gms | German Medical Science

57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

Microsurgical transforaminal lumbar interbody fusion (TLIF) with transpedicular stabilisation – a less invasive technique

Mikrochirurgische transforaminale lumbale intercorporelle Fusion (TLIF) mit transpedikulärer Stabilisation – eine wenig invasive Technik

Meeting Abstract

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  • corresponding author U. Vieweg - Zentrum für Wirbelsäulenstabilisationen, Klinik für Neurochirurgie, Leopoldina Krankenhaus, Schweinfurt

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocSA.04.08

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2006/06dgnc111.shtml

Published: May 8, 2006

© 2006 Vieweg.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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Objective: Prospective analysis of microsurgical transforaminal lumbar interbody fusion (TLIF) with transpedicular stabilisation for degenerative disorders of the lumbar spine.

Methods: Within 16 months,150 consecutive patients with degenerative disorders of the lumbar spine (spondylolishesis Meyerding I-II° n=105 , failed back surgery n=35, kyphoscoliosis n=10 ) average age: 67 (52-88) years, were operated using an internal fixator (S4 Spinal System, B.Braun-Aesculap) and a banana-shaped TLIF- device (Travios, Synthes). The operative time, the blood loss and the complications were analysed. Improvements (preoperative to last follow-up) in average, Visual Analogue Pain Scale (VAS) and Oswestry Disability Index (ODI) were documented.

Results: Operative time averaged 125 minutes. Estimated blood loss per segment 300 ml. Surgical complication rate 8% (instrumentation failures: n=2; wound infection n=2, seroma n=3, haematoma n=1, neurological detoriation n=3, instability n=1). Other complications (urinary tract infaction, pneumonia etc.) 10%. Mean follow-up 7 (3-16) months, VAS: 8,2 to 3,7; ODI: 65 to 38. At last follow-up, all patients had no instablity in the fused segments, but three an instability in the adjacent segment.

Conclusions: Based on the short operation time, the less blood loss and the relatively good clinical results in relation to the patient population, the microsurgical TLIF with a transpedicular stabilisation is a less invasive technique.