Two-Year Outcomes of Transforaminal Lumbar Interbody Fusion
Purpose. To evaluate the outcomes, fusion rates, complications, and adjacent segment degeneration associated with transforaminal lumbar interbody fusion (TLIF). Methods. 32 men and 80 women aged 15 to 85 (mean, 57) years underwent 141 fusions (84 one-level, 27 2-level, and one 3-level) and were foll...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2011-08-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901101900201 |
| _version_ | 1819203468781420544 |
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| author | Seng-Yew Poh Wai-Mun Yue Li-Tat John Chen Chang-Ming Guo William Yeo Seang-Beng Tan |
| author_facet | Seng-Yew Poh Wai-Mun Yue Li-Tat John Chen Chang-Ming Guo William Yeo Seang-Beng Tan |
| author_sort | Seng-Yew Poh |
| collection | DOAJ |
| description | Purpose. To evaluate the outcomes, fusion rates, complications, and adjacent segment degeneration associated with transforaminal lumbar interbody fusion (TLIF). Methods. 32 men and 80 women aged 15 to 85 (mean, 57) years underwent 141 fusions (84 one-level, 27 2-level, and one 3-level) and were followed up for 24 to 76 (mean, 33) months. 92% of the patients had degenerative lumbar disease, 15 of whom had had previous lumbar surgery. Radiographic and clinical outcomes were assessed at 2 years. The short-form 36 (SF-36) health survey, visual analogue scale (VAS) for pain, and the modified North American Spine Society (NASS) Low Back Pain Outcome Instrument were used. Results. Of the 141 levels fused, 110 (78%) were fused with remodelling and trabeculae (grade I), and 31 (22%) had intact grafts but were not fully incorporated (grade II). No patient had pseudoarthroses (grade III or IV). For one-level fusions, poorer radiological fusion grades correlated with higher VAS scores for pain (p<0.01). All components of the SF-36, the VAS scores for pain, and the NASS scores improved significantly after TLIF (p<0.01), except for general health in the SF-36 (p=0.59). Improvement from postoperative 6 months to 2 years was not significant, except for physical function (p<0.01) and role function (physical) [p=0.01] in the SF-36. Two years after TLIF, 50% of the patients reported returning to full function, whereas 72% were satisfied. 26 (23%) of the patients had adjacent segment degeneration, but only 4 of them were symptomatic. Conclusion. TLIF is a safe and effective treatment for degenerative lumbar diseases. |
| first_indexed | 2024-12-23T04:20:24Z |
| format | Article |
| id | doaj.art-913643f1fef54b3b84ac47597ccace3b |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-23T04:20:24Z |
| publishDate | 2011-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-913643f1fef54b3b84ac47597ccace3b2022-12-21T18:00:16ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902011-08-011910.1177/230949901101900201Two-Year Outcomes of Transforaminal Lumbar Interbody FusionSeng-Yew PohWai-Mun YueLi-Tat John ChenChang-Ming GuoWilliam YeoSeang-Beng TanPurpose. To evaluate the outcomes, fusion rates, complications, and adjacent segment degeneration associated with transforaminal lumbar interbody fusion (TLIF). Methods. 32 men and 80 women aged 15 to 85 (mean, 57) years underwent 141 fusions (84 one-level, 27 2-level, and one 3-level) and were followed up for 24 to 76 (mean, 33) months. 92% of the patients had degenerative lumbar disease, 15 of whom had had previous lumbar surgery. Radiographic and clinical outcomes were assessed at 2 years. The short-form 36 (SF-36) health survey, visual analogue scale (VAS) for pain, and the modified North American Spine Society (NASS) Low Back Pain Outcome Instrument were used. Results. Of the 141 levels fused, 110 (78%) were fused with remodelling and trabeculae (grade I), and 31 (22%) had intact grafts but were not fully incorporated (grade II). No patient had pseudoarthroses (grade III or IV). For one-level fusions, poorer radiological fusion grades correlated with higher VAS scores for pain (p<0.01). All components of the SF-36, the VAS scores for pain, and the NASS scores improved significantly after TLIF (p<0.01), except for general health in the SF-36 (p=0.59). Improvement from postoperative 6 months to 2 years was not significant, except for physical function (p<0.01) and role function (physical) [p=0.01] in the SF-36. Two years after TLIF, 50% of the patients reported returning to full function, whereas 72% were satisfied. 26 (23%) of the patients had adjacent segment degeneration, but only 4 of them were symptomatic. Conclusion. TLIF is a safe and effective treatment for degenerative lumbar diseases.https://doi.org/10.1177/230949901101900201 |
| spellingShingle | Seng-Yew Poh Wai-Mun Yue Li-Tat John Chen Chang-Ming Guo William Yeo Seang-Beng Tan Two-Year Outcomes of Transforaminal Lumbar Interbody Fusion Journal of Orthopaedic Surgery |
| title | Two-Year Outcomes of Transforaminal Lumbar Interbody Fusion |
| title_full | Two-Year Outcomes of Transforaminal Lumbar Interbody Fusion |
| title_fullStr | Two-Year Outcomes of Transforaminal Lumbar Interbody Fusion |
| title_full_unstemmed | Two-Year Outcomes of Transforaminal Lumbar Interbody Fusion |
| title_short | Two-Year Outcomes of Transforaminal Lumbar Interbody Fusion |
| title_sort | two year outcomes of transforaminal lumbar interbody fusion |
| url | https://doi.org/10.1177/230949901101900201 |
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