Transforaminal Lumbar Interbody Fusion With Single Cage In Treating Degenerative Lumber Disease

Objectives:To describe the transforaminal lumbar interbody fusion technique,and to compare operative data,including blood loss and operative time,with data from posterior lumbar interbody fusion and improved posterior lumbar interbody fusion technique.Methods:We retrospectively analyzed the cases of Degeneration Lumber disease in our hospital from January 2005 to December 2007 hospitalization for degenerative diseases with PLIF patients with 50,including 23 cases of male,female 27 cases, aged 23 to 76 years old,with an average age of 55.0,follow up from 6 months to 36 months with an average of 18 months.Selected the same period inpatient hospital because of lumbar degenerative disease with improved PLIF patients with 44,including 31 males and 13 females,aged 28 to 75 years old,with an average age of 52.9,follow up from 6 months to 36 months with an average of 16 months.Selected the same period of lumbar degenerative disease with TLIF patients with 96,including 42 cases of male,female 44 cases,aged 28 to 75 years old,with an average age of 52.9.follow up from 6 months to 36 months with an average of 14 months.Three methods are used pedicle screw joint fusion cage,pedicle screw selected Mossmiami(Johnson & Johnson,USA),XIA(Stryker,USA),SOCON(Aesculap AG, Germany) and TSRH(Medtronic Sofamor Danek,USA)..,the first two surgical cage optional I/F(Johnson & Johnson,USA),AVS PL(Stryker,USA),PRO Space (Aesculap AG,Germany) and Capstone(Medtronic Sofamor Danek,USA),TLIF surgery cage use Leopard(Johnson & Johnson,USA).To conduct regular follow-up of all cases of imaging examination and observation, the indicators include:height recovery of interbody space,the fusion of bone healing, clinical Oswestry dysfunction index assessment,VAS pain index,perioperative and long-term complications.Results:PLIF group in the operation time,blood loss,postoperative drainage,and other indicators compared with the latter two groups respectively(P＜0.05).To the end of the follow-up,all patients had no fusion translocation and internal fixation devices loose or broken.The improvement of the three groups in ODI index and VAS pain score had no significant difference.Conclusions:1.Posterior lumbar interbody fusion in the treatment of lumbar degenerative disease of effective treatment.2.3.Improved PLIF technology can reduce operation costs,while the spinal canal do a thorough decompression,but its long-term effects need further follow-up. 4.TLIF technology to reduce spinal operations,shorten operation time and the amount of bleeding,and to provide the contralateral bone fusion bed,is an ideal posterior lumbar interbody fusion technology.