19 Harley St, London, W1G 9QJ, UK

[Comparative research of transforaminal lumbar interbody fusion and posterior lateral fusion in treatment of thoracolumbar spine fracture and dislocation]

OBJECTIVE: To compare the therapeutic effect of transforaminal lumbar interbody fusion (TLIF) and posterior lateral fusion (PLF) in treatment of thoracolumbar spine fracture and dislocation. METHODS: From January 2005 to July 2007, 35 patients (22 males, 13 females, aged 17-53 years old) with thoracolumbar spine fracture and dislocation (T11-L3) received posterior open reduction and pedicle nail-stick system internal fixation. Among which, 14 patients underwent TLIF (group TLIF), and the rest 21 patients underwent PLF (group PLF). According to AO classification, group TLIF had 3 cases of A3, 7 cases of B and 4 cases of C, while group PLF had 4 cases of A3, 10 cases of B and 7 cases of C. Based on American Spinal Injury Association (ASIA) Scoring Standard formulated in 2000, the motor score of group TLIF and group PLF was (50.6 +/- 3.6) and (50.8 +/- 4.2) points, respectively; and the sensory score was (170.5 +/- 42.7) and (153.8 +/- 23.7) points, respectively. No significant difference was noted between 2 groups in general information (P > 0.05). RESULTS: The operation time of group TLIF and group PLF was (316 +/- 32) minutes and (254 +/- 27) minutes, and the blood loss of group TLIF and group PLF was (487 +/- 184) mL and (373 +/- 72) mL, indicating there were significant differences between 2 groups (P < 0.05). Wounds of all patients were healed by first intention and there was no death, aggravation of neurological function impairment and complication of internal fixation instrument loosening and breaking. All 35 cases were followed up for 9-23 months with an average of 14.6 months. Postoperatively, the thoracolumbar bone fusion rate of group TLIF and group PLF was 100% and 85.7%, respectively, indicating there was a significant difference (P < 0.05). At 3 months after operation, the motor score of group TLIF and group PLF was increased by (10.4 +/- 10.0) and (9.4 +/- 9.3) points, respectively; and the sensory score was upgraded by (26.5 +/- 22.8) and (28.8 +/- 28.4) points, respectively, showing there were no significant difference (P > 0.05). At immediate moment, 3, 6 and 12 months after operation, the spine height restoration of group TLIF was (5.4 +/- 2.1), (5.4 +/- 1.9), (5.4 +/- 1.4) and (5.3 +/- 1.3) mm, respectively; while it was (5.3 +/- 2.6), (5.3 +/- 2.2), (4.8 +/- 3.1) and (4.2 +/- 3.6) mm for group PLF. Meanwhile, the Cobb angle recovery of group TLIF was (14.5 +/- 3.5), (14.5 +/- 3.6), (14.4 +/- 3.4) and (14.4 +/- 3.6) degrees, respectively; while it was (14.3 +/- 2.7), (14.2 +/- 3.1), (12.2 +/- 2.8) and (11.7 +/- 3.3) degrees for group PLF. Concerning the spine height restoration and the Cobb angle recovery, no significant difference was observed between 2 groups at immediate moment and 3 months after operation (P > 0.05), but significant differences were noted at 6 and 12 months after operation (P < 0.05). CONCLUSION: For the treatment of thoracolumbar spine fracture and dislocation, TLIF is superior to PLF in bony fusion and restoration of spine column height Keywords : Adolescent,Adult,Aged,blood,Bone Transplantation,China,classification,Female,Humans,injuries,Intervertebral Disc,Intervertebral Disc Displacement,Lumbar Vertebrae,Male,methods,Middle Aged,Spinal Fractures,Spinal Injuries,Spine,surgery,Thoracic Vertebrae,, Research,Transforaminal,Lumbar,Interbody, pressure point for shoulder pain

Date of Publication : 2008 Nov

Authors : Li T;Zhang J;Song Y;Liu H;Gong Q;Liu L;Zeng J;

Organisation : Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu Sichuan 610041, PR China. litao55@hotmail.com

Journal of Publication : Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19068601

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Comparative research of transforaminal lumbar interbody fusion and posterior lateral fusion in treatment of thoracolumbar spine fracture and dislocation | Private migraine clinic

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810