Preliminary efficacy of decompressive unilateral improved transforaminal lumbar interbody fusion (TLIF) for the treatment of lumbar degenerative diseases
10.3969/j.issn.1003-0034.2014.06.014
- VernacularTitle:潜行减压单侧改良TLIF手术治疗腰椎退行性疾患
- Author:
Shi Ju ZHANG
1
;
Feng Song HU
;
Long Zhi LI
Author Information
1. 绍兴市中医院
- Keywords:
Decompression,surgical;
Spinal fusion;
Lumbar vertebrae
- From:
China Journal of Orthopaedics and Traumatology
2014;(6):500-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe preliminary efficacy of decompressive unilateral improved transforaminal lumbar inter-body fusion(TLIF) for the treatment of lumbar degenerative diseases. Methods:From August 2009 to December 2011,28 pa-tients with lumbar degenerative diseases were treated by decompressive unilateral improved TLIF ,including 16 males and 12 females with an average of 61 (aged 46 to 71) years old,the courses of disease ranged from 6 months to 6 years. Among them , 20 cases suffered from lumbar spinal stenosis ,8 cases were lumbar disc herniation. Decompressive range included single seg-ment in 24 cases,and double segments in 4 cases;15 cases were performed operation on the left side,13 cases on the right side. JOA lower back pain scoring system (29 points) were applied for evaluate preoperative and postoperative symptoms, physical signs and sphincteral functions;Visual analogue scale (VAS) were used to evaluate preoperative and postoperative low back pain. Results:All patients were followed up 6 to 28 (mean 14) months. Postoperative JOA score and VAS score were 17.9±2.2,2.8±0.7 respectively,and preoperative JOA score and VAS score were 8.5±1.7,8.6±1.2,respectively. There were significant meaning in JOA and VAS scores before and after operation (P<0.05). Twenty-eight patients were all obtained inter-vertebral synostosis. Conclusion:Decompressive unilateral improved TLIF for treatment of unilateral radicular lumbar spinal stenosis and lumbar disc herniation,which has advantages of minimally invasive,curative effects,decrease medical costs,is worthy spreading in clinical.
