{"id":25186,"date":"2026-08-18T18:52:40","date_gmt":"2026-08-18T13:22:40","guid":{"rendered":"https:\/\/drraoshospitals.com\/?p=25186"},"modified":"2026-11-02T13:30:31","modified_gmt":"2026-11-02T13:30:31","slug":"endo-tlif-vs-mis-tlif-missabcon-2026","status":"publish","type":"post","link":"https:\/\/drraoshospitals.com\/neww\/endo-tlif-vs-mis-tlif-missabcon-2026\/","title":{"rendered":"Endo-TLIF vs MIS-TLIF: 110-Patient Study Presented at MISSABCON 2026 | Dr. Rao"},"content":{"rendered":"<p><!-- Schema --><\/p>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"WebSite\",\n      \"@id\": \"https:\/\/drraoshospitals.com\/#website\",\n      \"url\": \"https:\/\/drraoshospitals.com\/\",\n      \"name\": \"Dr. Rao's Hospital \u2013 International Institute of Neurosciences\",\n      \"inLanguage\": \"en-IN\"\n    },\n    {\n      \"@type\": \"MedicalOrganization\",\n      \"@id\": 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Rao MISSABCON 2026 Endo-TLIF vs MIS-TLIF Research\"\n    },\n    {\n      \"@type\": \"Article\",\n      \"@id\": \"https:\/\/drraoshospitals.com\/endo-tlif-vs-mis-tlif-missabcon-2026\/#article\",\n      \"mainEntityOfPage\": {\n        \"@type\": \"WebPage\",\n        \"@id\": \"https:\/\/drraoshospitals.com\/endo-tlif-vs-mis-tlif-missabcon-2026\/\"\n      },\n      \"headline\": \"Endo-TLIF vs MIS-TLIF: What a 110-Patient Study Presented at MISSABCON 2026 Found\",\n      \"description\": \"A comparative 110-patient study presented by Dr. Rao at MISSABCON 2026 examines blood loss, hospital stay, operative time, clinical outcomes, fusion and complications.\",\n      \"image\": {\n        \"@id\": \"https:\/\/drraoshospitals.com\/endo-tlif-vs-mis-tlif-missabcon-2026\/#primaryimage\"\n      },\n      \"author\": {\n        \"@id\": \"https:\/\/drraoshospitals.com\/dr-mohana-rao-patibandla\/#person\"\n      },\n      \"publisher\": {\n        \"@id\": \"https:\/\/drraoshospitals.com\/#organization\"\n      },\n      \"datePublished\": \"2026-08-18T00:00:00+05:30\",\n      \"dateModified\": \"2026-08-18T00:00:00+05:30\",\n      \"articleSection\": \"Neurosurgery Research\",\n      \"keywords\": [\n        \"Endo-TLIF\",\n        \"MIS-TLIF\",\n        \"MISSABCON 2026\",\n        \"minimally invasive spine surgery\",\n        \"endoscopic spine surgery\",\n        \"lumbar degenerative disease\"\n      ],\n      \"inLanguage\": \"en-IN\",\n      \"isAccessibleForFree\": true\n    },\n    {\n      \"@type\": \"BreadcrumbList\",\n      \"@id\": \"https:\/\/drraoshospitals.com\/endo-tlif-vs-mis-tlif-missabcon-2026\/#breadcrumb\",\n      \"itemListElement\": [\n        {\n          \"@type\": \"ListItem\",\n          \"position\": 1,\n          \"name\": \"Home\",\n          \"item\": \"https:\/\/drraoshospitals.com\/\"\n        },\n        {\n          \"@type\": \"ListItem\",\n          \"position\": 2,\n          \"name\": \"Blog\",\n          \"item\": \"https:\/\/drraoshospitals.com\/blog\/\"\n        },\n        {\n          \"@type\": \"ListItem\",\n          \"position\": 3,\n          \"name\": \"Endo-TLIF vs MIS-TLIF Study\",\n          \"item\": \"https:\/\/drraoshospitals.com\/endo-tlif-vs-mis-tlif-missabcon-2026\/\"\n        }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n<p><strong style=\"font-size: 1rem;\">MISSABCON 2026 | Neurosurgical Research<\/strong><\/p>\n<article class=\"research-article\">\n<header>\n<h1>Endo-TLIF vs MIS-TLIF: What a 110-Patient Study Presented at MISSABCON 2026 Found<\/h1>\n<p class=\"article-intro\">A comparative study presented by Dr. Rao examines two minimally invasive<br \/>\napproaches to lumbar fusion, looking at blood loss, hospital stay,<br \/>\noperative time, pain, disability, fusion and complications.<\/p>\n<figure>\n<p><figure id=\"attachment_25189\" aria-describedby=\"caption-attachment-25189\" style=\"width: 200px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-25189\" title=\"dr-rao-missabcon-2026-endo-tlif-vs-mis-tlif-presentation.webp\" src=\"https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-200x300.webp\" alt=\"Dr. Rao presenting his Endo-TLIF versus MIS-TLIF comparative study during a scientific session at MISSABCON 2026.