TLIF
(Transforaminal Lumbar Interbody Fusion)

Introduction

Transforaminal Lumbar Interbody Fusion (TLIF) is an advanced surgical procedure that aims at alleviating pain caused by spinal conditions, such as degenerative disc disease and spinal instability. This technique utilizes a minimally invasive approach, where they can access the spine through a tiny incision to remove the diseased disc and insert a fusion device in its place. 

The benefits of TLIF include healed muscle disruption, lesser postoperative pain, and prompt recovery times. Patients often experience substantial relief from symptoms like leg pain, allowing them to go back to their regular activities sooner. The TLIF procedure is tailored to the individual patient, ensuring personalized care that aligns with their specific conditions.

Why is it performed?

Chronic lower back and leg discomfort brought on by disorders such as degenerative disc disease, spondylolisthesis, spinal stenosis, and spinal instability can be treated by TLIF (Transforaminal Lumbar Interbody Fusion). The goal of the surgery is to fuse the damaged vertebrae together, stabilizing them and removing mobility at the area of the spine that frequently causes discomfort. Patients who have not responded to conservative treatments such as physical therapy, medicine, or injections benefit most from TLIF. 

How is it performed?

TLIF is usually carried out with a minimally invasive technique. The surgeon makes a little incision on one side of the lower back after giving anesthesia. They minimize muscle damage by entering the spine through the transforaminal space, or the side of the vertebrae, using specialized instruments and imaging guidance. To restore height and encourage fusion, the injured disc is carefully removed and replaced with an interbody spacer, which is frequently filled with bone graft material. As the bones fuse over time, screws and rods are positioned to support the spine and guarantee correct alignment.  

Possible complications

While TLIF is generally a safe and effective procedure, there are potential risks, as with any surgery. These may include: 

  • Infection, nerve damage, blood loss, blood clots, 
  • Issues with the fusion, such as non-union or hardware failure. 
  • Some patients experience residual pain.

Recovery Period

TLIF is a less invasive procedure, therefore recovery is typically faster. Within a few hours after surgery, the majority of patients can walk, and most are released from the hospital in one to two days. Depending on the healing process with postoperative care, full recovery usually takes three to six months.
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