| Mini-open transforaminal lumbar interbody fusion. | |
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MedLine Citation:
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PMID: 18843866 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To demonstrate the surgical technique and advantages of the mini-open transforaminal approach for lumbar interbody fusion (TLIF) combined with transpedicular screw fixation. Clinical and radiographic results were assessed to determine the clinical outcomes in twelve consecutive patients selected for minimally invasive access (mini-open technique) for TLIF in Prasat Neurological Institute. MATERIAL AND METHOD: A retrospective analysis was performed on 12 patients (age range, 38-74 yr; mean, 54. 8 yr) who underwent mini-open transforaminal approach for lumbar interbody fusion (TLIF) combined with transpedicular screw fixation between September 2006 and June 2008. The titanium pedicle screws were introduced bilaterally through the 3.5 cm length, skin incisions with Spine Classics MLD- system retractor, autologous bone graft were inserted to perform TLIF in all patients. Eight patients were augmented anterior column support with titanium interbody cage, unilateral cage insertion in four patients and the others were inserted bilaterally interbody cages. Six patients presented with low back pain and associated radiculopathy, and six presented with low back pain only. Transforaminal lumbar interbody fusion was performed at L3-L4 in two patients, L4-L5 in four patients, L5-S1 in five patients, and two levels fusion in one patient. RESULTS: All patients were able to ambulate after spinal fusion. The patients were able to walk within 1.4 days (range 1-2 days). The hospital stay averaged 4.4 days (range 3-7 days). Periodic follow-up took place 1 to 21 months after surgery (mean, 7.4 months). The radiological fusion was archived in all nine patients who were operated on more than two months age. The other three patients who had been follow-up less than two months were probably fusion on the 1-month followed-up radiological examination. CONCLUSIONS: The use of mini-open technique for pedicle screw instrumentation with spinal fusion procedure provides excellent clinical results and may be an operation of choice for lumbar spinal fusion in selected patients. |
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Authors:
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Teera Tangviriyapaiboon |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the Medical Association of Thailand = Chotmaihet thangphaet Volume: 91 ISSN: 0125-2208 ISO Abbreviation: J Med Assoc Thai Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-10-10 Completed Date: 2008-12-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7507216 Medline TA: J Med Assoc Thai Country: Thailand |
Other Details:
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Languages: eng Pagination: 1368-76 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Prasat Neurological Institute, Bangkok 10400, Thailand. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Bone Screws* Female Humans Low Back Pain / surgery* Lumbosacral Region / surgery* Male Middle Aged Orthopedic Procedures / instrumentation*, methods Pain Measurement Pain, Postoperative Retrospective Studies Spinal Fusion / instrumentation, methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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