\" width=\"200\" height=\"300\" srcset=\"https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-200x300.webp 200w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-683x1024.webp 683w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-768x1152.webp 768w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-1024x1536.webp 1024w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-1366x2048.webp 1366w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium.webp 1707w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><figcaption id=\"caption-attachment-25189\" class=\"wp-caption-text\">Dr. Rao presents his comparative research on Endo-TLIF versus MIS-TLIF at MISSABCON 2026, examining outcomes of minimally invasive lumbar fusion in patients with single-level lumbar degenerative disease.<\/figcaption><\/figure><figcaption>Dr. Rao presents his comparative research on Endo-TLIF versus MIS-TLIF<br \/>\nduring a scientific session at MISSABCON 2026.<\/figcaption><\/figure>\n<\/header>\n<p><!-- ===================================================== INTRODUCTION ===================================================== --><\/p>\n<section>\n<h2>A Simple Question Behind a Complex Spine Surgery Study<\/h2>\n<p>Minimally invasive spine surgery has changed considerably over the last<br \/>\nseveral years. Surgeons today have multiple ways of reaching and treating<br \/>\nspinal problems while attempting to reduce unnecessary disruption of<br \/>\nsurrounding tissues.<\/p>\n<p>But having more than one minimally invasive technique creates an important<br \/>\nclinical question:<\/p>\n<blockquote><p><strong><br \/>\nIf two techniques can achieve the same basic surgical goal,<br \/>\nhow do they differ in recovery, surgical demands and outcomes?<br \/>\n<\/strong><\/p><\/blockquote>\n<p>A comparative study presented by\u00a0<a href=\"https:\/\/drraoshospitals.com\/neww\/dr-mohana-rao-patibandla\/\">Dr. Mohana Rao Patibandla (Dr. Rao)\u00a0<\/a><br \/>\nat <strong>MISSABCON 2026<\/strong> examined this question by comparing<br \/>\n<strong>endoscopic transforaminal lumbar interbody fusion (Endo-TLIF)<\/strong><br \/>\nwith <strong>minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF)<\/strong>.<\/p>\n<p>The study focused on patients with single-level lumbar degenerative disease<br \/>\nand compared perioperative, clinical and radiological outcomes.<\/p>\n<\/section>\n<p><!-- ===================================================== CONFERENCE ===================================================== --><\/p>\n<section>\n<h2>Research Presented at MISSABCON 2026<\/h2>\n<p>The research was presented at\u00a0<a href=\"https:\/\/www.missabcon2026.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">MISSABCON 2026\u00a0<\/a>in Chennai, a major scientific meeting focused on minimally invasive spine surgery.<\/p>\n<p>MISSABCON 2026 was held in conjunction with the\u00a0<a href=\"https:\/\/pasmiss.umin.ne.jp\/\" target=\"_blank\" rel=\"noopener noreferrer\">Pacific and Asian Society of Minimally Invasive Spine Surgery (PASMISS)\u00a0<\/a>and the Chennai Ortho Spine Society&#8217;s COSSCON meeting.<\/p>\n<p>The official conference programme included free-paper sessions, international scientific sessions, innovation-focused sessions and educational programmes covering contemporary minimally invasive spine surgery.<\/p>\n<p><a href=\"https:\/\/www.missabcon2026.com\/scientific-program\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nView the official MISSABCON 2026 scientific programme<br \/>\n<\/a><\/p>\n<\/section>\n<p><!-- ===================================================== STUDY DESIGN ===================================================== --><\/p>\n<section>\n<h2>How Was the Study Designed?<\/h2>\n<p>This was a <strong>retrospective comparative study<\/strong> involving <strong>110 patients<\/strong> with single-level lumbar degenerative disease.<\/p>\n<div class=\"study-summary\">\n<ul>\n<li><strong>Total patients:<\/strong> 110<\/li>\n<li><strong>Endo-TLIF group:<\/strong> 55 patients<\/li>\n<li><strong>MIS-TLIF group:<\/strong> 55 patients<\/li>\n<li><strong>Study period:<\/strong> January 2022 to December 2024<\/li>\n<li><strong>Outcomes assessed: <\/strong>perioperative, clinical and radiological outcomes<\/li>\n<\/ul>\n<\/div>\n<p>The study therefore does not simply compare the appearance of two surgical<br \/>\ntechniques. It examines several practical measures that matter during and<br \/>\nafter lumbar fusion surgery.<\/p>\n<\/section>\n<p><!-- ===================================================== WHAT IS ENDO TLIF ===================================================== --><\/p>\n<section>\n<h2>What Is Endo-TLIF?<\/h2>\n<p><strong>Endo-TLIF<\/strong> refers to endoscopic transforaminal lumbar interbody fusion. It uses an endoscopic working corridor to access the affected spinal level and perform decompression and fusion in appropriately selected patients.<\/p>\n<p>Endoscopic techniques have become an important part of the evolution of minimally invasive spine surgery because they can provide visual access through relatively small working corridors.<\/p>\n<p>However, minimally invasive does not automatically mean appropriate for every patient. The choice of approach depends on the diagnosis, anatomy, spinal stability, imaging findings and the surgeon&#8217;s assessment.<\/p>\n<p>Learn more about\u00a0<a href=\"https:\/\/drraoshospitals.com\/neww\/minimally-invasive-spine-surgery-in-india\/\">minimally invasive spine surgery at Dr. Rao&#8217;s Hospital<br \/>\n<\/a>.<\/p>\n<\/section>\n<p><!-- ===================================================== WHAT IS MIS TLIF ===================================================== --><\/p>\n<section>\n<h2>What Is MIS-TLIF?<\/h2>\n<p><strong>MIS-TLIF<\/strong> stands for minimally invasive transforaminal lumbar interbody fusion. It is an established minimally invasive approach to lumbar fusion that uses specialised access techniques to reduce disruption of surrounding tissues compared with conventional open surgery.<\/p>\n<p>Both Endo-TLIF and MIS-TLIF aim to achieve the fundamental objectives of appropriate decompression, interbody fusion and spinal stabilisation.<\/p>\n<p>The research question is therefore not simply which procedure is &#8220;better,&#8221; but how the two approaches compare across different clinical and perioperative measures.<\/p>\n<\/section>\n<p><!-- ===================================================== MAIN FINDINGS ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>What Did the 110-Patient Study Find?<\/h2>\n<p>The study identified several statistically significant differences between the two groups.<\/p>\n<h3>1. Blood Loss<\/h3>\n<p>Mean blood loss was approximately:<\/p>\n<ul>\n<li><strong>Endo-TLIF:<\/strong> 89.22 mL<\/li>\n<li><strong>MIS-TLIF:<\/strong> 110.85 mL<\/li>\n<\/ul>\n<p>The difference was statistically significant.<\/p>\n<h3>2. Hospital Stay<\/h3>\n<p>Mean hospitalisation was reported as:<\/p>\n<ul>\n<li><strong>Endo-TLIF:<\/strong> 4.27 days<\/li>\n<li><strong>MIS-TLIF:<\/strong> 5.57 days<\/li>\n<\/ul>\n<p>The Endo-TLIF group had the shorter reported hospital stay.<\/p>\n<h3>3. Operative Time<\/h3>\n<p>The advantage was not present across every measure.<br \/>\nMean operative time was:<\/p>\n<ul>\n<li><strong>Endo-TLIF:<\/strong> 205.64 minutes<\/li>\n<li><strong>MIS-TLIF:<\/strong> 120.36 minutes<\/li>\n<\/ul>\n<p>Endo-TLIF therefore required substantially longer operative time in<br \/>\nthis study.<\/p>\n<h3>4. X-Ray Exposure<\/h3>\n<p>X-ray exposure was also higher in the Endo-TLIF group:<\/p>\n<ul>\n<li><strong>Endo-TLIF:<\/strong> 41.32 exposures<\/li>\n<li><strong>MIS-TLIF:<\/strong> 27.45 exposures<\/li>\n<\/ul>\n<p>This is an important finding because it demonstrates that a technique<br \/>\nmay have advantages in one area while creating additional technical<br \/>\ndemands in another.<\/p>\n<\/section>\n<p><!