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Subject Area

Orthopedic Surgery

Article Type

Original Study

Abstract

Objectives The aim of the study was to assess the fusion rate with transforaminal lumbar interbody fusion (TLIF) in degenerative lumbar spine diseases regarding its advantages, complications, and clinical outcomes. Background TLIF should offer the same benefits of circumferential fusion with higher safety than other interbody fusion methods because it avoids the direct traction to dura and nerve roots. Participants and methods This study included 30 patients suffering from continuous low-back pain due to degenerative lumbar spine diseases, which were treated by TLIF using PEEK banana cage supplemented by pedicle screw fixation in the Orthopedic Department of Menoufia University Hospital during November 2018 till December 2020, with follow up of at least 9 months. All patients were subjected to full history taking, clinical examination, preoperative and postoperative follow-up. Results At preoperative follow-up, all the studied patients had severe Oswestry disability index (ODI). While postoperatively, on the first day all of them cannot be assessed. Also, most of the studied patients (76.67%) had improved to mild ODI after 9 months of follow-up. The ODI showed significantly linear improvement in the studied patients with the greatest improvement observed in at the 3-month follow-up. Conclusion TLIF provides good clinical and radiological outcomes in the management of degenerative lumbar spine diseases after a follow-up period of 9 months. Operative complications are less in the TLIF technique, and the risk of dural tear is diminished significantly. TLIF can save much operative time and blood loss.

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