William Yeo, Zhixing Marcus Ling, Wai-Mun Yue, Chang Ming Guo, Seang Beng Tan
International Journal of Spine Surgery Oct 2020, 7108; DOI: 10.14444/7108
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
Show more Minimally Invasive Surgery

Similar Articles

Keywords

  • minimally invasive surgery
  • gender
  • transforaminal lumbar interbody fusion
  • spinal stenosis
  • patient reported outcome measure

Content

  • Current Issue
  • Latest Content
  • Archive

More Information

  • About IJSS
  • About ISASS
  • Privacy Policy

More

  • Subscribe
  • Alerts
  • Feedback

Other Services

  • Author Instructions
  • Join ISASS
  • Reprints & Permissions

© 2025 International Journal of Spine Surgery

International Journal of Spine Surgery Online ISSN: 2211-4599

Powered by HighWire