Radiographic Results of Single Level Transforaminal Lumbar Interbody Fusion in Degenerative Lumbar Spine Disease: Focusing on Changes of Segmental Lordosis in Fusion Segment.
10.4055/cios.2009.1.4.207
- Author:
Sang Bum KIM
1
;
Taek Soo JEON
;
Youn Moo HEO
;
Woo Suk LEE
;
Jin Woong YI
;
Tae Kyun KIM
;
Cheol Mog HWANG
Author Information
1. Department of Orthopaedic Surgery, Konyang Universitiy College of Medicine, Daejeon, Korea. sirjeon@kyuh.co.kr
- Publication Type:Original Article
- Keywords:
Lumbar osteoarthritis;
Spinal fusion;
Transforaminal lumbar interbody fusion;
Segmental lordosis
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Female;
Humans;
Intervertebral Disk Degeneration/*surgery;
Lordosis/*radiography;
Lumbar Vertebrae/pathology/*radiography/surgery;
Male;
Middle Aged;
Prosthesis Implantation;
Retrospective Studies;
*Spinal Fusion;
Spinal Stenosis/surgery;
Spondylolisthesis/surgery
- From:Clinics in Orthopedic Surgery
2009;1(4):207-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: To assess the radiographic results in patients who underwent transforaminal lumbar interbody fusion (TLIF), particularly the changes in segmental lordosis in the fusion segment, whole lumbar lordosis and disc height. METHODS: Twenty six cases of single-level TLIF in degenerative lumbar diseases were analyzed. The changes in segmental lordosis, whole lumbar lordosis, and disc height were evaluated before surgery, after surgery and at the final follow-up. RESULTS: The segmental lordosis increased significantly after surgery but decreased at the final follow-up. Compared to the preoperative values, the segmental lordosis did not change significantly at the final follow-up. Whole lumbar lordosis at the final follow-up was significantly higher than the preoperative values. The disc height was significantly higher in after surgery than before surgery (p = 0.000) and the disc height alter surgery and at the final follow-up was similar. CONCLUSIONS: When performing TLIF, careful surgical techniques and attention are needed to restore and maintain the segmental lordosis at the fusion level.
