Comparative Analysms of Posterior Interbody Fusion and Transforaminal Interbody Fusion in Combination with Transpedicular Fixation

Abstract


Results of comparative study of posterior interbody fusion (PLIF) and transforaminal interbody fusion (TLIF) in degenerative lumbar spine pathology are presented. Total number of patients was 101. In 47 patients (1st group) transpedicular fixation, decompression and interbody fusion with one cage (TLIF) was performed. In 54 patients (2nd group) transpedicular fixation via posteromedial approach, decompression of intracanal neurovascular structures and interbody fusion with two interbody implants (PLIF) was applied. Complex evaluation of surgical treatment results was performed in 52 patients in 6-12 months after surgery. It was shown that application of either of the techniques resulted in 95-98% cases of interbody block formation. Differential approach to application of those interbody fusion techniques and the advantages of TLIF over PLIF, i.e. simplicity and higher safety of performance, lower intraoperative blood loss and duration of surgical intervention, were presented.

References

  1. Chiang M.F., Zhong Z.C., Chen C.S. et al. Biomechanical comparison of instrumented posterior lumbar interbody fusion with one or two cages by finite element analysis //Spine. - 2006. - Vol. 31. - N 19 - P. E682-E689.
  2. Cloward R.B. The treatment of ruptured intervertebral discs by vertebral body fusion. Indications, operative technique, after care //J. Neurosurg. - 1953. - Vol. 10. - P. 154-168.
  3. Cloward R.B. Lesions of the intervertebral disks and their treatment by interbody fusion methods //Clin. Orthop. - 1963. - Vol. 27. - P. 51-77.
  4. Cloward R.B. Spondylolisthesis: Treatment by laminectomy and posterior lumbar interbody fusion //Clin. Orthop. - 1981. - Vol. 27. - P. 74-82.
  5. Cole C.D., McCall T.D., Schmidt V.H., Dailey A.T. Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches //Curr. Rev. Musculoskelet Med. - 2009. - Vol. 2. - P. 118-126.
  6. Elias W.J., Simmons N.E., Kaptain G.J., et al. Complications of posterior lumbar interbody fusion when using a titanium-threaded cage device //J. Neurosurg. Spine. - 2000. - Vol. 93. - P. 45-52.
  7. Enker P., Steffee A.D. Interbody fusion and instrumentation //Clin. Orthop. - 1994. -Vol. 300. - P. 90-101.
  8. Foley K.T., Holly L.T., Schwender J.D. Minimally invasive lumbar fusion //Spine. - 2003. - Vol. 28 (15 Suppl.) - P. 26-35.
  9. Foley K.T., Lefkowitz M.A. Advances in minimally invasive spine surgery //Clin. Neurosurg. - 2002. - Vol. 49. - P. 499-517.
  10. Fujibayashi S., Neo M., Takemoto M. et al. Paraspinal-approach transforaminal lumbar interbody fusion for the treatment of lumbar foraminal stenosis //J. Neurosurg. Spine. - 2010. - Vol. 13. - P. 500-508,
  11. Glazer P.A., Colliou B.S., Klisch S.M. et al. Biomechanical analysis of multilevel fixation methods in the lumbar spine //Spine. - 1997. - Vol. 22. - P. 171-182.
  12. Harms J., Rolinger H. A. One-stager procedure in operative treatment of spondylolithesis: dorsal traction-reposition and anterior fusion //Z. Orthop. Ihre. Grenzgeb. - 1982. - Vol. 120. - P. 343-347.
  13. Harms J.G., Jeszenszky D. The unilateral transforaminal approach for posteriorlumbar interbody fusion //Orthop. Traumatol. - 1998. - Vol. 6. - P. 88-99.
  14. Humphreys S.C., Hodges S.D., Patwardhan A.G. et al. Comparison of posterior and transforaminal approaches to lumbar interbody fusion //Spine. - 2001. - Vol. 26. - P. 567-571.
  15. Hunt T., Shen F.H., Shaffrey C.I., Arlet V. Contralateral radiculopathy after transforaminal lumbar interbody fusion //Eur. Spine J. - 2007. - Vol. 16 (Suppl 3). - P. S311-S314.
  16. Janssen M., Lam C., Beckham R. Outcomes of allogenic cages in anterior and posterior lumbar interbody fusion //Eur. Spine J. - 2001. - Vol. 10 (Suppl. 2). - P. S158-S168.
  17. Komp M., Hahn P. et al. Bilateral operation of lumbar degenerative central spinal stenosis in full-endoscopic interlaminar technique with unilateral approach // J. Spinal Disord. Tech. - 2011. - Vol. 24 - P. 281-287.