-- ===================================================== TABLE ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>Endo-TLIF vs MIS-TLIF: Key Perioperative Findings<\/h2>\n<div class=\"table-responsive\">\n<table>\n<thead>\n<tr>\n<th>Measure<\/th>\n<th>Endo-TLIF<\/th>\n<th>MIS-TLIF<\/th>\n<th>Study Finding<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Blood loss<\/td>\n<td>89.22 mL<\/td>\n<td>110.85 mL<\/td>\n<td>Lower with Endo-TLIF<\/td>\n<\/tr>\n<tr>\n<td>Hospital stay<\/td>\n<td>4.27 days<\/td>\n<td>5.57 days<\/td>\n<td>Shorter with Endo-TLIF<\/td>\n<\/tr>\n<tr>\n<td>Operative time<\/td>\n<td>205.64 min<\/td>\n<td>120.36 min<\/td>\n<td>Longer with Endo-TLIF<\/td>\n<\/tr>\n<tr>\n<td>X-ray exposure<\/td>\n<td>41.32 times<\/td>\n<td>27.45 times<\/td>\n<td>Higher with Endo-TLIF<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/section>\n<p><!-- ===================================================== CLINICAL OUTCOMES ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>What Happened to Pain and Function?<\/h2>\n<p>Both groups showed significant improvement in clinical measures following surgery.<\/p>\n<p>The study assessed pain using the <strong>Visual Analogue Scale (VAS)<\/strong> and disability using the<br \/>\n<strong>Oswestry Disability Index (ODI)<\/strong>.<\/p>\n<p>Both Endo-TLIF and MIS-TLIF groups demonstrated reductions in VAS and ODI<br \/>\nscores at postoperative assessments compared with preoperative values.<\/p>\n<p>The study found a lower back-pain VAS score in the Endo-TLIF group at postoperative day three. At later follow-up assessments, the reported differences were not statistically significant.<\/p>\n<p>The broader finding is therefore important: <strong>both approaches produced meaningful clinical improvement.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<\/section>\n<p><!-- ===================================================== MUSCLE INJURY ===================================================== --><\/p>\n<section>\n<h2>What About Muscle Injury?<\/h2>\n<p>The study also examined creatine kinase (CK), a laboratory marker that can reflect muscle injury.<\/p>\n<p>At postoperative day one, CK levels were lower in the Endo-TLIF group. The reported values were approximately 264.74 compared with 365.88.<\/p>\n<p>By postoperative day five, the difference was no longer statistically significant.<\/p>\n<p>This finding forms part of the study&#8217;s assessment of the early tissue response to the two surgical approaches.<\/p>\n<p>&nbsp;<\/p>\n<\/section>\n<p><!-- ===================================================== FUSION ===================================================== --><\/p>\n<section>\n<h2>Did Both Techniques Achieve Similar Fusion?<\/h2>\n<p>Fusion is one of the most important outcomes when evaluating lumbar interbody fusion surgery.<\/p>\n<p>At 12 months, the reported fusion rates were:<\/p>\n<ul>\n<li><strong>Endo-TLIF:<\/strong> 94.55%<\/li>\n<li><strong>MIS-TLIF:<\/strong> 96.36%<\/li>\n<\/ul>\n<p>The difference was not statistically significant.<\/p>\n<p>The study also reported no significant differences between the groups in measured lumbar lordosis, segmental lordosis or disc height at the evaluated follow-up points.<\/p>\n<p>&nbsp;<\/p>\n<\/section>\n<p><!-- ===================================================== COMPLICATIONS ===================================================== --><\/p>\n<section>\n<h2>What About Complications?<\/h2>\n<p>The study reported no statistically significant difference in overall<br \/>\ncomplications between the two groups.<\/p>\n<table>\n<thead>\n<tr>\n<th>Outcome<\/th>\n<th>Endo-TLIF<\/th>\n<th>MIS-TLIF<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Nerve damage<\/td>\n<td>3.64%<\/td>\n<td>1.82%<\/td>\n<\/tr>\n<tr>\n<td>CSF leak<\/td>\n<td>1.82%<\/td>\n<td>1.82%<\/td>\n<\/tr>\n<tr>\n<td>Total complications<\/td>\n<td>9.09%<\/td>\n<td>5.45%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The reported difference in total complications was not statistically significant.