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Radiographic results of single level transforaminal lumbar interbody fusion in degenerative lumbar spine disease: focusing on changes of segmental lordosis in fusion segment

BACKGROUND: To assess the radiographic results in patients who underwent transforaminal lumbar interbody fusion (TLIF), particularly the changes in segmental lordosis in the fusion segment, whole lumbar lordosis and disc height. METHODS: Twenty six cases of single-level TLIF in degenerative lumbar diseases were analyzed. The changes in segmental lordosis, whole lumbar lordosis, and disc height were evaluated before surgery, after surgery and at the final follow-up. RESULTS: The segmental lordosis increased significantly after surgery but decreased at the final follow-up. Compared to the preoperative values, the segmental lordosis did not change significantly at the final follow-up. Whole lumbar lordosis at the final follow-up was significantly higher than the preoperative values. The disc height was significantly higher in after surgery than before surgery (p = 0.000) and the disc height alter surgery and at the final follow-up was similar. CONCLUSIONS: When performing TLIF, careful surgical techniques and attention are needed to restore and maintain the segmental lordosis at the fusion level

Keywords : Adult,Aged,Aged,80 and over,diagnostic imaging,Female,Humans,Intervertebral Disc Degeneration,Lordosis,Lumbar Vertebrae,Male,methods,Middle Aged,pathology,Prosthesis Implantation,Radiography,Retrospective Studies,Spinal Fusion,Spinal Stenosis,Spine,Spondylolisthesis,surgery,, Single,Level,Transforaminal, complex regional pain syndrome uk

Date of Publication : 2009 Dec

Authors : Kim SB;Jeon TS;Heo YM;Lee WS;Yi JW;Kim TK;Hwang CM;

Organisation : Department of Orthopaedic Surgery, Konyang Universitiy College of Medicine, Daejeon, Korea

Journal of Publication : Clin Orthop Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19956478

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