Clinical and radiological outcome of anterior-posterior fusion versus transforaminal lumbar interbody fusion for symptomatic disc degeneration: a retrospective comparative study of 133 patients.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Antonio A FaundezJill M Wroblewski

Abstract

Abundant data are available for direct anterior/posterior spine fusion (APF) and some for transforaminal lumbar interbody fusion (TLIF), but only few studies from one institution compares the two techniques. One-hundred and thirty-three patients were retrospectively analyzed, 68 having APF and 65 having TLIF. All patients had symptomatic disc degeneration of the lumbar spine. Only those with one or two-level surgeries were included. Clinical chart and radiologic reviews were done, fusion solidity assessed, and functional outcomes determined by pre- and postoperative SF-36 and postoperative Oswestry Disability Index (ODI), and a satisfaction questionnaire. The minimum follow-up was 24 months. The mean operating room time and hospital length of stay were less in the TLIF group. The blood loss was slightly less in the TLIF group (409 vs. 480 cc.). Intra-operative complications were higher in the APF group, mostly due to vein lacerations in the anterior retroperitoneal approach. Postoperative complications were higher in the TLIF group due to graft material extruding against the nerve root or wound drainage. The pseudarthrosis rate was statistically equal (APF 17.6% and TLIF 23.1%) and was higher than most published reports. Signif...Continue Reading

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Citations

May 25, 2012·Archives of Orthopaedic and Trauma Surgery·Sheng-Dan JiangLei-Sheng Jiang
May 23, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jon A LutzGianluca Maestretti
Jun 14, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Antonio Tsahtsarlis, Martin Wood
Oct 18, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Martin ThalerChristian Bach
Dec 20, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sang-Hyuk Min, Jae-Sung Yoo
Jul 1, 2011·Journal of Spinal Disorders & Techniques·Patrick StrubeMichael Putzier
Oct 18, 2011·Journal of Neurosurgery. Spine·Matthew J TormentiDavid O Okonkwo
May 15, 2012·Journal of Neurosurgery. Spine·Sharon C YsonDavid W Polly
Dec 24, 2013·The Spine Journal : Official Journal of the North American Spine Society·Jian Wang, Yue Zhou
Jun 24, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jérôme AllainCharles-Henri Flouzat-Lachaniette
Apr 13, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·D Greg AndersonMichael S Weinstein
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Aug 27, 2010·The Spine Journal : Official Journal of the North American Spine Society·Richard J MannionMartin J Wood
Jan 23, 2015·Journal of Medical Case Reports·Philip Johannes Felix LeuteStefan Lakemeier
Feb 23, 2013·Journal of Spinal Disorders & Techniques·Daniel LubelskiThomas E Mroz
Feb 28, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Juan S Uribe, Armen R Deukmedjian
Dec 21, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hossein ElgafyHassan Semaan
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May 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Jesse Chrastil, Alpesh A Patel

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