Comparison of posterior lumbar interbody fusion with transforaminal lumbar interbody fusion for treatment of recurrent lumbar disc herniation: A retrospective study. (December 2016)

• Record Type: Journal Article
• Authors: Li, Liqiang; Liu, Yueju; Zhang, Peng; Lei, Tao; Li, Jie; Shen, Yong
• Is Part Of: Journal of international medical research. Volume 44:Number 6(2016:Dec.)
• Page Start: 1424
• Page End: 1429
• Publication Date: 2016-12
• Subjects: Lumbar disc herniation -- spinal fusion -- posterior lumbar interbody fusion -- transforaminal lumbar interbody fusion -- retrospective study; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060516645419
• Languages: English
• ISSNs: 0300-0605

Abstract

Objective: To compare posterior lumbar interbody fusion (PLIF) with transforaminal lumbar interbody fusion (TLIF) for spinal fusion in patients previously treated by discectomy. Methods: This retrospective study evaluated pre- and postoperative neurological status via Japan Orthopaedic Association (JOA) score. Surgical outcome was based on recovery rate percentage (RR%). Adverse event data were reviewed. Results: Both PLIF ( n = 26) and TLIF ( n = 25) significantly improved neurological status. There were no significant between-group differences in postoperative JOA score, RR% or surgical outcome. Overall, 92.3% patients in the PLIF group and 84% in the TLIF group had an excellent or good outcome (RR ≥ 65%). No patient had a poor outcome (RR < 50%). There were six cases of dural tear in the PLIF group and two in the TLIF group. Conclusions: PLIF and TLIF provided good outcomes for recurrent lumbar disc herniation. TLIF may be preferred because of its shorter operative time and fewer procedure-related complications than PLIF.