<\/p>\n<p>These figures should be interpreted in the context of the study design, patient population and follow-up rather than used to predict an individual patient&#8217;s risk.<\/p>\n<\/section>\n<p><!-- ===================================================== WHY THIS MATTERS ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>Why These Findings Matter<\/h2>\n<p>The most interesting aspect of the research is that it does not present Endo-TLIF as universally superior to MIS-TLIF.<\/p>\n<p>Instead, the findings show a series of advantages and trade-offs.\u00a0Endo-TLIF was associated with lower blood loss and shorter hospitalisation, while MIS-TLIF had shorter operative time and lower reported X-ray exposure.<\/p>\n<p>At the same time, clinical and radiological outcomes were broadly comparable between the two groups.<\/p>\n<p>That is an important message for modern spine surgery: <strong>minimally invasive surgery is not one single technique.<\/strong><\/p>\n<p>Different approaches can have different strengths, limitations and technical requirements.<\/p>\n<p>&nbsp;<\/p>\n<\/section>\n<p><!-- ===================================================== PATIENT PERSPECTIVE ===================================================== --><\/p>\n<section>\n<h2>What Does This Mean for Patients?<\/h2>\n<p>A patient reading a study like this may reasonably ask: <strong>&#8220;Which procedure should I have?&#8221;<\/strong><\/p>\n<p>The study does not provide a universal answer.<\/p>\n<p>The appropriate surgical approach depends on the individual&#8217;s diagnosis, spinal anatomy, level of disease, symptoms, imaging findings, stability, previous treatment and overall health.<\/p>\n<p>A technique that is appropriate for one patient may not be appropriate for another.<\/p>\n<p>This is why consultation and individualised assessment remain important before deciding on lumbar fusion surgery.<\/p>\n<p>&nbsp;<\/p>\n<\/section>\n<p><!-- ===================================================== RESEARCH PHILOSOPHY ===================================================== --><\/p>\n<section>\n<h2>Why Comparative Research Is Important in Spine Surgery<\/h2>\n<p>New surgical technologies are introduced regularly. Endoscopy, navigation, advanced imaging and other technologies are expanding the options available to spine surgeons.<\/p>\n<p>But innovation should not be measured simply by how new a technique is.\u00a0It should be evaluated through evidence.<\/p>\n<p>Comparative research helps surgeons ask practical questions:<\/p>\n<ul>\n<li>Does the approach reduce blood loss?<\/li>\n<li>Does it shorten hospitalisation?<\/li>\n<li>Does it improve early recovery?<\/li>\n<li>Does it require longer operative time?<\/li>\n<li>Does it increase imaging or X-ray exposure?<\/li>\n<li>Does it achieve comparable fusion?<\/li>\n<li>Are complications different?<\/li>\n<li>Which patients are most likely to benefit?<\/li>\n<\/ul>\n<p>These questions are ultimately more important than simply calling one technique &#8220;advanced.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<\/section>\n<p><!-- ===================================================== DR RAO QUOTE ===================================================== --><\/p>\n<section class=\"expert-opinion\">\n<h2>Dr. Rao&#8217;s Perspective<\/h2>\n<blockquote><p>&#8220;Innovation in spine surgery should be guided by evidence. The important<br \/>\nquestion is not which technique is newer, but which approach is<br \/>\nappropriate for each patient.&#8221;<\/p>\n<p><cite><br \/>\n\u2014 Dr. Rao<br \/>\n<\/cite><\/p><\/blockquote>\n<p>For Dr. Rao, presenting clinical research at a scientific meeting is part<br \/>\nof a broader approach to research-led surgical practice: identify a clinical<br \/>\nquestion, evaluate the available evidence, share findings with peers and<br \/>\ncontinue refining treatment strategies.<\/p>\n<\/section>\n<p><!-- ===================================================== RESEARCH AND EXPERIENCE ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>From Clinical Experience to Scientific Discussion<\/h2>\n<p>Dr. Mohana Rao Patibandla is Founder and Chief Neurosurgeon of\u00a0<a href=\"https:\/\/drraoshospitals.com\/neww\/\">Dr. Rao&#8217;s Hospital \u2013 International Institute of Neurosciences\u00a0<\/a>in Guntur, Andhra Pradesh.