Minimally Invasive Transforaminal Lumbar Interbody Fusion (최소 침습적 신경공 경유 요추 추체간 유합술)

정흥태; 나채오; 하상훈; 신동렬

Minimally Invasive Transforaminal Lumbar Interbody Fusion

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2009, 16(1), pp.24-29
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

정흥태 ¹, 나채오 ¹, 하상훈 ¹, 신동렬 ¹

¹부민병원

Candidate

ABSTRACT

Study design: A retrospective study Objectives: To introduce the technique of minimally invasive transforaminal lumbar interbody fusion and examine its clinical and radiologic results. Summary of Literature Review: Transforaminal lumbar interbody fusion with a mini-incision using a tubular retractor was recently developed. The aim of this procedure is to reduce the approach-related morbidity and achieve better results in an effective and safe manner. Materials and Methods: Thirty eight patients were followed up for more than 1 year. Their mean age was 57 years and the mean follow-up was 19 months. The diagnosis was spinal stenosis, spondylolisthesis and recurred herniated nucleus pulposus in 22, 14 and 2 patients, respectively. The Oswestry disability index, intervertebral disc space height, fusion rate and complications were evaluated. Results: The Oswestry disability index improved from 30 points (range, 50~16 points) to 10 points (range, 2-24 points) at the last follow-up. Thirty-four patients (90%) showed excellent or good results. The intervertebral disc space height increased from 8.7 mm to 10.8 mm. Two cases showed nonunion but the clinical results were good. Complications included one case of infectious spondylitis requiring antibiotics, one case of cage dislodgement requiring additional surgery and one case of a pedicle screw malposition showing no clinical symptoms. Conclusions: Minimally invasive transforaminal lumbar interbody fusion reduced the soft tissue injury and blood loss and shortened the recovery period compared to the traditional open techniques.

KEYWORDS

Minimally invasive, Transforaminal lumbar interbody fusion (TLIF), Clinical result, Complication

Citation status

* References for papers published after 2023 are currently being built.

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03