How do you do a Tlif?

Publish date: 2022-09-17
Transforaminal lumbar interbody fusion (TLIF) is a procedure that fuses the anterior and posterior columns of the spine through a posterior approach. A bone graft and interbody spacer stabilize the anterior portion while the posterior is locked in place with pedicle screws, rods and bone graft.

Moreover, how long does a Tlif take?

- It is done under a general anaesthetic. The operation takes about 3 hours. Once asleep the patient is placed on their front on the operating table. X-ray is used to identify the correct area of the lower back.

Additionally, how successful is Tlif surgery? Success Rates for TLIF Back Surgery Studies indicate that the patient's pain is improved 60% to 70% after TLIF spinal fusion surgery and approximately 80% of patients undergoing TLIF spinal fusion surgery are satisfied with the surgical result.

Similarly, what is the difference between a PLIF and a Tlif?

Posterior Lumbar Interbody Fusion Posterior in doctor-speak means "from the back side" (the opposite of this is anterior, or "from the front side"). For a PLIF, the surgeon makes incisions on your back that line up with the middle of your vertebra. That's the basic difference between a TLIF and a PLIF.

How much does Tlif surgery cost?

The mean ± SD total 2-year cost of TLIF was $36,836 ± $11,800 (surgery cost, $21,311 ± $2800; outpatient resource utilization cost, $3940 ± $2720; indirect cost, $11,584 ± $11,363). Transforaminal lumbar interbody fusion was associated with a mean 2-year cost per QALY gained of $42,854.

How long does pain last after Tlif?

As the back continues to heal, patients usually start to feel better and find they can take on more activities. The worst pain is generally over by 4 weeks after surgery. Pain is likely to continue to decrease gradually, but some patients continue to have pain 3 to 6 months after surgery.

What does Tlif stand for?

Transforaminal lumbar interbody fusion (TLIF) is a form of spine fusion surgery in which the lumbar disc space is fused from a posterior approach outside of the facet joint. The surgical procedure involves removing a disc from between two vertebrae and fusing the vertebrae together.

How many years does a spinal fusion last?

For patients with spinal deformity who required long fusions of many levels in the spine, 80% were still working full time four years after surgery.

Is back surgery a good idea?

Back surgery might be an option if conservative treatments haven't worked and your pain is persistent and disabling. Back surgery often more predictably relieves associated pain or numbness that goes down one or both arms or legs. These symptoms often are caused by compressed nerves in your spine.

What does Transforaminal mean?

A transforaminal or selective nerve root block is an injection of local anesthetic and steroid injected under x-ray guidance into the area where the nerve exits the spinal column. A block is usually ordered by your doctor for pain in the arm or leg that follows the path of a single nerve.

Is Spinal fusion dangerous?

Spinal fusion is generally a safe procedure. But as with any surgery, spinal fusion carries the potential risk of complications. Potential complications include: Infection.

Is Tlif minimally invasive?

Minimally invasive TLIF, or transforaminal lumbar interbody fusion, is a procedure used to treat a broad range of conditions that lead to reduced disc height, spinal compression and instability.

Is Spinal Stenosis Surgery dangerous?

All surgery has some risks, such as bleeding, infection, and risks from anesthesia. Risks from surgery for spinal stenosis include damage to the nerves, tissue tears, chronic pain, and trouble passing urine. And even if you get better with surgery, there is a chance that you may get new symptoms in the future.

What is a Tlif procedure?

Transforaminal lumbar interbody fusion (TLIF) is a procedure that fuses the anterior and posterior columns of the spine through a posterior approach. A bone graft and interbody spacer stabilize the anterior portion while the posterior is locked in place with pedicle screws, rods and bone graft.

What is a Xlif procedure?

Lateral lumbar interbody fusion (XLIF) is a minimally-invasive procedure used to treat leg or back pain generally caused by degenerative disc disease. The procedure is performed through the patient's side, avoiding the major muscles of the back.

What is PSIF surgery?

Posterior spinal instrumentation and fusion (PSIF), also called spinal fusion, is a procedure to put the bones of the spine (vertebrae) into the correct position. The surgeon straightens the spine by fusing some of the bones in the back together with bone grafts and implants (including special rods and screws).

What is an OLIF?

OLIF, or oblique lateral interbody fusion, is a less invasive approach to spinal fusion surgery in which the neurosurgeon accesses and repairs the lower (lumbar) spine from the front and side of the body (passing in a trajectory about halfway between the middle of the stomach and the side of the body).

What is a lumbar laminectomy?

A laminectomy is a type of back surgery used to relieve compression on the spinal cord. During the procedure, your doctor will remove the lamina. The lamina is part of the bone that forms the vertebral arch in the spine. These structures can put pressure on the spinal cord or nerve roots.

What is an interbody spacer?

Interbody Spacers. — Interbody spacers are made of titanium or a radiolucent material such as polyetheretherketone. They may be solid constructions (ramps) or openwork structures filled with bone graft material (cages) and may be used singly or paired (positioned side by side).

What happens after PLIF surgery?

After surgery, you can expect your back to feel stiff and sore. You may have trouble sitting or standing in one position for very long and may need pain medicine in the weeks after your surgery. It may take 4 to 6 weeks to get back to doing simple activities, such as light housework.

What is a biomechanical device?

Biomechanical Devices. The Biomechanical Devices track investigates the application of technology to human biological systems. In contrast, the stability test measures the capability of the device to provide multi-directional stability to the injured biological tissue/organ/bone/spine.

What is the CPT code for lumbar fusion?

22558

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