Transforminal lumbar interbody fusion technique in treatment of upper lumbar intervertebral disc herniation
- VernacularTitle:经椎间孔腰椎间融合术在高位腰椎间盘突出症手术治疗中的应用
- Author:
Dongyin MA
;
Ziguang ZHOU
;
Jiangtao FAN
- Publication Type:Journal Article
- Keywords:
upper lumbar disc intervertebral herniation;
transforminal lumbar interbody fusion;
surgical treatment
- From:
Orthopedic Journal of China
2006;0(17):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To investigate the surgical method of transforminal lumbar interbody fusion(TLIF)technique in treatment of upper lumbar intervertebral disc herniation.[Methods]From January 2002 to December 2006,a retrospective analysis on TLIF surgery treatment of 45 patients with upper lumbar intervertebral disc herniation were carried out and they acquired 12~24 months(mean,15 months)follow up.There were 29 males,and 16 females aging from 30~55 years(mean,39.2 years).Eleven intervertebral spaces were T12-L1 hernination,25 intervertebral spaces were L1、2 hernination,and 18 intervertebral spaces were L2、3 hernination of the space.Nine were double disc herniation.All cases were treated with TLIF technique.A retrospective analysis on surgical therapeutic effect was made.[Results]Five patients developed complications after operation and recovered by symptomatic treatment.Patients moved around in 2~3 d after surgery.Oswestry score improved from(52.32 ?9.17)to(20.33 ?5.72)in an average 15-months follow-up.X-ray showed that all cases had bone graft fusion and no adjacent segment degeneration occurred.[Conclusion]TLIF technique is an effective method in treatment of upper lumbar intervertebral disc herniation.It can offer satisfactory clinical effects.
