Weiner Bradley K, Nguyen Hoan-Vu, Hazard S Will
Spine Unit, Department of Orthopaedics, Penn State University College of Medicine, Hershey, PA 17033-0850, USA.
Med Sci Monit. 2006 Mar;12(3):CR99-102. Epub 2006 Feb 23.
Transforaminal lumbar interbody fusion is becoming increasingly popular for the surgical treatment of lumbar degenerative conditions. However, the outcomes following the procedure have only begun to be evaluated.
MATERIAL/METHODS: The authors reviewed all patients previously treated by TLIF at our tertiary center with minimum two year follow-up. Between 1997 and 2001, twenty-seven patients underwent the procedure. They were evaluated clinically and radiographically at regular intervals for a minimum two years following surgery and longer term follow-up was carried out by telephone interview. Long-term follow-up was undertaken by an independent assessor (a spine surgeon not directly involved in the patient's care) and outcomes were assessed using the measure designed by Macnab/McCulloch/An. Follow-up averaged 30 months and ranged from 24 to 42 months.
All but two patients obtained a solid radiographic arthrodesis and complications were few. However, only eleven patients obtained excellent or good clinical results, while 16 had fair or poor outcomes.
TLIF is a technically demanding procedure which can be done with relatively few complications and offers excellent rates of arthrodesis. However, the outcomes of the procedure and indications for the procedure in difficult patient populations clearly require further study.
经椎间孔腰椎椎体间融合术在腰椎退行性疾病的手术治疗中越来越受欢迎。然而，该手术的效果才刚刚开始得到评估。
材料/方法：作者回顾了在我们三级中心接受过经椎间孔腰椎椎体间融合术治疗且至少随访两年的所有患者。1997年至2001年期间，27例患者接受了该手术。术后至少两年定期对他们进行临床和影像学评估，并通过电话访谈进行长期随访。长期随访由一名独立评估者（一名未直接参与患者护理的脊柱外科医生）进行，并使用Macnab/McCulloch/An设计的方法评估结果。随访平均30个月，范围为24至42个月。
除两名患者外，所有患者均获得了牢固的影像学融合，并发症很少。然而，只有11例患者获得了优秀或良好的临床结果，而16例患者的结果为一般或较差。
经椎间孔腰椎椎体间融合术是一项技术要求较高的手术，并发症相对较少，融合率高。然而，该手术在困难患者群体中的效果和手术指征显然需要进一步研究。