<\/p>\n<p>His academic and clinical interests include minimally invasive brain and<br \/>\nspine surgery, endoscopic surgery, skull-base surgery, cerebrovascular and<br \/>\nendovascular neurosurgery, neuro-oncology, pediatric neurosurgery,<br \/>\nstereotactic radiosurgery and intraoperative neurophysiological monitoring.<\/p>\n<p>His professional profile and conference presentation materials document<br \/>\nadvanced fellowship training in minimally invasive neurosurgery,<br \/>\nendoscopic skull-base surgery, endovascular neurosurgery, neuro-oncology<br \/>\nand radiosurgery, among other subspecialties.<\/p>\n<p>Read more about\u00a0<a href=\"https:\/\/drraoshospitals.com\/neww\/dr-mohana-rao-patibandla\/\">Dr. Mohana Rao Patibandla&#8217;s training and neurosurgical practice<br \/>\n<\/a>.<\/p>\n<\/section>\n<p><!-- ===================================================== RESEARCH IMAGE ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>MISSABCON 2026 Research Presentation<\/h2>\n<figure>\n<p><figure id=\"attachment_25189-2\" aria-describedby=\"caption-attachment-25189-2\" style=\"width: 200px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-25189\" title=\"dr-rao-missabcon-2026-endo-tlif-vs-mis-tlif-presentation.webp\" src=\"https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-200x300.webp\" alt=\"Dr. Rao presenting his Endo-TLIF versus MIS-TLIF comparative study during a scientific session at MISSABCON 2026.\" width=\"200\" height=\"300\" srcset=\"https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-200x300.webp 200w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-683x1024.webp 683w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-768x1152.webp 768w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-1024x1536.webp 1024w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium-1366x2048.webp 1366w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Mohana-rao-patibandla-at-MISSABCON-podium.webp 1707w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><figcaption id=\"caption-attachment-25189-2\" class=\"wp-caption-text\">Dr. Rao presents his comparative research on Endo-TLIF versus MIS-TLIF at MISSABCON 2026, examining outcomes of minimally invasive lumbar fusion in patients with single-level lumbar degenerative disease.<\/figcaption><\/figure><figcaption>Dr. Rao presenting the Endo-TLIF versus MIS-TLIF comparative study<br \/>\nduring a scientific session at MISSABCON 2026.<\/figcaption><\/figure>\n<\/section>\n<p><!-- ===================================================== RESEARCH INFOGRAPHIC ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>Study at a Glance<\/h2>\n<figure>\n<p><figure id=\"attachment_25188\" aria-describedby=\"caption-attachment-25188\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-25188\" title=\"Endo TLIF vs MIS TLIF infographic\" src=\"https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Endo-TLIF-vs-MIS-TLIF-infographic-300x200.webp\" alt=\"Endo TLIF vs MIS TLIF infographic\" width=\"300\" height=\"200\" srcset=\"https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Endo-TLIF-vs-MIS-TLIF-infographic-300x200.webp 300w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Endo-TLIF-vs-MIS-TLIF-infographic-1024x683.webp 1024w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Endo-TLIF-vs-MIS-TLIF-infographic-768x512.webp 768w, https:\/\/drraoshospitals.com\/neww\/wp-content\/uploads\/2026\/08\/Endo-TLIF-vs-MIS-TLIF-infographic.webp 1536w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-25188\" class=\"wp-caption-text\">Endo TLIF vs MIS TLIF infographic<\/figcaption><\/figure><figcaption>Summary of the 110-patient comparative study of Endo-TLIF and MIS-TLIF<br \/>\npresented at MISSABCON 2026.<\/figcaption><\/figure>\n<\/section>\n<p><!