Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 87 Warning: chmod() expects exactly 2 parameters, 3 given in /home/virtual/lib/view_data.php on line 88 Warning: fopen(/home/virtual/e-kjs/journal/upload/ip_log/ip_log_2025-02.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 95 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 96 Outcomes of Unilateral Transforaminal Lumbar Interbody Fusion in Degenerative Lumbar Spine Disease
Korean J Spine Search

CLOSE


4
Outcomes of Unilateral Transforaminal Lumbar Interbody Fusion in Degenerative Lumbar Spine Disease
Hyo-Joo Lim, M.D., Soon-Chan Kwon, M.D., Sung-Woo Roh, M.D.,Sang-Ryong Jeon, M.D. and Seung-Chul Rhim, M.D
Department of Neurosurgery Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea
퇴행성 요추 질환에 대한 일측성 경추간공 요추체간 유합술의 결과
임효주,권순찬,노성우,전상룡,임승철
울산대학교 의과대학 신경외과학교실
Abstract
Objective
To assess the clinical and radiographic results in consecutive patients who underwent transforaminal lumbar interbody fusion(TLIF) for primarily degenerative indications.

Methods
Between March 1999 and July 2002, 63 patients(19 male and 44 female, range of age 38節ž67) were underwent TLIF using local and/or iliac bone graft in- and out-side of titanium mesh cage with supplemental pedicle screw fixation. We retrospectively reviewed the records of the patients and analysed radiographic data including the bony fusion, the total lumbar lordosis, segmental lordosis and disc height ratio. Clinical results were measured by modified Whitecloud functional scale.

Results
There were 38 degenerative spondylolisthesis, 11 isthmic spondylolisthesis, 9 degenerative stenosis, 3 recurrent disc herniation, 1 degenerative disc disease and 1 post-surgical spondylolisthesis. TLIF was performed at L4-5 in 51 patients, L5-S1 in 6 patients, L3-4 in 6 patients. Posterolateral fusion was added in 21 patients. Clinical follow-up was available for mean 41 months(range: 25節ž65months). On criteria for the clinical outcome by Whitecloud, fifty-seven patients(90.5%) had excellent or good clinical outcomes. Postoperative segmental lordosis and total lumbar lordosis increased 34.2% and 7% respectively. Compared with preoperative measurement of the disc height, we obtained 29.5% increase of disc height at 1 month follow-up and 18.2% increase at last follow-up. Sixty-one patients(96.8%) had solid or probable fusions radiographically at latest follow-up.

Conclusion
In terms of its clinical efficacy and postoperative morbidity, transforaminal lumbar interbody fusion seems to be a effective circumferential fusion method in the management of various degenerative disease of the lumbar spine.
Keywords: Transforaminal lumbar interbody fusion.Degenerative lumbar spine disease
  • Hanmi
  • TOOLS
    • PDF Links PDF Links
    • Full text via DOI   Full text via DOI
    • Download Citation Download Citation
    Share :
    Facebook Twitter Linked In Google+
    METRICS Graph View
    • 3,103 View
    • 24 Download
    Journal Impact Factor 3.8
    SURGERY: Q1
    CLINICAL NEUROLOGY: Q1
    Related articles in NS

    Comparing Outcomes of Banana-Shaped and Straight Cages in Transforaminal Lumbar Interbody Fusion for Lumbar Degenerative Diseases: A Systematic Review and Meta-Analysis2024 March;21(1)

    The Use of Dual Direction Expandable Titanium Cage With Biportal Endoscopic Transforaminal Lumbar Interbody Fusion: A Technical Consideration With Preliminary Results2023 March;20(1)

    Biportal Endoscopic Transforaminal Lumbar Interbody Fusion Using Double Cages: Surgical Techniques and Treatment Outcomes2023 March;20(1)

    History and Evolution of the Minimally Invasive Transforaminal Lumbar Interbody Fusion2022 September;19(3)

    Outcomes of Transforaminal Lumbar Interbody Fusion Using Unilateral Versus Bilateral Interbody Cages2021 December;18(4)



    Editorial Office
    Department of Neurosurgery, CHA Bundang Medical Center,
    CHA University School of Medicine,
    59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea
    Tel: +82-31-780-1924  Fax: +82-31-780-5269  E-mail: support@e-neurospine.org
    The Korean Spinal Neurosurgery Society
    #407, Dong-A Villate 2 Town, 350 Seocho-daero, Seocho-gu, Seoul 06631, Korea
    Tel: +82-2-585-5455  Fax: +82-2-2-523-6812  E-mail: ksns1987@neurospine.or.kr
    Business License No.: 209-82-62443

    Copyright © The Korean Spinal Neurosurgery Society.

    Developed in M2PI

    Zoom in Close layer