Outcome of Transforaminal Lumbar Interbody Fusion (TLIF) For Spondylolisthesis of Lumbar Spine
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Date
2019-03
Journal Title
Journal ISSN
Volume Title
Publisher
Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Background: This retrospective study was performed toassess the radiological and clinical outcome of patients whounderwent transforaminal lumbar interbody fusion (TLIF) withan interbody cage for spondylolisthesis.Methods: Forty five consecutive patients of spondylolisthesiswho underwent transforaminal lumbar interbody fusion (TLIF)during the period from July 2016 to June 2018 were reviewedretrospectively. Clinical data and radiological data werecollected and analysed. Twenty seven male and eighteenfemale patients underwent the TLIF procedure with a meanage of 48.6 years (24–66 years). The primary pathology was alytic listhesis in 28 patients and degenerative listhesis in 17.There was no multilevel fixation. Two cases were revisionsurgery. The mean blood loss was 290 ml and mean operativetime 160 minutes. No patient need to stay in ICU or HDU.Hospital stay was 4-5 days. Radiological outcome wasassessed by observing the presence of fusion mass at biplanarradiography whereas clinical outcomes were assessed bymeans of the Parker Visual Analog scale (VAS).Results wereclassified into three categories (excellent and good, fair, andpoor) using the Parker criteria. Pain was recorded by usingVisual Analog Scale.Results: There were no intra-operative complications. Twopatients developed neurological deficit in the form of partial footdrop. There were statistically significant improvements frompreoperative VAS to post-operative VAS. Fusion couldbe assessed in all patients. Anterior interbody fusion wasachieved in 78.3% of cases and posterior lateral fusion wasachieved in 69.6%.Four patients showed no fusion at the endof 6 months post operatively.Conclusions: Transforaminal lumbar interbody fusion is a safeand effective method to achieve circumferential fusion. It istechnically challenging and needs to be proficient in thetechnique to avoid catastrophic complications. Clinical scoringconfirmed that satisfactory overall outcome. Complicationsresulting from the procedure is uncommon and generally minorand transient.
Description
Keywords
Transforaminal Lumbar Interbody Fusion, Visual Analog Scale, Anterior Interbody Fusion
Citation
Khan Mohammad Nuruzzaman, Sayed Abu, Sabrina Shafiq, Sarkar Saumitra. Outcome of Transforaminal Lumbar Interbody Fusion (TLIF) For Spondylolisthesis of Lumbar Spine. International Journal of Medical Research Professionals. 2019 Mar; 5(2): 208-212