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[The PLIF and TLIF techniques. Indication, technique, advantages, and disadvantages]
C Fleege1, M Rickert, M Rauschmann
1Abteilung für Wirbelsäulenorthopädie, Orthopädische Universitätsklinik Friedrichsheim gGmbH, Marienburgstraße 2, 60528, Frankfurt, Deutschland, c.fleege@friedrichsheim.de.
Der Orthopade
|January 16, 2015
Summary
Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) are effective posterior fusion techniques for lumbar fusion. TLIF offers advantages like shorter operative times and less blood loss, making it suitable for single-sided pathologies.
Area of Science:
- Spine surgery
- Orthopedics
- Neurosurgery
Context:
- Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) are established surgical techniques.
- These posterior approaches differ from anterior lumbar interbody fusion (ALIF) and extreme lateral interbody fusion (XLIF) in terms of approach and potential complications.
Purpose:
- To present and compare PLIF and TLIF procedures with other fusion methods.
- To describe surgical techniques, advantages, disadvantages, and complications.
- To discuss the applicability of different surgical techniques based on current literature.
Summary:
- PLIF and TLIF procedures effectively reduce back and leg pain, restore lumbar sagittal profile, and achieve high fusion rates.
- TLIF offers benefits such as shorter operative times, reduced blood loss, lower risk of neural injury, and quicker recovery.
- Both PLIF and TLIF demonstrate high fusion rates, good long-term outcomes, and low complication risks, with TLIF being slightly advantageous for unilateral pathologies.
Impact:
- Provides a comparative analysis of posterior lumbar fusion techniques.
- Informs surgical decision-making for lumbar interbody fusion based on patient-specific pathologies.
- Highlights the clinical efficacy and safety of PLIF and TLIF procedures in spinal fusion.
