Minimally Invasive TLIF lumbar degenerative disc disease progression.doc

 PAGE \* MERGEFORMAT 12 Minimally Invasive TLIF lumbar degenerative disc disease progression [Keywords:] lumbar disc Transforaminal lumbar interbody fusion (TLIF) is the treatment of lumbar degenerative disease of the important means of .2001 by Whitecloud et al [1] reported that since the number of spine surgeons have been caused widespread concern. Posterolateral lumbar spine compared to conventional lateral fusion (PLF) and posterior interbody fusion (PLIF), TLIF has a good curative effect, fewer complications, and early recovery activities and so on. Lowe et al [2] reported the treatment of lumbar degenerative disease with TLIF 40 cases were followed up for 3 to 3.9 years, excellent results 85% of patients, 2 / 3 of patients have no difficulty in daily activities (less than 10% of preoperative, intraoperative antecedent back pain can not work 10 patients, 8 patients returned to work . neutral position and momentum-bit X-ray film showed that 90% of cases occur integration of segmental lumbar lordosis were also improved fusion single segment lordosis increased by 29.6%, the two segments were increased integration of 13.6%. Humphreys, etc. [3] compared the same period 40 patients were 30 cases of TLIF and PLIF patients. Results TLIF group with no complications, and PLIF group, 10 complications occurred in 4 cases of nerve root symptoms, fracture fixation in 1 case, 1 case screw loosening, screw out 2 cases, 1 case of superficial infection, 1 case of nonunion. the two groups in terms of blood loss and operative time, single-segment fusion was no significant difference between patients, two patients with segmental fusion TLIF group bleeding was significantly less than the PLIF group. Recent years, with the rapid development of minimally invasive lumbar spine, the traditional TLIF techniques are constantly upgrading, using minimally invasive means of implementation of the TLIF technique, and achieved preliminary results. At present, there are several sur