-- ===================================================== KEY TAKEAWAYS ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>Key Takeaways<\/h2>\n<ol>\n<li>The study included <strong>110 patients<\/strong> with single-level<br \/>\nlumbar degenerative disease.<\/li>\n<li>There were <strong>55 patients in each group<\/strong>.<\/li>\n<li>Endo-TLIF was associated with lower reported blood loss.<\/li>\n<li>Endo-TLIF was associated with a shorter reported hospital stay.<\/li>\n<li>Endo-TLIF required longer operative time in the study.<\/li>\n<li>Endo-TLIF involved greater reported X-ray exposure.<\/li>\n<li>Both groups showed significant improvement in pain and disability<br \/>\nmeasures.<\/li>\n<li>Fusion rates at 12 months were comparable.<\/li>\n<li>No statistically significant difference in overall complications<br \/>\nwas reported.<\/li>\n<li>The findings support individualised selection of minimally invasive<br \/>\ntechniques rather than assuming one approach is universally superior.<\/li>\n<\/ol>\n<\/section>\n<p><!-- ===================================================== LIMITATIONS \/ SCIENTIFIC CONTEXT ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>An Important Scientific Perspective<\/h2>\n<p>This study was retrospective and focused on patients with single-level<br \/>\nlumbar degenerative disease. Its findings should therefore be interpreted<br \/>\nwithin that clinical context.<\/p>\n<p>A conference presentation is also not the same as a prospective randomised<br \/>\nclinical trial or a peer-reviewed journal publication.<\/p>\n<p>Further research can help determine how these findings apply across<br \/>\ndifferent patient populations and surgical indications.<\/p>\n<p>The value of the research lies in contributing comparative clinical data<br \/>\nto the continuing discussion about minimally invasive spine surgery.<\/p>\n<\/section>\n<p><!-- ===================================================== OFFICIAL RESOURCES ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>Learn More<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.missabcon2026.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nOfficial MISSABCON 2026 website<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/www.missabcon2026.com\/scientific-program\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nMISSABCON 2026 Scientific Programme<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/www.missabcon2026.com\/about-missabcon\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nAbout MISSAB<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/pasmiss.umin.ne.jp\/\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nPacific and Asian Society of Minimally Invasive Spine Surgery<br \/>\n(PASMISS)<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/drraoshospitals.com\/neww\/minimally-invasive-spine-surgery-in-india\/\"><br \/>\nMinimally Invasive Spine Surgery at Dr. Rao&#8217;s Hospital<br \/>\n<\/a><\/li>\n<\/ul>\n<\/section>\n<p><!-- ===================================================== RELATED CONTENT ===================================================== --><\/p>\n<section>\n<h2><\/h2>\n<h2>Related Neurosurgical Research and Information<\/h2>\n<ul>\n<li><a href=\"https:\/\/drraoshospitals.com\/neww\/minimally-invasive-spine-surgery-in-india\/\"><br \/>\nMinimally Invasive Spine Surgery in India<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/drraoshospitals.com\/neww\/neurosurgery-dr-rao-at-dr-raos-hospital\/\"><br \/>\nNeurosurgery at Dr. Rao&#8217;s Hospital<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/drraoshospitals.com\/neww\/dr-mohana-rao-patibandla\/\"><br \/>\nDr. Mohana Rao Patibandla \u2013 Neurosurgeon<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/drraoshospitals.com\/neww\/\"><br \/>\nDr. Rao&#8217;s Hospital \u2013 International Institute of Neurosciences<br \/>\n<\/a><\/li>\n<\/ul>\n<\/section>\n<p><!-- ===================================================== CTA ===================================================== --><\/p>\n<section class=\"cta\">\n<h2><\/h2>\n<h2>Considering Minimally Invasive Spine Surgery?