Single-stage posterior debridement and transforaminal lumbar interbody fusion with autogenous bone grafting and posterior instrumentation in the surgical management of lumbar tuberculosis

2010 ◽  
Vol 131 (2) ◽  
pp. 217-223 ◽  
Author(s):  
Kai Gong ◽  
Zhe Wang ◽  
Zhuojing Luo
Keyword(s):  
Surgical Management ◽  
Bone Grafting ◽  
Interbody Fusion ◽  
Posterior Instrumentation ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Single Stage ◽  
Autogenous Bone ◽  
Lumbar Interbody Fusion ◽  
Autogenous Bone Grafting ◽  
Posterior Debridement

Single-Stage Anterior Autogenous Bone Grafting and Instrumentation in the Surgical Management of Spinal Tuberculosis

Spine ◽  
2005 ◽  
Vol 30 (20) ◽  
pp. 2342-2349 ◽  
Author(s):  
Li-Yang Dai ◽  
Lei-Sheng Jiang ◽  
Wei Wang ◽  
Yi-Min Cui
Keyword(s):  
Surgical Management ◽  
Bone Grafting ◽  
Spinal Tuberculosis ◽  
Single Stage ◽  
Autogenous Bone ◽  
Autogenous Bone Grafting

scholarly journals Mimickers in Spine: Migrated Cages Causing Radiculopathy

2019 ◽  
Vol 2 (1-3) ◽  
pp. 21-27
Author(s):  
Saurav Narayan Nanda ◽  
Mantu Jain ◽  
Sudarsan Behera ◽  
Manisha Gaikwad
Keyword(s):  
Bone Grafting ◽  
Interbody Fusion ◽  
Promising Result ◽  
Posterior Lumbar Interbody Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Neurological Complications ◽  
Lumbar Interbody Fusion ◽  
Fusion Cage ◽  
Cage Migration ◽  
Spine Disorders

The procedure of interbody fusion has become an established treatment for many spine disorders. This arthrodesis can be achieved by hardware (fusion cage) through many approaches. Initially, posterior lumbar interbody fusion was popularized but had some serious neurological complications related to insertion as well as the migration of the cage. Gradually, transforaminal lumbar interbody fusion (TLIF) was introduced, which proved safer as it involves minimal cord handling, and also migration, if any, remains asymptomatic. We had two patients who were operated for interbody fusion using TLIF technique with subsequent posterior migration of the banana-shaped fusion cage 4–6 month after the index surgery. Both patients presented with radiculopathy mimicking a prolapsed intervertebral disc. These were evaluated and operated with the removal of the migrated cages and revision with bigger-size cages with adequate bone grafting. At the 1-year follow-up, both had remission of symptoms, and radiographs showed no subsequent migration. TLIF procedure is an established procedure to achieve arthrodesis in varying spine disorders with promising result. However, there are only a few reports describing cage migration after the procedure and these have been asymptomatic. Revision surgery is contemplated in the setting of neurological compression or instability. A bigger fusion cage in a compressive mode with adequate bone grafting is used to achieve arthrodesis. The principles of interbody fusion must be followed, and utmost precautions must be taken to prevent this unfortunate complication.

Revision of transforaminal lumbar interbody fusion using anterior lumbar interbody fusion: a biomechanical study in nonosteoporotic bone

2010 ◽  
Vol 12 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Avraam Ploumis ◽  
Chunhui Wu ◽  
Amir Mehbod ◽  
Gustav Fischer ◽  
Antonio Faundez ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Posterior Instrumentation ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Posterior Fixation ◽  
Lumbar Interbody Fusion ◽  
Mineral Density ◽  
Normal Bone Mineral Density ◽  
Flexion Extension

Object Transforaminal lumbar interbody fusion (TLIF) is a popular fusion technique for treating chronic low-back pain. In cases of interbody nonfusion, revision techniques for TLIF include anterior lumbar interbody fusion (ALIF) approaches. Biomechanical data of the revision techniques are not available. The purpose of this study was to compare the immediate construct stability, in terms of range of motion (ROM) and neutral zone (NZ), of a revision ALIF procedure for an unsuccessful TLIF. An in vitro biomechanical comparison of TLIF and its ALIF revision procedure was conducted on cadaveric nonosteoporotic human spine segments. Methods Twelve cadaveric lumbar motion segments with normal bone mineral density were loaded in unconstrained axial torsion, lateral bending, and flexion-extension under 0.05 Hz and ± 6-nm sinusoidal waveform. The specimens underwent TLIF (with posterior pedicle fixation) and anterior ALIF (with intact posterior fixation). Multidirectional flexibility testing was conducted following each step. The ROM and NZ data were measured and calculated for each test. Results Globally, the TLIF and revision ALIF procedures significantly reduced ROM and NZ compared with that of the intact condition. The revision ALIF procedures achieved similar ROM as the TLIF procedure. Conclusions Revision ALIF maintained biomechanical stability of TLIF in nonosteoporotic spines. Revision ALIF can be performed without sacrificing spinal stability in cases of intact posterior instrumentation.

scholarly journals The double-transforaminal lumbar interbody fusion: an innovative one-stage surgical technique for posterior kyphosis correction

2017 ◽  
Vol 9 (2) ◽  
Author(s):  
Marcus Jäger ◽  
Tjark Tassemeier
Keyword(s):  
Surgical Technique ◽  
Interbody Fusion ◽  
Chronic Back Pain ◽  
Posterior Instrumentation ◽  
Osteoporotic Fractures ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Sagittal Profile ◽  
Sagittal Imbalance ◽  
Lumbar Interbody Fusion ◽  
One Stage

Posttraumatic deformities after vertebral fractures are challenging for orthopedic surgeons in the non-operative and operative field. Especially osteoporotic fractures may cause a hyperkyphosis resulting in segmental or global sagittal imbalance and chronic back pain. Different vertebral osteotomies are potent to restore sagittal profile but show a very high perioperative risk including neurological and soft tissue complications. In addition, some of these extensive operations require a two-step procedure including posterior and anterior approaches. Therefore, these established techniques may be contraindicated in elderly or multimorbide patients suffering from concomitant diseases. The authors describe the double transforaminal lumbar interbody fusion (TLIF) osteotomy (DTO) as an innovative one-stage and low-invasive surgical technique to correct a fixed posttraumatic kyphosis in the thoracolumbar junction. The procedure includes posterior release (laminectomy, facettectomy, nucleotomy) combined with two expandable TLIF implants (sandwich technique) and posterior instrumentation and is illustrated by a case of a multimorbide 78-year old female.

Sign in / Sign up

Export Citation Format

Share Document