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Improvement of Segmental Lordosis in Transforaminal Lumbar Interbody Fusion: A Comparison of Two Techniques.

Rice JW, Sedney CL, Daffner SD, Arner JW, Emery SE, France JC - Global Spine J (2015)

Bottom Line: Traditional TLIF versus cantilever TLIF results were compared, and radiographic outcomes were assessed.Patients undergoing the cantilever TLIF procedure had a significantly greater change in segmental lordosis and disk height compared with those who underwent the traditional procedure (p > 0.0001).Conclusions The cantilever TLIF technique can lead to greater change in segmental lordosis based upon radiographic outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Marshall University, Huntington, West Virginia, United States.

ABSTRACT
Study Design Retrospective review. Objective The purpose of this study was to determine the radiographic impact of a transforaminal lumbar interbody fusion (TLIF) versus a cantilever TLIF technique on segmental lordosis, segmental coronal alignment, and disk height. Methods A retrospective review was done of all patients undergoing TLIF procedures from 2006 to 2011 by three spine surgeons. Traditional TLIF versus cantilever TLIF results were compared, and radiographic outcomes were assessed. Results One hundred one patients were included in the study. Patients undergoing the cantilever TLIF procedure had a significantly greater change in segmental lordosis and disk height compared with those who underwent the traditional procedure (p > 0.0001). Conclusions The cantilever TLIF technique can lead to greater change in segmental lordosis based upon radiographic outcomes.

No MeSH data available.


Postoperative change in segmental lordosis (in degrees) between “cantilever” transforaminal lumbar interbody fusion (c-TLIF) and transforaminal lumbar interbody fusion (TLIF) after surgery.
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FI1500062-3: Postoperative change in segmental lordosis (in degrees) between “cantilever” transforaminal lumbar interbody fusion (c-TLIF) and transforaminal lumbar interbody fusion (TLIF) after surgery.

Mentions: The mean preoperative SL value was 3.1 degrees in the c-TLIF group and 5.6 degrees in the TLIF group (p = 0.0034). The c-TLIF ΔSL values were 7.8 degrees (t0), 6.5 degrees (t1), 5.5 degrees (t2), and 4.9 degrees (t3). The mean ΔSL values were 4.0 degrees (t0), 1.8 degrees (t1), 0.4 degrees (t2), and 0.1 degrees (t3; Fig. 3). When comparing the two groups, the c-TLIF group showed statistically significantly greater improvement of SL at all points (t1, t2, and t3; p < 0.0001).


Improvement of Segmental Lordosis in Transforaminal Lumbar Interbody Fusion: A Comparison of Two Techniques.

Rice JW, Sedney CL, Daffner SD, Arner JW, Emery SE, France JC - Global Spine J (2015)

Postoperative change in segmental lordosis (in degrees) between “cantilever” transforaminal lumbar interbody fusion (c-TLIF) and transforaminal lumbar interbody fusion (TLIF) after surgery.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4836934&req=5

FI1500062-3: Postoperative change in segmental lordosis (in degrees) between “cantilever” transforaminal lumbar interbody fusion (c-TLIF) and transforaminal lumbar interbody fusion (TLIF) after surgery.
Mentions: The mean preoperative SL value was 3.1 degrees in the c-TLIF group and 5.6 degrees in the TLIF group (p = 0.0034). The c-TLIF ΔSL values were 7.8 degrees (t0), 6.5 degrees (t1), 5.5 degrees (t2), and 4.9 degrees (t3). The mean ΔSL values were 4.0 degrees (t0), 1.8 degrees (t1), 0.4 degrees (t2), and 0.1 degrees (t3; Fig. 3). When comparing the two groups, the c-TLIF group showed statistically significantly greater improvement of SL at all points (t1, t2, and t3; p < 0.0001).

Bottom Line: Traditional TLIF versus cantilever TLIF results were compared, and radiographic outcomes were assessed.Patients undergoing the cantilever TLIF procedure had a significantly greater change in segmental lordosis and disk height compared with those who underwent the traditional procedure (p > 0.0001).Conclusions The cantilever TLIF technique can lead to greater change in segmental lordosis based upon radiographic outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Marshall University, Huntington, West Virginia, United States.

ABSTRACT
Study Design Retrospective review. Objective The purpose of this study was to determine the radiographic impact of a transforaminal lumbar interbody fusion (TLIF) versus a cantilever TLIF technique on segmental lordosis, segmental coronal alignment, and disk height. Methods A retrospective review was done of all patients undergoing TLIF procedures from 2006 to 2011 by three spine surgeons. Traditional TLIF versus cantilever TLIF results were compared, and radiographic outcomes were assessed. Results One hundred one patients were included in the study. Patients undergoing the cantilever TLIF procedure had a significantly greater change in segmental lordosis and disk height compared with those who underwent the traditional procedure (p > 0.0001). Conclusions The cantilever TLIF technique can lead to greater change in segmental lordosis based upon radiographic outcomes.

No MeSH data available.