<\/h2>\n<p>If you have been diagnosed with lumbar degenerative disease, disc<br \/>\nproblems, spinal instability or another condition requiring possible<br \/>\nfusion surgery, the first step is a detailed clinical and imaging<br \/>\nassessment.<\/p>\n<p>The choice between Endo-TLIF, MIS-TLIF and other treatment options<br \/>\nshould be based on your individual anatomy, diagnosis, symptoms,<br \/>\nimaging findings and overall health.<\/p>\n<p><a class=\"cta-button\" href=\"https:\/\/drraoshospitals.com\/neww\/book-appointment\/\"><br \/>\nBook a Consultation with Dr. Rao<br \/>\n<\/a><\/p>\n<p><strong>Dr. Rao&#8217;s Hospital \u2013 International Institute of Neurosciences<\/strong><br \/>\nGuntur, Andhra Pradesh, India<\/p>\n<p><strong>Phone:\u00a0<\/strong><a href=\"tel:+919010056444\">+91 90100 56444<br \/>\n<\/a><\/p>\n<p><strong>Email:\u00a0<\/strong><a href=\"mailto:info@drraoshospitals.com\">info@drraoshospitals.com<br \/>\n<\/a><\/p>\n<p>&nbsp;<\/p>\n<\/section>\n<p><!-- ===================================================== SOCIAL MEDIA ===================================================== --><\/p>\n<section class=\"social-sharing\">\n<h2>Follow Dr. Rao&#8217;s Neurosurgical Research and Updates<\/h2>\n<p>Follow Dr. Rao and Dr. Rao&#8217;s Hospital for neurosurgical research,<br \/>\npatient education, conference presentations and developments in<br \/>\nbrain and spine care.<\/p>\n<div class=\"social-links\">\n<p><a href=\"https:\/\/www.linkedin.com\/in\/drpatibandla\/\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nLinkedIn<br \/>\n<\/a><\/p>\n<p><a href=\"https:\/\/www.instagram.com\/dr_mohana_rao\/\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nInstagram<br \/>\n<\/a><\/p>\n<p><a href=\"https:\/\/www.facebook.com\/Dr.Raoshospital.Neurosurgeon\/\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nFacebook<br \/>\n<\/a><\/p>\n<p><a href=\"https:\/\/x.com\/MohanaRaoPatib\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nX \/ Twitter<br \/>\n<\/a><\/p>\n<p><a href=\"https:\/\/www.youtube.com\/user\/mrpatiban\" target=\"_blank\" rel=\"noopener noreferrer\"><br \/>\nYouTube<br \/>\n<\/a><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/section>\n<p><!-- ===================================================== DISCLAIMER ===================================================== --><\/p>\n<footer><strong>Medical Disclaimer:<\/strong><br \/>\nThis article is intended for general educational and informational<br \/>\npurposes. The study findings described here should not be interpreted<br \/>\nas a recommendation that one surgical technique is appropriate for<br \/>\nevery patient. Treatment decisions should be made after individual<br \/>\nclinical evaluation by a qualified medical professional.\u00a9 2026 Dr. Rao&#8217;s Hospital \u2013 International Institute of Neurosciences.<br \/>\nAll rights reserved.<\/footer>\n<\/article>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>MISSABCON 2026 | Neurosurgical Research Endo-TLIF vs MIS-TLIF: What a 110-Patient Study Presented at MISSABCON 2026 Found A comparative study presented by Dr. Rao examines two minimally invasive approaches to lumbar fusion, looking at blood loss, hospital stay, operative time, pain, disability, fusion and complications. Dr. Rao presents his comparative research on Endo-TLIF versus MIS-TLIF [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":25187,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[501,482,4660,2088,4661,1345,4662,4663,460,65,4664,4665,4666,4667],"class_list":["post-25186","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-dr-mohana-rao-patibandla","tag-dr-rao-2","tag-endo-tlif","tag-endoscopic-spine-surgery","tag-endoscopic-tlif","tag-guntur-neurosurgeon","tag-lumbar-degenerative-disease","tag-lumbar-fusion","tag-minimally-invasive-neurosurgery","tag-minimally-invasive-spine-surgery","tag-mis-tlif","tag-missabcon-2026","tag-spine-innovation-india","tag-spine-surgery-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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