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Transforaminal lumbar interbody fusion with one cage and excised local bone

Authors
  • Xiao, Yuxiang1
  • Li, Fangcai1
  • Chen, Qixin1
  • 1 The Second Affiliated Hospital of Medical College, Zhejiang University, Department of Orthopaedics, No.88, Jefang Road, Hangzhou City, Zhejiang Province, 310009, China , Hangzhou City (China)
Type
Published Article
Journal
Archives of Orthopaedic and Trauma Surgery
Publisher
Springer-Verlag
Publication Date
Jun 30, 2009
Volume
130
Issue
5
Pages
591–597
Identifiers
DOI: 10.1007/s00402-009-0917-6
Source
Springer Nature
Keywords
License
Yellow

Abstract

IntroductionThe effect of transforaminal lumbar interbody fusion (TLIF) with one cage and excised local bone were investigated in 52 patients with a mean follow-up of 18.2 months.MethodThe clinical outcomes including the modified Prolo scale and a visual analog scale (VAS), and radiological assessments including the ratio of interbody graft area, fusion rate, posterior disk height (PH), and the lordosis angle (LA) of the motion segment were studied.ResultsAccording to a modified Prolo scale, 90.4% of the patients obtained either excellent or good results. The VAS significantly decreased postoperatively. There was significant postoperative improvement of the PH and LA, and no significant loss of the PH and LA was found at final follow-up. The fusion rate in this series was 96.6%.ConclusionIn conclusion, TLIF with one cage and excised local bone grafting can provide satisfactory treatment outcomes and solid interbody fusion without harvesting and grafting autologous iliac bone.

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