Transforaminal lumbar interbody fusion with one cage and excised local bone.
BACKGROUND
The effect of transforaminal lumbar interbody fusion (TLIF) with one cage and excised local bone were investigated in 52 patients with a mean follow-up of 18.2 months.


METHODS
The clinical outcomes including the modified Prolo scale and a visual analog scale (VAS), and radiological assessments including the ratio of interbody graft area, fusion rate, posterior disk height (PH), and the lordosis angle (LA) of the motion segment were studied.


RESULTS
According to a modified Prolo scale, 90.4% of the patients obtained either excellent or good results. The VAS significantly decreased postoperatively. There was significant postoperative improvement of the PH and LA, and no significant loss of the PH and LA was found at final follow-up. The fusion rate in this series was 96.6%.


CONCLUSIONS
In conclusion, TLIF with one cage and excised local bone grafting can provide satisfactory treatment outcomes and solid interbody fusion without harvesting and grafting autologous iliac bone.
Xiao
Yuxiang
Y
Department of Orthopaedics, The Second Affiliated Hospital of Medical College, Zhejiang University, No.88, Jefang Road, 310009 Hangzhou City, Zhejiang Province, China. xiaoyuxiang2004@hotmail.com
Li
Fangcai
F
Chen
Qixin
Q
D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011182:Postoperative Care; D011859:Radiography; D013123:Spinal Fusion / Q000379:methods*; D014182:Transplantation, Autologous; D016896:Treatment Outcome