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58984

TRANSFORAMINAL LUMBAR INTERBODY FUSION IN MANAGEMENT OF DEGENERATIVE LUMBAR SPINE DISORDERS

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Last updated: 22 Jan 2023

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Abstract

Background: Interbody fusion represents an efficient surgical treatment in degenerative lumbar spine disorders, achieving satisfying outcome in >90% of cases. Various studies have affirmed the advantages of TLIF techniques with regard to achieve 360 degree fusion, but their efficacy in showing the results of TLIF in treatment of different lumbar spine degenerative disorders has not yet been demonstrated. Objectives: Assessing the clinical and radiological outcomes of transforaminal lumbar interbody fusion (TLIF) in the management of degenerative lumbar spine disorders, and to demonstrate the safety, surgical efficacy, and advantages of the transforaminal approach for lumbar interbody fusion. Patients and Methods: Twenty patients with degenerative lumbar spine disorders were treated with TLIF and were followed up for 18 months. The clinical outcomes were assessed by Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) questionnaire. Results: Low back and leg pain completely resolved in 18 patients (90%).  Solid fusion was achieved in 18 patients (90%), whereas pseudarthrosis was documented in two patients. Complications reported post-operatively; Dural tear reported in 2 cases (10%), early post-operative wound infection reported in one case (5%), neurological deficitreported in one case (5%), Cage subsidence reported in one case (5%), Pseudo arthrosis reported in 2 cases (10%) and poor improvement of low back pain also reported in 2 cases (10%). Conclusions: TLIF is a safe and effective method in treatment of degenerative lumbar spine disorders for achieving circumferential spinal fusion via a single stage procedure.

DOI

10.12816/0026282

Keywords

Degenerative lumbar spine – Transforaminal approach- interbody fusion

Authors

First Name

Mahmoud

Last Name

Mohammad Hassaan

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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First Name

Ibrahim

Last Name

Ali Nassar

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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First Name

Adnan

Last Name

Abd Al-Aleem Alsebaie

MiddleName

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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First Name

Ahmed

Last Name

Ibrahim Khamiss

MiddleName

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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Orcid

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First Name

Ahmed

Last Name

Ibrahim Akar

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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Volume

45

Article Issue

1

Related Issue

8925

Issue Date

2016-01-01

Receive Date

2016-01-01

Publish Date

2016-01-01

Page Start

161

Page End

170

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_58984.html

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https://amj.journals.ekb.eg/service?article_code=58984

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15

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

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https://amj.journals.ekb.eg/

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Article

Created At

22 Jan 2023