Result of Study Of Transforaminal Lumbar Interbody Fusion Surgery

Volume 4 | Issue 2 | July – Dec 2019 | Bhavesh R. Namsha, Udaygiri H. Meghnathi, Bhavik K. Ahir


Authors : Bhavesh R. Namsha, Udaygiri H. Meghnathi, Bhavik K. Ahir [1]

[1] Department of Orthopaedics, SSG Hospital & Medical college Baroda, Gujarat, India

Address of Correspondence
Dr. Udaygiri H. Meghnathi,
Department of Orthopaedics, SSG Hospital & Medical college Baroda, Gujarat, India
Email: udaymeghnathi@gmail.com


Abstract

Background: Low back pain is one of the most common reported problem affecting spine. The most common causes of Low back pain are herniated discs, lumbar canal stenosis, degenerative disc disease, spondylolisthesis. Over the past few decades, new treatments and technologies are being implemented to treat spinal disorders to improve patient outcome. The Main objective of study is to access clinical and Radiological result that is obtained with Transforaminal lumbar interbody fusion as a treatment of severe back pain and degenerative disc diseases & to describe outcomes following Transforaminal lumbar interbody fusion (TLIF) surgery.
Methods: A Total of 15 patients who had back pain with degenerative disc disease were operated by TLIF through period from July 2017 to July 2018. Results were measured using the Visual Analogue Scale(VAS) and Oswestry Disability Index (ODI).
Results: Marked improvement in back pain according to VAS. Pre operative Average VAS Score was 7 and post operative average VAS score at 6 month follow up was 1.73. According to ODI score pre operative average ODI score was 66.53 and post operative 6 month ODI score was 18.53
Conclusion: From this study we have concluded that Transforaminal lumbar interbody fusion (TLIF) is a safe and effective method of achieving spinal fusion in patients with degenerative disc disease & low grade spondylolisthesis and thereby reduces back pain and improves patient’s disability score
Keywords: transforaminal lumbar interbody fusion- TLIF, Visual Analogue Scale- VAS, Oswestry Disability Index- ODI, PEEK


How to Cite this ArticleNamsha B R, Meghnathi U H, Ahir B K. Result of Study Of Transforaminal Lumbar Interbody Fusion (TLIF) Surgery. International Journal of Spine July-Dec 2019; 4(2): .


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Management of thoracolumbar fractures in adults: Current algorithm

Volume 4 | Issue 2 | July – Dec 2019  | Vibhu Krishnan Viswanathan, Rishi Mugesh Kanna


Authors : Vibhu Krishnan Viswanathan [1], Rishi Mugesh Kanna [1]

[1] Department of Orthopaedics, Ganga Hospital, Sai Baba Colony, Coimbatore, India.

Address of Correspondence
Dr. Rishi Mugesh Kanna,
Spine Surgeon, Ganga Hospital, Sai Baba Colony, Coimbatore, India.
E-mail: rishiortho@gmail.com


Abstract

Thoraco-lumbar (TL) fractures are the most common sites for spinal injuries. The severity of these injuries can range from minor, un-displaced fractures amenable to conservative management to highly complex, unstable fractures requiring surgical interventions. There is still considerable ambiguity on various issues related to the management of these vertebral injuries. The current article addresses several crucial questions related to the management of TL spinal fractures. An elaborate search was performed on standard medical search engines including pubmed, google and medline databases using keywords “adult TL fractures”, adult thoracolumbar fractures”, “adult thoracolumbar injuries”, “adult thoracolumbar spinal injuries”, “spinal injuries” and “spinal fractures”. Based on this comprehensive narrative review, we have discussed the key consensus of the existing literature on various aspects of management of these fractures. Currently the most useful system for defining TL fractures is the AO classification system. The best initial imaging modality is computerize tomography (CT) scan, with magnetic resonance imaging (MRI) being the most useful modality in AO type B2 injuries. All patients with AO types B and C injuries require surgical intervention. The current literature is shifting in favor of posterior approach, in view of less complications and morbidity associated with these surgeries. The role of decompression in enhancing neurological recovery and the need for surgical fusion in addition to instrumentation in TL fractures are still controversial. The current literature is strongly against the use of high dose steroids in acute TL fractures with SCI.
Key words: Thoraco-lumbar fractures, AO Spine classification, Imaging modalities, Fracture fixation


How to Cite this Article: Viswanathan V K, Kanna R M | Management of thoracolumbar fractures in
adults: Current algorithm | International Journal of Spine | July-Dec 2019; 4(2): .



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Headless fully threaded screw (headless screw) versus headed partially threaded screw (headed screw) fixation techniques for odontoid fracture type II- A Case Series

Volume 4 | Issue 2 | July – Dec 2019  | Kanniah Thuraikumar, Kwong-Lee Wan, Sze Wei Lim


Authors : Kanniah Thuraikumar [1], Kwong-Lee Wan [1], Sze Wei Lim [1]

[1] Department of Orthopaedics surgeon, Sungai Buloh Hospital, Jalan
Hospital, 47000 Sungai Buloh, Selangor, Malaysia.

Address of Correspondence
Dr. Kwong-Lee Wan,
Department of Orthopaedics surgeon, Sungai Buloh Hospital, Jalan
Hospital, 47000 Sungai Buloh, Selangor, Malaysia
Email: wankwonglee@yahoo.com


Abstract

Odontoid type II fracture is managed with various methods from non-operative such as Halo-vest to operative such as via anterior or posterior approaches and fixation. Posterior fixation of C1-C2 reduces the rotational range of motion significantly. Anterior odontoid fixation is typically done with screws. We present a case series of anterior odontoid screw fixation comparing three cases of headed partially threaded screw (headed screw) to two cases of headless fully threaded screw (headless screw). The headless screw had the advantages of able to be embedded which reduced the risk of prominent hardware and allowed further advancement for more compression effect. The headless screw has better biomechanical strength compared to a headed screw.
Keywords: Anterior odontoid fixation, Odontoid screw, Headless screw


How to Cite this Article:  Thuraikumar K, Wan K-L, Lim S W. | Headless fully threaded screw (headless screw) versus headed partially threaded screw (headed screw) fixation techniques for odontoid fracture type II- A Case Series | . International Journal of Spin | July-Dec 2019; 4(2):


 


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