Fusão intersomática lombar transforaminal: experiência de uma instituição

OBJECTIVE: Describe the early results and experience from a reference center in spine surgery in São Paulo, Brazil with transforaminal lumbar interbody fusion (TLIF) technique in its various indications. METHODS: We retrospectively reviewed the medical records of 25 patients who underwent surgery wi...

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Detalles Bibliográficos
Autores: Benites, Vinicius de Meldau [UNIFESP], Iunes, Eduardo Augusto [UNIFESP], Elias, Alexandre José dos Reis [UNIFESP], Yunes, Rodrigo Miziara [UNIFESP], Onishi, Franz Jooji [UNIFESP], Cavalheiro, Sergio [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/7397
Acceso en línea:http://dx.doi.org/10.1590/S1808-18512012000400003
http://repositorio.unifesp.br/handle/11600/7397
Access Level:acceso abierto
Palabra clave:Spinal fusion
Spondylolisthesis
Low back pain
Spinal stenosis
Lumbosacral region
Fusão vertebral
Espondilolistese
Dor lombar
Estenose espinal
Região lombossacral
Descripción
Sumario:OBJECTIVE: Describe the early results and experience from a reference center in spine surgery in São Paulo, Brazil with transforaminal lumbar interbody fusion (TLIF) technique in its various indications. METHODS: We retrospectively reviewed the medical records of 25 patients who underwent surgery with TLIF technique in 2011. One patient was excluded because we considered that TLIF was not the most important technique used. The indications were 9 lumbar disc herniations, 7 spondylolistheses, 4 revision surgeries of which 2 were for pseudoarthroses and 2 for low back pain, and finally, 4 lumbar spinal stenoses. RESULTS: All the patients reported low back pain and/or neurologic claudication improvement when comparing to preoperative status. Only five patients continued using analgesics. Five patients presented some complication, but only two of them were related to the procedure. CONCLUSIONS: TLIF is a safe technique which can be performed at any lumbar level of the lumbar spine and is applicable to the majority of diseases that affect this region.