  18. Li F., Chen O., Chen W. et al. Posterior-only approach with selective segmental TLIF for degenerative lumbar scoliosis //J. Spinal Disord. Tech. - 2011. - Vol. 24 - P. 308-312.
  19. Lowe T.G., Tahernia A.D., O'Brien M.F. et al. Unilateral transforaminal posterior lumbar interbody fusion (TLIF): Indications, technique, and 2-year results // J. Spinal Disord. Tech. - 2002. - Vol. 15 - P. 31-38.
  20. McLaughlin M.R., Haid R.W., Rodts G.E. et al. Posterior lumbar interbody fusion: Indications, techniques, and results //Clin. Neurosurg. - 2000. - Vol. 47. - P. 514-527.
  21. Meyer S.A., Mummanen P.V. Mini-Open and Minimally invasive transforaminal lumbar interbody fusion: technique review //Semin. Spine Surg. - 2011. - Vol. 23 - P. 45-50.
  22. Palmer D.K., Allen J.L., Williams P.A. et al. multilevel magnetic resonance imaging analysis of multifi dus-longissimus cleavage planes in the lumbar spine and potential clinical applications to wiltse's paraspinal approach //Spine. - 2011. - Vol. 36. - P. 1263-1267.
  23. Potter B.K, Freedman B.A., Verwiebe E.G. et al. //Transforaminal lumbar interbody fusion. Clinical and radiographic results and complications in 100 consecutive patients //J. Spinal Disord. Tech. - 2005. - Vol. 18. - P. 337-346.
  24. Rosenberg W.S., Mummaneni P.V. Transforaminal lumbar interbody fusion: technique, complications, and early results //Neurosurg. - 2011. - Vol. 48. - P. 569-575.
  25. Sasai K., Umeda M., Maruyama T. et al. Microsurgical bilateral decompression via a unilateral approach for lumbar spinal canal stenosis including degenerative spondylolisthesis //J. Neurosurg. Spine. - 2008. - Vol. 9. - P. 554-559.
  26. Sim H.B., Murovic J.A., Cho B.Y. et al. Biomechanical comparison of single-level posterior versus transforaminal lumbar interbody fusions with bilateral pedicle screw fixation: segmental stability and the effects on adjacent motion segments //J. Neurosurg. Spine. - 2010. - Vol. 12. - P. 700-708.
  27. Steffee A.D., Sitkowski D.J. Posterior lumbar interbody fusion and plates //Clin. Orthop. - 1988. - Vol. 227. - P. 99-102.
  28. Suk S.I., Lee C.K., Kim W.J. et al. Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral fusion after decompression in spondylotic spondylolisthesis //Spine. - 1997. - Vol. 22. - P. 210-220.
  29. Toyoda H., Nakamura H., Konishi S. et al. Clinical outcome of microsurgical bilateral decompression via unilateral approach for lumbar canal stenosis //Spine. - 2011. - Vol. 36. - P. 410-415.
  30. Tsantizos A., Baramki H.G., Zeidman S. et al. Segmental stability and compressive strength of posterior lumbar interbody fusion implants //Spine. - 2000. - Vol. 25. - P. 1899-1907.
  31. Vialle R., Court C., Khoui N. et al. Anatomical study of the paraspinal approach to the lumbar spine //Eur. Spine J. - 2005. - Vol. 14. - P. 366-371.
  32. Vialle R., Wicart P., Drain O. et al. The Wiltse paraspinal approach to the lumbar spine revisited: an anatomic study //Clin. Orthop. Relat. Res. - 2006. - Vol. 445. - P. 175-180.
  33. Wang Y., Le D.Q.S., Li H. et al. Navigated percutaneous lumbosacral interbody fusion //Spine. - 2011. - Vol. 36. - P. E1105-E1111.
  34. Wetzel F.T., LaRocca H. The failed posterior lumbar interbody fusion //Spine. - 1991. - Vol. 16. - P. 839-845.
  35. Wiltse L.L., Bateman J.G., Hutchinson R.H., Nelson W.E. The Paraspinal sacrospinalis-splitting approach to the lumbar spine //J. Bone Jt Surg. (Am). - 1968. - Vol. 50. - P. 919-926.
  36. Wiltse L.L., Spencer C.W. New uses and refinements of the paraspinal approach to the lumbar spine //Spine. - 1988. - Vol. 13. - P. 696 - 706.
  37. Yan D.L., Pei F.X., Li J., Soo C.L. Comparative study of PILF and TLIF treatment in adult degenerative spondylolisthesis //Eur. Spine J. - 2008. - Vol. 17. - P. 1311-1316.

Statistics

Views

Abstract - 22

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2012 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies