Beta
318290

Transforaminal Lumbar Interbody Fusion: Does it Affect Lumbar Lordosis and Disc Height Really?

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

-

Abstract

Abstract Background: Measurement of lumbar lordosis (Cobb's angle) and disc height in cases of single level lumbar fixation operated by posterolateral fixation with transforaminal inter-body fusion and compare them with traditional posterolateral fixation without cage insertion. Aim of Study: To determine if the usage of transforaminal interbody fusion would affect both lumbar lordosis and disc height or not. Patients and Methods: The present study retrospectively was done for 40 patients who underwent single level lumbar fixationin Cairo and Fayoum University Hospitals, between January 2019 and December 2020. The patients were dividedin two groups 20 in each, group A in which patients operatedupon by transforaminal interbody fusion (TLIF) together with transpedicular screws and group B in which patients operated upon by posterolateral fixation with transpedicular screws without cage insertion. In this study, the disc height and lumbar lordosis variations were evaluated by analysing spinal radiographs preoperatively, postoperatively and at 6 months follow-up. Results: In group A, there was a statistically significant increase in the mean of disc height immediately postoperative, then decrease after 6 months follow-up with p-value <0.05. In addition, there was a statistically significant increase in themean of lumbar lordosis immediately postoperative with p-value <0.05, but no significant change after 6 months follow-up with p-value >0.05. In group B there was no statistically significant changeinthemean of disc height immediately postoperative, but there was a statistically significant increase after 6 months follow-up with p-value <0.05. Regarding lumbar lordosis, there is no statistically significant change in the mean of lumber lordosis postoperatively with p-value >0.05. Conclusion: Transpedicular fixation with transforaminal interbody fusion (TLIF) shows statistically significant increase in disc height and lumbar lordosis compared to posterolateral fixation without cage insertion.

DOI

10.21608/mjcu.2023.318290

Keywords

Lumbar fixation, TLIF, Disc height, lumbar lordosis

Authors

First Name

HOSSAM E. MOSTAFA, M.D.**

Last Name

ASHRAF A. OSMAN, M.D.*; AHMED S. HASSAN, M.D.**; TAREK A. SALAH, M.Sc.*

MiddleName

-

Affiliation

The Department of Neurosurgery, Faculty of Medicine, Fayoum* & Cairo** Universities

Email

-

City

-

Orcid

-

Volume

91

Article Issue

06

Related Issue

43597

Issue Date

2023-06-01

Receive Date

2023-09-22

Publish Date

2023-06-01

Page Start

787

Page End

793

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_318290.html

Detail API

https://mjcu.journals.ekb.eg/service?article_code=318290

Order

318,290

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Transforaminal Lumbar Interbody Fusion: Does it Affect Lumbar Lordosis and Disc Height Really?

Details

Type

Article

Created At

30 Dec 2024