Tlif surgery

Transforaminal Lumbar Interbody Fusion (TLIF) is a type of spine surgery designed to treat various lower back problems, including degenerative disc disease, herniated discs, spondylolisthesis, and spinal instability. This surgery aims to relieve pain by fusing two or more vertebrae together in the lower spine (lumbar region) to stabilize the area and reduce nerve compression.

 

Procedure Overview:

  • Incision: A small incision is made in the back to access the affected vertebrae.
  • Disc Removal: The surgeon removes the damaged disc between the vertebrae.
  • Bone Graft and Cage Placement: A bone graft, sometimes with a cage, is placed into the disc space to maintain proper spacing and promote fusion of the vertebrae.
  • Fusion: Screws and rods are used to stabilize the spine while the bones heal and fuse together.

Benefits:

  • Minimally invasive approach.
  • Smaller incision compared to traditional methods.
  • Faster recovery time.
  • Less damage to muscles and tissues.

Recovery:

  • Hospital stay may last a few days.
  • Physical therapy is often recommended post-surgery.
  • Full recovery typically takes several months as the bone fusion completes.

Key Steps in TLIF Surgery:

  • Anesthesia: The patient is placed under general anesthesia.
  • Incision: A small incision is made on one side of the spine (posterior approach).
  • Access to the Spine: The muscles are carefully retracted, and the surgeon removes part of the bone or ligaments covering the spine to reach the affected vertebrae and disc.
  • Disc Removal: The damaged or degenerated disc between the vertebrae is removed.
  • Bone Graft and Cage Placement: A bone graft (which may be taken from the patient’s pelvis or a donor) and a specialized cage are placed into the disc space to maintain proper spacing between the vertebrae.
  • Stabilization: Screws and rods are placed to hold the vertebrae together, promoting the fusion of the bones as they heal.

Advantages:

  • Minimally Invasive Option: Compared to traditional open spine surgeries, TLIF is often performed using a minimally invasive technique, leading to less muscle damage, reduced blood loss, and faster recovery.
  • Direct Access to the Disc Space: The surgeon can remove the damaged disc directly and decompress the nerve roots effectively.
  • Better Fusion Success: The bone graft and cage support lead to a higher chance of successful fusion and long-term stability.

Risks and Complications:

Like any surgery, TLIF has some risks, such as:

  • Infection
  • Bleeding
  • Nerve damage
  • Pain at the bone graft site
  • Failed fusion (requiring revision surgery)

Procedure:

1. Incision: A 2-3 inch incision is made in the back.
2. Muscle retraction: Muscles are gently retracted to access the spine.
3. Facetectomy: Small bones (facets) are removed to access the disc.
4. Disc removal: The damaged disc is removed.
5. Interbody fusion: A cage and implant is placed between the vertebrae.
6. Bone grafting: Bone graft and biologics promote fusion.
7. Pedicle screw fixation: Screws stabilize the vertebrae.

At our Neurosys Multispeciality  Center, we perform several key procedures including Craniotomy, which is primarily for the excision of brain tumors; V-P Shunt Surgery for treating hydrocephalus; surgeries for epilepsy; and operations targeting brain stem glioma. Beyond these, we offer a range of other neurosurgical services. If you have any questions that are not answere, please contact us through our Contact Us or Book your Appointment.