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TLIF for symptomatic disc degeneration: a retrospective study of 100 patients

, : TLIF for symptomatic disc degeneration: a retrospective study of 100 patients. European Spine Journal 20 Suppl 1: S57-S60

The goal of a fusion of the lumbar spine is to obtain a primary solid arthrodesis thus to alleviate pain. Different circumferential fusion techniques have been described such as combined anterior-posterior fusion (APF), instrumented posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF). The TLIF procedure has rapidly gained popularity; because of its posterolateral extracanalar discectomy and fusion, it has been reported as a safe technique, without the potential complications described when using combined APF and PLIF techniques. A retrospective clinical and radiographic study was performed. The database of our Center was interrogated in a retrospective way to extract data from patients that underwent a one or two level lumbar fusion with TLIF approach. All patients had symptomatic disc degeneration of the lumbar spine. One hundred and fourteen levels fused from 2003 to 2008. All patients were operated in the same center. All the patients were operated by the same surgical team. Patients were evaluated preoperatively and postoperatively at 1 and 3 months and 1 and 2 years follow-up. The spine was approached through a classic posterior midline incision and subperiosteal muscular detachment. The side of facetectomy was chosen according to the subject's symptoms of leg pain if present. A posterolateral annulotomy was made and subtotal discectomy was performed and the hyaline cartilage of endplates was removed. Once the surgeon was satisfied with endplate preparation, a banana shaped allograft spacer was inserted through the annulotomy and placed anteriorly. Additional autograft locally harvested from decompression was packed behind the allograft spacer in all cases. Laminae and the remaining contralateral facet joint were decorticated, and packed with bone graft (local autologous and allograft chips in some cases). The posterior fusion was instrumented with pedicle screws and titanium rods. The TLIF procedure had led to shortened surgical times, less neurologic injury, and improved overall outcomes. The introduction of the TLIF procedure has allowed surgeons to achieve successful fusion without the risk of nerve root tethering that is seen so frequently with standard PLIF techniques.


PMID: 21461695

DOI: 10.1007/s00586-011-1761-2

Other references

Schellinck, H.M.; Stanford, L.; Darrah, M., 2003: Repetitive acute pain in infancy increases anxiety but does not alter spatial learning ability in juvenile mice. We assessed the long-term behavioural effects of a single acute or repetitive inflammatory pain experienced during infancy. Groups of male and female CD1 mice were subjected to either an acute single pain, i.e. a tail clip or sham pain at P8, or a...

Gonçalves, C.L.; Rezin, G.T.; Ferreira, G.K.; Jeremias, I.C.; Cardoso, M.R.; Carvalho-Silva, M.; Zugno, A.I.; Quevedo, Jão.; Streck, E.L., 2012: Differential effects of escitalopram administration on metabolic parameters of cortical and subcortical brain regions of Wistar rats. Considering that mitochondria may be drug targets and some characteristics of drug mitochondria interactions may still be misjudged because of the difficulty in foreseeing and understanding all possible implications of the complex pathophysiology...

Nam, H-Kyoung.; Nam, M-Hyun.; Ha, K-Soo.; Rhie, Y-Jun.; Lee, K-Hyoung., 2017: A Novel Fibrillin-1 Gene Mutation Leading to Marfan Syndrome in a Korean Girl. Marfan syndrome is an autosomal dominant genetic disorder caused by a connective tissue defect. A nine-year-old girl was referred to our pediatric endocrinology clinic for tall stature. Physical examination revealed a lens dislocation with strabis...

Moya, G.E.; Michaelis, R.C.; Holloway, L.W.; Sanchez, J.Maria., 2002: Prenatal diagnosis of L1 cell adhesion molecule mutations. Capabilities and limitations. Objective: Discuss the capability for and limitations of prenatal detection of L1 cell adhesion molecule (L1CAM) mutations. Methods: Haplotype analysis by PCR and PAGE. Mutation detection by SSCP, followed by dideoxy sequencing. Confirmation of se...

Hentz, V.R.; Keoshian, L.A., 1979: Changing perspectives in surgical hand rehabilitation in quadriplegic patients. Every motivated quadriplegic patient with resources for strong wrist extension, and lacking irreversible pathological features, is a candidate for reconstruction of at least a basic strong pinch. This basic pinch is better than that obtained with...

Mawk, J.R., 1986: Magnetic resonance scan of an encephalomalacic brain lesion due to concussive shrapnel wound. Military Medicine 151(11): 605-606

Chui, 1985: Computer renormalization-group calculation for the fractionally quantized Hall effect. Physical Review. B, Condensed Matter 32(2): 1436-1438

Hucko L.; Kovac J., 1984: Mercury porosimetry; applications for the petroleum industry. Zemny Plyn a Nafta 29(4): 529-535

Kharitonov, V.A.; Fakhrutdinov, A.M., 1989: A case of primary extraorganic echinococcosis of the mediastinum. Vrachebnoe Delo: 51-52

Grayson, A., 1992: Cuckoo bumblebees (Psithyrus species) in N.E. and S.E. Yorkshire. Bulletin of the Amateur Entomologists' Society, 51: 135-136 No. 382