Outcome of Transforaminal Lumbar Interbody Fusion (TLIF) For Spondylolisthesis of Lumbar Spine

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dc.contributor.authorKhan, Mohammad Nuruzzamanen_US
dc.contributor.authorSayed, Abuen_US
dc.contributor.authorSabrina, Shafiqen_US
dc.contributor.authorSarkar, Saumitraen_US
dc.date.accessioned2020-09-24T07:24:51Z
dc.date.available2020-09-24T07:24:51Z
dc.date.issued2019-03
dc.description.abstractBackground: 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.en_US
dc.identifier.affiliationsAssistant Professor, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladeshen_US
dc.identifier.affiliationsAssistant Registar, 4Associate Professor, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladeshen_US
dc.identifier.affiliationsResident, Department of Laboratory Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, bangladeshen_US
dc.identifier.citationKhan 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): 208-212en_US
dc.identifier.issn2454-6364
dc.identifier.issn2454-6356
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/203148
dc.languageenen_US
dc.publisherIbn Sina Academy of Medieval Medicine & Sciencesen_US
dc.relation.issuenumber2en_US
dc.relation.volume5en_US
dc.source.urihttps://dx.doi.org//10.21276/ijmrp.2019.5.2.043en_US
dc.subjectTransforaminal Lumbar Interbody Fusionen_US
dc.subjectVisual Analog Scaleen_US
dc.subjectAnterior Interbody Fusionen_US
dc.titleOutcome of Transforaminal Lumbar Interbody Fusion (TLIF) For Spondylolisthesis of Lumbar Spineen_US
dc.typeJournal Articleen_US
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