Spinal fusion surgery (like TLIF) is an operation procedure to balance the vertebrae and the disc or shock absorber. The LMF is intended to establish a stable bone between the adjacent vertebra, preventing any bone movement. The objective of the procedure is to reduce discomfort and inflammation of the nerves.
For disorders like spondylolisthesis, degenerative disease, or repeated disc herniations, spinal fusion may be advised. Surgeons use several methods to achieve lumbar fusion. TLIF back surgery is performed from the back of the spinal cord.
The minimally invasive technique requires a minor incision on the back. The surgeon will identify the affected vertebral stages using a handheld X-ray system. The operator uses a mixture of dilators and tube retractors to make the shortest practicable incision to reach the vertebra and clear the degenerative disc. An implant of bone graft realigns the vertebral bones in space and lowers pressure on the nerve roots.
The benefits of the minimally invasive TLIF technique are fewer incisions and less disruptive muscle tissue. Combined with conventional spine surgery.
There are many procedures for spinal fusion.
- ⦿ More merger (PF)
- ⦿ Posterolateral merger (PLF)
- ⦿ The subsequent interbody Lumbar Fusion (PLIF)
- ⦿ Lumbar interbody transforaminal fusion (TLIF)
- ⦿ Previous Lumbar fusion of interbody (ALIF)
Xtreme lateral Lumbar interbody fusion is a procedure that involves fusing the bones on both sides of the spine (XLIF)
A small incision in the back is needed for the minimally invasive procedure. The surgeon uses a portable X-ray machine to identify the diseased vertebral stages. The surgeon accesses the vertebra and removes the degenerative disc utilizing a mixture of dilators and tubular retractors through the minor incision possible. A bone graft implant is inserted in the empty room, realigning the vertebral bones and relieving pressure on the nerve roots.
The TLIF technique has many advantages over conventional spine surgery, including a smaller incision and less muscle tissue damage.
Procedure
The procedure is carried out under general anesthesia. During the surgery, the patient is given a breathing tube (endotracheal tube) and is ventilated. Antibiotics are administered intravenously before surgery. Patients are placed in the prone position (lying on their stomach) on a special operating table/bed with special padding and supports. A special cleaning solution is used to clean the surgical area (low back area). To ensure a bacteria-free atmosphere, sterile drapes are used, and the surgical team wears sterile surgical attire such as gowns and gloves.
A spinal fusion (such as a TLIF) is a surgical procedure that stabilizes the vertebrae in the spine and the disc or shock absorber between them. Lumbar fusion surgery aims to fuse the neighboring vertebrae, preventing displacement between them. The surgery aims to alleviate pain and nerve discomfort.
For conditions like spondylolisthesis, degenerative disc disease, or repeated disc herniations, spinal fusion may be recommended. Surgeons use several procedures to conduct lumbar fusion. The posterior (back) part of the spine is used for TLIF back surgery.
Post-operative care
Most patients are expected to return home within 3-5 days of surgery. Physical therapists and occupational therapists consult with patients until they go home, teaching them correct procedures for getting in and out of bed and walking safely. To prevent a strain injury, patients are advised to avoid bending at the waist, lifting (more than five pounds), and twisting in the first 2-4 weeks after surgery. After 4-6 weeks, patients will gradually begin to bend, twist, and lift as the pain subsides and the back muscles strengthen.
To improve the fusion rate, surgical hardware is added to the spine. An interbody fusion spacer is inserted into the disc space from one side of the spine, and pedicle screws and rods are connected to the back of the vertebra.
In the interbody space and along the back of the vertebra to be fused, a bone graft is inserted. Bone grafts are usually taken from the patient’s pelvis, but bone graft replacements are also used.
The vertebra above and below fuse together as the bone graft heals, becoming one long bone.
Potential risks
The advantages of TLIF spinal surgery must be balanced against the risks of the procedure. The following are some of the potential dangers and complications:
- ⦿ Infection caused by anesthesia
- ⦿ Loss of blood
- ⦿ Nerve damage
- ⦿ Re-operation is a possibility
- ⦿ The absence of a strong fusion
- ⦿ Pain that persists or (rarely) worsens
- ⦿ Often see Failed Spinal Fusion Surgery and Spine Fusion Risks and Complications
Pneumonia, heart attack, stroke, and blood clots are examples of medical complications.
Although complications are uncommon, spinal fusion is not guaranteed to be entirely effective. TLIF normally results in strong bone fusion and significant pain relief. Patients should discuss any further information with their surgeon so that all questions are answered.
Results
The TLIF group’s estimated blood loss and operative time were substantially lower than the PLIF group’s. The TLIF group performed substantially better on the VAS for back pain and the ODI than the PLIF group. Both classes, however, had comparable rates of slip reduction and spinal fusion at the time of the last follow-up. In comparison to the TLIF group, the PLIF group had a higher rate of complications.
An incision was made in the middle of the skin. To reveal the lateral aspect of the spinous process, the lamina, and the facet joints, the muscles, and soft tissues were retracted. A unilateral laminectomy and partial facetectomy associated with the patient’s symptoms were performed based on the clinical presentation.
Only when there was clinically relevant bilateral neural element compression was a bilateral laminectomy performed. After the neural elements had been adequately decompressed, bilateral pedicle screws were mounted in a normal manner. The four pedicle screws were used to distract the disc room, and rongeurs were used to perform a full discectomy on the one hand.
Why choose us for your Spinal Fusion Surgery in Jaipur?
A disc is removed from between two vertebrae, and the vertebrae are fused in this complicated surgical technique. Minimally invasive TLIF and PLIF aim to relieve pressure on your spinal nerves and/or spinal cord and stabilize your spine
Trained and highly experienced neurosurgeons use these two unique minimally invasive techniques to stabilize the fragile spine. Our neurosurgeon approaches your spine more from the center of your back in a PLIF. The lumbar disc space is fused from a posterior approach outside of the facet joint in a transforaminal lumbar interbody fusion (TLIF).
ML Spine and Orthopaedic Hospital is known as the Best Spine Hospital in Jaipur for Quality and Patient consideration. It is offering world-class Spinal Fusion Surgery in Jaipur.
