Access the full text.
Sign up today, get DeepDyve free for 14 days.
T. Lowe (2002)
Unilateral Transforaminal Posterior Lumbar Interbody Fusion (TLIF): Indications, Technique, and 2-Year ResultsJournal of Spinal Disorders & Techniques, 15
J Harms (1992)
Screw-threaded rod system in spinal fusion surgerySpine, 6
Sai YANG, Casey Lee (1986)
Biomechanics of Lumbosacral Spinal Fusion in Combined Compression-Torsion LoadsSpine, 11
H. Herkowitz, K. Sidhu (1995)
Lumbar Spine Fusion in the Treatment of Degenerative Conditions: Current Indications and Recommendations.The Journal of the American Academy of Orthopaedic Surgeons, 3 3
T. Oxland, T. Lund (2000)
Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature reviewEuropean Spine Journal, 9
T. Whitecloud, Warren Roesch, J. Ricciardi (2001)
Transforaminal interbody fusion versus anterior-posterior interbody fusion of the lumbar spine: a financial analysis.Journal of spinal disorders, 14 2
Humphreys Sc, S. Hodges, A. Patwardhan, J. Eck, Randall Murphy, Covington La (2001)
Comparison of Posterior and Transforaminal Approaches to Lumbar Interbody FusionSpine, 26
H. Hee, F. Castro, M. Majd, R. Holt, Leann Myers (2001)
Anterior/posterior lumbar fusion versus transforaminal lumbar interbody fusion: analysis of complications and predictive factors.Journal of spinal disorders, 14 6
K. Okuyama, E. Abe, T. Suzuki, Y. Tamura, M. Chiba, K. Sato (1999)
Posterior lumbar interbody fusion: a retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases.Acta orthopaedica Scandinavica, 70 4
S. Brau, R. Delamarter, M. Schiffman, Lytton Williams, R. Watkins (2004)
Vascular injury during anterior lumbar surgery.The spine journal : official journal of the North American Spine Society, 4 4
J Harms, D Jeszenszky (1998)
The unilateral transforaminal approach for posterior lumbar interbody fusionOrthop Traumatol, 6
R. Fraser, Fracs (1995)
Interbody, Posterior, and Combined Lumbar FusionsSpine, 20
R. Cloward (1953)
The treatment of ruptured lumbar intervertebral discs by vertebral body fusion. I. Indications, operative technique, after care.Journal of neurosurgery, 10 2
Thomas Stonecipher, Sanford Wright (1989)
Posterior Lumbar Interbody Fusion with Facet-Screw FixationSpine, 14
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.
European Spine Journal – Springer Journals
Published: May 1, 2011
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.