TRANSFORAMINAL INTERBODY FUSION AT CONUS LEVEL OF OUR EXPERIENCE AND CLINICAL RESULT
Journal Title: Journal of Turkish Spinal Surgery - Year 2016, Vol 27, Issue 1
Abstract
Introduction: Via the application of the interbody fusion, the height of the disc is reconstructed, sagittal contour is preserved and the long term stabilization of the operated segment is ensured. The support to the anterior coloumn is helpful in increasing stability, reducing the stress on the pedicul screws, and incresing the fusion rates. The level of L1-2 and above are considered to be in relation with the conus and cord. The application of the transforaminal interbody fusion is done with the fusion material via a far lateral posterior approach. Material-Method: This study was a retrospective case series and was approved by Department of Neurosurgery, Bakırkoy Research and Training Hospital for Neurology, Neurosurgery and Psychiatry. The eligible cases were the patients who underwent posterior decompression on the first one or two levels on the lombar vertebrae using TLIF with wide decompression for 1 or 2 level spinal stenosis with or without spondylolisthesis, between 2012- 2014. Results: The preoperative and postoperative VAS score of the patients were calculated to be 6.53(5-8) and 3.2(2-5) respectively. Also, the preoperative and postoperative ODI value of the patients were calculated to be 68%(55-80%) and 26%(10-40%) respectively. Discussion: With the right technique, neurologic damage risk of the posterior TLIF application on the conus level is very low. Also because there will be no need for an anterior approach, there will be no second incission or a second surgery which lowers the morbidity and mortality of the added second abdominal incission.
Authors and Affiliations
Uzay ERDOĞAN, Orhun M. CEVİK, A. Ender OFLUOĞLU
Keywords
Related Articles
- EP ID EP676898
- DOI -
- Views 142
- Downloads 0
VALUE OF AXIAL LOADING MAGNETIC RESONANCE IMAGING AND COMPUTERIZED TOMOGRAPHY-MYELOGRAPHY IN DECISION MAKING IN THE TREATMENT OF DEGENERATIVE LUMBAR SPINAL STENOSIS
Aim: The degenerative lumbar spinal stenosis (LSS) is a dynamic phenomenon. Changes in posture and physical activities as standing and walking can aggravate symptoms. The aim of the study was to evaluate the results o...
L5–S1 SPONDYLOPTOSIS TREATED BY A SINGLESTAGE POSTERIOR APPROACH: AN ALTERNATIVE TECHNIQUE
A 21-year-old male patient without any history of trauma applied to our clinic with complaints of lower back pain and limited spine mobility. On neurological examination, bilateral straight leg raising tests were positiv...
FAILED BACK SURGERY SYNDROME
Failed back surgery syndrome is named for the patients who had been operated once or more for back surgery and not had a success for improvement of back or radicular leg pain. The spine surgeons are frequently faced with...
CLINICAL CHARACTERISTICS OFTRAUMATIC SPİNAL CORD INJURY PATIENTS AND RESULTS OF REHABILITATION
27 patients with traumatic spinal cord injury (17 male, 9 female, 1 child) were admitted to our inpatient rehabilitation department. 7 patients Were tetraplegic and the others were paraplegic. Mean hospitalisation period...
FRACTURES OF THORACOLUMBAR SPINE
Spinal fractures are most frequently seen at the thoracolumbar spine. Fractures of the thoracolumbar spine are serious injuries which may lead to disabilities and deaths. Most common causes of the fractures of the thorac...