Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches

Cole, Chad; McCall, Todd D.; Schmidt, Meic H.; Dailey, Andrew T.

doi:10.1007/s12178-009-9053-8

Cited by 214 publications

(140 citation statements)

References 71 publications

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“…With TLIF, because the preparation of the disc space and placement of the interbody cage is transforaminal, traction on the nerve root and the dura is minimized. Consequently, while clinical outcomes and fusion rates of TLIF and PLIF are comparable [9], TLIF is associated with a lower risk of postoperative radiculitis [10,11].…”

Section: Introductionmentioning

confidence: 99%

Influence of transforaminal lumbar interbody fusion procedures on spinal and pelvic parameters of sagittal balance

et al. 2011

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Introduction Restitution of sagittal balance is important after lumbar fusion, because it improves fusion rate and may reduce the rate of adjacent segment disease. The purpose of the present study was to describe the impact of transforaminal lumbar interbody fusion (TLIF) procedures on pelvic and spinal parameters and sagittal balance. Materials and methods Forty-five patients who had single-level TLIF were included in this study. Pelvic and spinal radiological parameters of sagittal balance were measured preoperatively, postoperatively and at latest follow-up. Results Age at surgery averaged 58.4 (±9.6) years. Mean follow-up was 35.1 months (±4.1). Twenty-nine percent of the patients exhibited anterior imbalance preoperatively, with high pelvic tilt (17.6°± 7.9°). Of the 32 (71%) patients well balanced before the procedure, 22 (70%) had a large pelvic tilt ([20°), due to retroversion of the pelvis as an adaptive response to the loss of lordosis. Three dural tears (7%) were reported intraoperatively. Interbody cages were more posterior than intended in 27% of the cases. Disc height and lumbar lordosis at fusion level significantly increased postoperatively (p \ 0.05 and p \ 0.001). Pelvic tilt was significantly reduced (p \ 0.01) postoperatively, whereas the global sagittal balance was not significantly modified (p = 0.07). ConclusionSingle-level circumferential fusion helps patients reducing their pelvic compensation, but the amount of correction does not allow for complete correction of sagittal imbalance.

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Section: Introductionmentioning

confidence: 99%

Influence of transforaminal lumbar interbody fusion procedures on spinal and pelvic parameters of sagittal balance

et al. 2011

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“…Clinical presentation of adult spinal deformity ranged from minimal symptoms such as mild back pain without radiculopathy to severe back pain with radiculopathy, neurogenic claudication and walking intolerance along with disabling pain [24,25].…”

Section: Clinical Issuesmentioning

confidence: 99%

“…The patient is firstly placed in a prone position on a Jackson [70][71][72]. After wide laminotomy, the dura is retracted to expose the disc space.…”

Section: Plifmentioning

confidence: 99%

Role of Minimally Invasive Spine Surgery in Adults with Degenerative Lumbar Scoliosis: A Narrative Review

Tannoury

Haddadi

Kempegowda

et al. 2017

IrJNS

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Background and Aim: Degenerative lumbar scoliosis is a spinal deformity resulting from advanced disc degeneration and facet arthropathy. Given the inconclusive available literature and lack of high-quality data supporting the role of minimally invasive surgical management of degenerative lumbar scoliosis, this review intends to highlight and compare the various viable minimally invasive surgical methods for adult degenerative deformity correction. Methods and Materials/Patients:Online databases search including Medline, PubMed and Ovid was preformed using the keywords: adult, degenerative, lumbar scoliosis, etiology, clinical issues, diagnostic imaging, spinopelvic alignment, non-operative and surgical treatment options, minimally invasive, interbody fusion, and percutaneous pedicle screw fixation. Eighty-three studies, published after 2000, on degenerative lumbar scoliosis epidemiology, classification and management were identified and reviewed.Results: Minimally invasive surgical techniques available for interbody fusion include posterior lumbar interbody fusion, transformational lumbar interbody fusion, oblique lumbar interbody fusion, anterior lumbar interbody fusion, and extreme lateral interbody fusion. Each surgical option warrants technical considerations, indication, complications awareness, and functional and radiological outcomes assessment. Sound patients' selection is key for improved outcomes, and therefore the following factors should be well examined prior to surgical intervention: the patient's medical condition and underlying morbidities, the extent of the involved disc spaces, imaging characteristics, and surgeon skills. Conclusion:The superiority of one surgical technique over the others, was not proven due to lack of strong and supportive data. However, a comprehensive review of indications, benefits, and disadvantages of the minimally invasive surgical procedures is presented. There is an interest in minimally invasive surgery of the spine owing to lower complication rates and morbidity, with limited soft tissue disturbance, decreased blood loss, improved cosmesis, shorter hospital stay, earlier return to work, and therefore decreased general health care costs.

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“…(Table 2) TLIF is an intervertebral fusion technique in which the approach to the intervertebral space occurs through the intervertebral foramen. 14 Degenerative spine diseases commonly evolve with reduced intervertebral disc height and foraminal stenosis at the affected level. 15 The use of TLIF provides gains in disc height, increased lumbar lordosis, indirect decompression of the neural foramen, and lower incidence of pseudoarthrosis.…”

Section: Evaluation Of Dehiscencementioning

confidence: 99%

Postoperative Complications of Suction Drain in Patients Submitted to 1-Level Lumbar Arthrodesis

et al. 2017

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Objective: To evaluate the complications inherent in the use or not of continuous suction drain in postoperative period of patients undergoing 1-level lumbar arthrodesis. Methods: An analytical, comparative, randomized study was performed with a sample of 60 patients submitted to 1-level 360 o lumbar arthrodesis with TLIF technique, 30 of whom used the suction drain for three days after surgery and another 30 did not use the suction drain in the postoperative period. The complications that occurred on the 3rd, 14th, and 28th postoperative days of patients of both groups and the Visual Analog Scale for pain were evaluated and compared. The complications assessed were seroma, superficial infection and suture dehiscence. Results: A total of 23.3% surgical wound complications were found, the most frequent being seroma (16%). In total, each group presented seven complications. There were no statistical differences observed in the evaluation of seroma, infection, wound dehiscence on the 3rd, 14th, and 28th postoperative days in both groups. Conclusion: The use or not of suction drain in 1-level lumbar surgeries does not interfere with complications such as seroma, infection, and suture dehiscence.Keywords: Arthrodesis; Spine; Spine fusion; Seroma; Surgical wound dehiscence; Infection. RESUMO

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Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches

Cited by 214 publications

References 71 publications

Influence of transforaminal lumbar interbody fusion procedures on spinal and pelvic parameters of sagittal balance

Influence of transforaminal lumbar interbody fusion procedures on spinal and pelvic parameters of sagittal balance

Role of Minimally Invasive Spine Surgery in Adults with Degenerative Lumbar Scoliosis: A Narrative Review

Postoperative Complications of Suction Drain in Patients Submitted to 1-Level Lumbar Arthrodesis

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