Transforaminal lumbar interbody fusion (TLIF)
Transforaminal lumbar interbody fusion (TLIF) is a type of spinal fusion procedure in which bone graft is placed between the affected vertebrae in the low back (lumbar) region through an incision on the patient’s back.
Based on the spinal condition, age, activity levels, and the medical history of the patient, the surgeon may recommend TLIF as a treatment option.
It is indicated in the following spinal instability conditions:
- Degenerative disc disease (damaged disc)
- Spondylolisthesis (slippage of one vertebra on another)
- Spinal stenosis
The common symptoms associated with lumbar spinal instability are pain, numbness, and muscle weakness in the low back, hips and legs.
The basic steps involved are as follows:
- A small incision is made in the skin on your back over the affected vertebrae
- Muscles encircling the affected spine are retracted to gain accessibility to the spine
- Lamina covering the vertebra is removed to view the nerve roots
- Facet joints (structures that connect the vertebrae to one another) may be undercut or trimmed to provide more space for the nerve roots
- Nerve roots are moved away to remove the disc material from the anterior region of the spine
- Bone graft is inserted between the vertebrae
- Screws and rods are fixed to stabilize the spine
- Soft tissues are re-approximated and the incision is closed
Patients who have undergone TLIF surgery are usually discharged on the same day, but in some cases, hospital stay may be extended. Most of the patients observe immediate improvement of some or all of their symptoms but sometimes the improvement of the symptoms may be gradual.
Your surgeon may recommend few specific post-operative instructions for a fast and better recovery. Generally patients may return to their routine activities within weeks after surgery.
Risks and complications:
The possible complications associated with TLIF include:
- Nerve damage
- Blood clots
- Blood loss
- Bowel or bladder problems
The primary risk of TLIF is failure of fusion of vertebral bone and bone graft which may require an additional surgery.
Please consult your physician for a complete list of indications, warnings, precautions, adverse effects, clinical results and other important medical information that pertains to TLIF procedure.
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Houston Back and Spine Specialists
Advanced Orthopedics and sports medicine has Board Certified/Eligible physicians who are thoroughly educated in the latest treatment techniques both surgical and conservative. The spine surgeons practice conservatively utilizing minimally invasive techniques whenever possible. Should surgery be required, options range from out-patient spinal surgery to major spinal reconstruction and management of scoliosis.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Back and Spine Treatment options.
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What Our Patients Are Saying
Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.
Thank you for the opportunity to express how pleased I am with the excellent care of Stacy A. Bacon, M.D. I have confidence in her ability to care for me as she successfully partially replaced a broken hip 10 years ago, 2007. I also want to compliment Cheryl who set up the appointment. She represents Advanced Orthopaedics & Sports Medicine very well.
It’s been over 8 years since Dr. Bacon replaced by right ankle. I still can’t thank her enough for the years of pain free walking I have done since! And I’m still going strong! I had numerous breaks in my ankle due an auto accident, repaired/set by a different doctor, after multiple surgery’s, I was still limping, in great pain every day. Then I found Dr. Bacon, now, no more pain, NONE, and no more limping after this ankle replacement. I rave about her constantly and would recommend her to anyone who has a foot or ankle issue
I had been in so much pain with my back for years. It got so bad that I knew I had to do something. I went to Dr Mohr for help. I was so afraid to have spine surgery as I had heard so many horror stories. He and his staff were very informative. I was amazed at the new technology in spinal surgery. December 8, 2016 I had rods and pins put in my back. I am so happy I did now. I am healing really fast and the pain is going away as my body heals. Thank you Dr Mohr for you expertise and sensitive nature. You were understanding about my fear and helped assure me so I could receive the help I needed. You are an excellent Doctor.